Tele-PICU Kiosk as an Adjunct to Standard Monitoring and Care: An Open-Label Randomized Controlled Trial.

IF 1.5 4区医学 Q2 PEDIATRICS

Indian pediatrics Pub Date : 2025-10-08 DOI:10.1007/s13312-025-00197-0

Harleen Kaur, Lokesh Kumar Tiwari, Pradeep Kumar, Arun Prasad

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引用次数: 0

Abstract

Objective: This study aimed to determine whether using videoconferencing for pediatric intensive care unit (PICU) rounds with the help of a tele-PICU kiosk in addition to standard care impacts survival outcomes and duration of hospital stay.

Methods: An open-label randomized controlled trial was conducted in the PICU of a tertiary care center in India on a sample size of 120 children, randomized into two groups using computer-generated randomization tables. Patients with a PICU stay of < 24 h were excluded. The intervention group received tele-rounds using the tele-PICU kiosk daily for the first 3 days or discharge, whichever was earlier, in addition to standard care, while the control group received standard care. Consultation feedback was given to the treating team. Both groups were followed-up for survival outcome at the time of hospital discharge and 60 days after discharge.

Results: The intervention group had better patient survival at the time of discharge [51 (85%) vs. 41 (68.3%), P = 0.031; RR 2.63 (95%CI 1.07-6.42)] and at 60 days after hospital discharge [49 (81.7%) vs. 38 (63.3%), P = 0.025; RR 2.58 (95% CI 1.11-5.96)]. The intervention group had a significantly shorter duration of hospital stay [8 (5, 13) vs. 13 (7, 21) days, P = 0.044) and PICU stay [1.5 (1, 8) vs. 4 (1, 15) days; P = 0.045). The median cost difference shows a reduction in direct cost, but it could not achieve statistical significance.

Conclusion: Tele-rounds using tele-PICU kiosk as an adjunct to standard care showed better survival, reduced duration of hospital and PICU stay, and reduced cost trends for children admitted to the PICU.

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远程picu信息亭作为标准监测和护理的辅助：一项开放标签随机对照试验。

目的：本研究旨在确定在标准护理之外，在远程PICU信息亭的帮助下，对儿童重症监护病房（PICU）查房使用视频会议是否会影响生存结果和住院时间。方法：在印度一家三级护理中心的PICU进行了一项开放标签随机对照试验，样本量为120名儿童，使用计算机生成的随机化表随机分为两组。结果：干预组患者出院时生存率更高[51例（85%）比41例（68.3%），P = 0.031；RR 2.63 (95%CI 1.07-6.42)]和出院后60天[49（81.7%）比38 (63.3%),P = 0.025；Rr 2.58 (95% ci 1.11-5.96)]。干预组住院时间明显短于对照组[8（5,13）天和13（7,21）天，P = 0.044]， PICU住院时间明显短于对照组[1.5（1,8）天和4（1,15）天；p = 0.045)。中位成本差异显示直接成本降低，但不能达到统计学显著性。结论：远程查房作为标准护理的辅助手段，对入住PICU的儿童具有更好的生存率，缩短住院时间和PICU住院时间，降低费用趋势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian pediatrics 医学-小儿科

CiteScore

3.30

自引率

8.70%

发文量

344

审稿时长

3-8 weeks

期刊介绍： The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.