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• W4385808023 abstract "ABSTRACT Purpose Provider-to-provider emergency department telehealth (tele-ED) has been proposed to improve rural sepsis care. The objective of this study was to measure the association between sepsis documentation and tele-ED use, treatment guideline adherence, and mortality. Materials and Methods This analysis was a multicenter (n=23) cohort study of sepsis patients treated in rural emergency departments (EDs) that participated in a tele-ED network between August 2016 and June 2019. The primary exposure was whether sepsis was recognized in the local ED, and the primary outcome was rural tele-ED use, with secondary outcomes of time to tele-ED use, 3-hour guideline adherence, and in-hospital mortality. Results Data from 1,146 rural sepsis patients were included, 315 (27%) had tele-ED used, and 415 (36%) had sepsis recognized in the rural ED. Sepsis recognition was not independently associated with higher rates of tele-ED use (adjusted odds ratio [aOR] 1.23, 95% CI 0.90–1.67). Sepsis recognition was associated with earlier tele-ED activation (adjusted hazard ratio [aHR] 1.69, 95% CI 1.34-2.13), lower 3-hour guideline adherence (aOR 0.73, 95% CI: 0.55-0.97), and lower in-hospital mortality (aOR 0.72, 95% CI: 0.54-0.97). Conclusions Sepsis recognition in rural EDs participating in a tele-ED network was not associated with tele-ED use." @default.
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• W4385808023 date "2023-08-13" @default.
• W4385808023 modified "2023-10-02" @default.
• W4385808023 title "The effect of sepsis recognition on telemedicine use and bundle completion in rural emergency department sepsis treatment" @default.
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• W4385808023 doi "https://doi.org/10.1101/2023.08.09.23293892" @default.
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