Health TrialsbyHealthPanel

Telehealth-Enabled, Real-time Audit and Feedback for Clinician AdHerence (TEACH)

ConditionRespiration, Artificial
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age16+
SponsorIntermountain Health Care, Inc.

About this trial

The purpose of this trial is to evaluate if augmenting a usual audit and feedback implementation approach with telehealth-enabled support improves coordinated spontaneous awakening/breathing trials and patient outcomes for mechanically ventilated patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patient age >=16 years admitted to study hospital ICU

Intubated and mechanically ventilated

Disqualifiers

Patient with pre-existing brain death admitted to study hospital for organ donation

Died within 24 hours of intubation

Trial design

Design model

Parallel

Treatments tested in this trial

  • Telehealth- enabled support for SAT/SBT adherence

    Other intervention

    Telehealth-enabled support over and above usual audit and feedback includes identifying candidates for spontaneous awakening and breathing trials, prompting bedside providers and guiding execution of the coordinated spontaneous awakening and breathing trials as needed.

  • Usual audit and feedback for SAT/SBT adherence

    Other intervention

    Usual audit and feedback

Treatment groups

13,400 Participants
are divided into 2 treatment groups
Group A: Intervention - Telehealth- enabled support plus usual audit and feedback for SAT/SBT adherenceExperimental treatment 2 interventions
Group B: Control - Usual audit/feedback for SAT/SBT adherence onlyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Adherence to C-SAT/SBT

Fraction of eligible days on which coordinated spontaneous awakening trial and spontaneous breathing trial completed.

Time frame
intubation to extubation - an average of 5 days
2

Ventilator-free days to day 28

ventilator-free days to day 28

Time frame
28 days

Secondary outcomes

1

30-day Mortality

Time frame
30 days
2

Hospital Length of Stay

Time frame
Through hospital discharge, an average of 10 days
3

90-day Mortality

Time frame
90 Days
4

New ventilator-associated pneumonia

Time frame
Through hospital discharge, an average of 10 days

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Intermountain Health Care, Inc.

Lead sponsor

University of Utah

Collaborator

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Source ClinicalTrials.gov
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