Telemedicine reduces hospital transfers for very ill kids at rural, community emergency departments jamanetworkopen
, 451 patients assigned to the telemedicine arm were transferred to the UCDCH vs 144 patients assigned to the telephone arm. In the intention-to-treat mixed-effects Poisson regression analysis, the adjusted risk of transfer among patients in the telemedicine arm was lower than that of the telephone arm after adjusting for patient age, natural logarithm RePEAT score, and hospital study period .
In the treatment-received and per-protocol analyses, we did not find differences in baseline demographic or clinical characteristics between patients in the study arms other than some differences in presenting chief signs and symptoms .
Most baseline characteristics were similar between patients who received consultations that adhered to the study arm and those whose consultations deviated from the study arm intervention . Consultations for patients who arrived at the presenting ED by emergency medical services were more likely to be conducted by telephone when allocated to telemedicine than for patients who did not arrive by emergency medical services .
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