Use of a Mobile Remote Device to Optimize Pediatric Inter-facility Transportation: A Feasibility Study

NCT02915640 | Completed

• 1 other identifier: PITROBOT-1
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 3

Brief Summary

This study compares the utilization of remote technology versus not using remote technology when triaging and managing pediatric patients in remote settings prior to pediatric specialized inter-facility transportation.

Conditions

Acute Disease

Outcome Measures

Primary Outcomes (1)

• Transport number in the cases (with the robot) versus the controls (without the robot)

  One year

Secondary Outcomes (2)

• Tertiary care hospital length of stay in the cases versus the controls

  One year

• The number of patients transported to the regional hospitals in the cases (with the robot) versus the controls (without the robot)

  One year

Study Arms (2)

Remote technology

EXPERIMENTAL

Remote technology will be used for an initial patient assessment after being contacted by phone from the peripheral center to transfer an acutely ill pediatric patient as assessed by the referral centre care provider.

Other: Remote technology

Control

NO INTERVENTION

A Nurse Practitioner or General Practitioner from a remote site has a pediatric acute care referral and arranges a transportation. There is an initial call to obtain a patient history, to provide advice to the remote caregiver to initiate specific therapies and to mobilize the specialized team to the patient.

Interventions

Remote technology OTHER

Utilization of remote technology versus not using remote technology when triaging and managing pediatric patients in remote settings prior to pediatric specialized inter-facility transportation.

Remote technology

Eligibility Criteria

• Age: Up to 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Patients ≤ 17 years from peripheral centre (Pelican Narrows Clinic and Regina General Hospital).
• Acutely ill.
• Being considered for medical transport.
• Patients ≤ 17 years from peripheral centre (Stony Rapids, Wollaston Lake and Sandy Bay).
• Chosen from a pre-existing Saskatchewan paediatric transport database.

You may not qualify if:

• Patients older than age 17.

Sponsors & Collaborators

• University of Saskatchewan: lead

Study Sites (3)

Pelican Narrows Clinic (Angelique Canada Health Centre)

Pelican Narrows, Saskatchewan, S0P 0E0, Canada

Location

Regina General Hospital

Regina, Saskatchewan, S4P 0W5, Canada

Location

Royal University Hospital

Saskatoon, Saskatchewan, S7N0W8, Canada

Location

Related Publications (6)

• Orr RA, Felmet KA, Han Y, McCloskey KA, Dragotta MA, Bills DM, Kuch BA, Watson RS. Pediatric specialized transport teams are associated with improved outcomes. Pediatrics. 2009 Jul;124(1):40-8. doi: 10.1542/peds.2008-0515.

  PMID: 19564281 BACKGROUND

• Stroud MH, Prodhan P, Moss MM, Anand KJ. Redefining the golden hour in pediatric transport. Pediatr Crit Care Med. 2008 Jul;9(4):435-7. doi: 10.1097/PCC.0b013e318172da62.

  PMID: 18496407 BACKGROUND

• Borrows EL, Lutman DH, Montgomery MA, Petros AJ, Ramnarayan P. Effect of patient- and team-related factors on stabilization time during pediatric intensive care transport. Pediatr Crit Care Med. 2010 Jul;11(4):451-6. doi: 10.1097/PCC.0b013e3181e30ce7.

  PMID: 20453701 BACKGROUND

• Han YY, Carcillo JA, Dragotta MA, Bills DM, Watson RS, Westerman ME, Orr RA. Early reversal of pediatric-neonatal septic shock by community physicians is associated with improved outcome. Pediatrics. 2003 Oct;112(4):793-9. doi: 10.1542/peds.112.4.793.

  PMID: 14523168 BACKGROUND

• Mendez I, Song M, Chiasson P, Bustamante L. Point-of-Care Programming for Neuromodulation: A Feasibility Study Using Remote Presence. Neurosurgery. 2013 Jan;72(1):99-108; discussion 108. doi: 10.1227/NEU.0b013e318276b5b2.

  PMID: 23096417 BACKGROUND

• Rothenberg SS, Yoder S, Kay S, Ponsky T. Initial experience with surgical telementoring in pediatric laparoscopic surgery using remote presence technology. J Laparoendosc Adv Surg Tech A. 2009 Apr;19 Suppl 1:S219-22. doi: 10.1089/lap.2008.0133.supp.

  PMID: 18976120 BACKGROUND

MeSH Terms

Conditions

Acute Disease

Interventions

Remote Sensing Technology

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Telemetry; Monitoring, Physiologic; Diagnostic Techniques and Procedures; Diagnosis; Investigative Techniques

Study Officials

• Tanya Holt, MD

  Clinical Assistant Professor

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Assistant Professor

Study Record Dates

• First Submitted: September 21, 2016
• First Posted: September 27, 2016
• Study Start: March 1, 2015
• Primary Completion: February 1, 2016
• Study Completion: May 1, 2016
• Last Updated: September 27, 2016

Record last verified: 2016-09

Data Sharing

• IPD Sharing: Will not share

Locations

CA (3)