Table 2.
Cohorts in missions involving patients with initially life-threatening vital signs.
Life-threatening vital signs (n = 2007) | Vital signs at start of tele-consultation (*) | Vital signs at end of tele-consultation (*) | Significant improvement in vital signs | Cases at start of tele-consultation | Cases at end of tele-consultation | Significant reduction in cases | ||
---|---|---|---|---|---|---|---|---|
Vital signs defined as life-threatening | Mean + sd | Mean + sd | n | n | p-value | |||
Airway | not open | 6 | 0 | p = 0.0311 | ||||
Breathing | SpO2 (%) | < 90 | 82.66 ± 10.18 | 93.11 ± 7.57 | p < 0.0001 | 346 | 75 | p < 0.0001 |
RR (/min) | > 20 | 26.82 ± 5.05 | 23.66 ± 5.77 | p < 0.0001 | 215 | 145 | p < 0.0001 | |
RR (/min) | < 6 | 6 | n.a | 1 | 0 | |||
Circulation | BP (mmHg) | < 90 | 79 ± 7.98 | 104 ± 21.27 | p < 0.0001 | 203 | 56 | p < 0.0001 |
BP (mmHg) | > 200 | 217 ± 13.12 | 182 ± 23.45 | p < 0.0001 | 769 | 170 | p < 0.0001 | |
HR (bpm) | < 50 | 41.66 ± 6.13 | 53.77 ± 21.31 | p < 0.0001 | 145 | 81 | p < 0.0001 | |
HR (bpm) | > 140 | 163.43 ± 22.58 | 136.82 ± 30.5 | p < 0.0001 | 313 | 144 | p < 0.0001 | |
Disability | GCS (3–15) | < 9 | 6.26 ± 1.76 | 10.11 ± 3.77 | p < 0.0001 | 88 | 27 | p < 0.0001 |
BG (mg/dl) | < 60 | 41.27 ± 11.35 | 87.09 ± 36.21 | p < 0.0001 | 93 | 20 | p < 0.0001 | |
BG (mg/dl) | > 500 | 552.9 ± 33.85 | 548.47 ± 35.34 | p = 0.6955 | 19 | 18 | p = 1 | |
Environment | Temp (°C) | > 40 | 40.61 ± 0.46 | 40.52 ± 0.52 | p = 0.4393 | 36 | 33 | p = 0.8083 |
The left box shows the means and standard deviations for the vital signs in initially critically ill patients before and after teleconsultation. The right box shows the number of cases with initially life-threatening vital signs at the start and end of the teleconsultation.
Sd standard deviation, SpO2 oxygen saturation, RR respiratory rate, BP blood pressure, HR heart rate, GCS Glasgow Coma Scale, BG blood glucose, Temp temperature.
*Unit depending on vital sign, n.a. = data was not available. Italicized p-values are significant.