Poster: Comparison of Periodic In-Person ID Care to Daily Tele-ID Care at a Community Hospital - Infectious Disease Connect Poster: Comparison of Periodic In-Person ID Care to Daily Tele-ID Care at a Community Hospital - Infectious Disease Connect

Academic Literature

Poster: Comparison of Periodic In-Person ID Care to Daily Tele-ID Care at a Community Hospital

This poster highlighting remote tele-ID was originally presented at IDWeek 2022, held Oct. 19-23 in Washington, D.C.

Sowmya Nanjappa, M.D.1,2; Peter Volpe, M.D.1,2; Nupur Gupta, DO MPH1,2; Sui Kwong Li, M.D.1,2;
Christian Perez. M.D.1,2; Kate Gass, BSN1; John W. Mellors. M.D.1,2; Rima C. Abdel-Massih, M.D.1,2
Contact: nanjappas@upmc.edu

1. Division of Infectious Diseases, UPMC 2. Infectious Disease Connect, Pittsburgh PA USA

Conclusions

Based upon the findings of this study, remote Tele-ID care is a viable solution where access to ID expertise is limited

  • A Tele-ID service with daily availability increased appropriate utilization of ID care at a 150+-bed community hospital.
  • Despite higher Charleston Comorbidity Index (CCI) scores in Tele-ID patients, length of stay (LOS) was shorter and discharge on intravenous (IV) antibiotics was less frequent when compared to In-person service and showed no difference in ID related readmissions or in-house mortality.

Background

Methods

Results

Table 1: Patient Demographics
In-Person ID ServiceTele-ID Servicep-value
Total Encounters100100
Mean age (years) 63.5967.840.0553
Caucasian (%)100981.552
Female (%)41440.668
CCI score (mean) 4.55.30.047

Table 2: Outcomes
In-Person ID ServiceTele-ID Servicep-value
Average LOS (days)9.087.50.003
Discharge on IV antibiotics (%)51340.007
Discharge on PO antibiotics (%)23390.014
Transfer to tertiary care center (%)14130.84
In-house mortality (%)22
3O-Day readmission (%)1110.007

Acknowledgements / References / Disclosures

Sowmya Nanjappa, Peter Volpe, Nupur Gupta, Sui Kwong Li & Christian Perez have no disclosures. Rima Abdel-Massih is Co-founder, CMO, and share option holder of Infectious Disease Connect. John Mellors is Co-founder, Advisory Board chair, and share option holder of Infectious Disease Connect.


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