Daily multidisciplinary rounds conducted by a board-certified intensivist through telemedicine do not reduce intensive care unit (ICU) length of stay (LOS) in critically ill adult patients, according to a study published online Oct. 9 in the Journal of the American Medical Association to coincide with the annual congress of the European Society of Intensive Care Medicine, held from Oct. 5 to 9 in Barcelona, Spain.

Adriano J. Pereira, M.D., Ph.D., from the Hospital Israelita Albert Einstein in São Paulo, Brazil, and colleagues assessed whether an intervention involving daily multidisciplinary rounds and monthly audit and feedback meetings performed by a remote board-certified intensivist reduces ICU LOS versus usual care.

The analysis included patients treated in 30 general ICUs in Brazil in which daily multidisciplinary rounds performed by board-certified intensivists were not routinely available (1,794 patients in the baseline period and 15,230 in the intervention period).

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