Phase 3
Completed N=79,560
Telemedicine Control Tower for the Operating Room: Navigating Information, Care and Safety
Surgery · Surgery--Complications · Perioperative/Postoperative Complications
Source: ClinicalTrials.gov NCT03923699 ↗
Enrolled (actual)
79,560
Serious AEs
0.0%
Results posted
Jul 2024
Primary outcomePrimary: Thirty-day Postoperative Mortality — 899; 866 Participants — p=0.41
◆ Published Evidence
Established
20citations · ~3 / year
Protocol for the Effectiveness of an Anesthesiology Control Tower System in Improving Perioperative Quality Metrics and Clinical Outcomes: the TECTONICS randomized, pragmatic trial.
Summary
Medical errors account for thousands of potentially preventable deaths each year. With the annual increase of surgical cases there is a need for research into the potential utility of a telemedicine-based control center for the operating room to assess risk, diagnose negative patient trajectories, implement evidence-based practices, and improve outcomes.
Linked Publications (4)
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Protocol for the Effectiveness of an Anesthesiology Control Tower System in Improving Perioperative Quality Metrics and Clinical Outcomes: the TECTONICS randomized, pragmatic trial.
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Protocol for the perioperative outcome risk assessment with computer learning enhancement (Periop ORACLE) randomized study.
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Effect of telemedicine support for intraoperative anaesthesia care on postoperative outcomes: the TECTONICS randomised clinical trial.
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Effect of Telemedicine Support for Intraoperative Anaesthesia Care on Postoperative Outcomes: The TECTONICS Randomised Clinical Trial.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Thirty-day Postoperative Mortality |
899; 866 | 0.41 |
| PRIMARY Number of Participants With Postoperative Delirium |
1506; 1502 | 0.92 |
| PRIMARY Number of Participants With Postoperative Respiratory Failure |
1301; 1282 | 0.68 |
| PRIMARY Number of Participants With Postoperative Acute Kidney Injury |
2784; 2736 | 0.42 |
| SECONDARY Temperature Management |
27101; 27398 | 0.99 |
| SECONDARY Antibiotic Redosing |
5520; 5629 | 0.95 |
| SECONDARY Mean Arterial Pressure Management |
0.96; 0.96 | 0.29 |
| SECONDARY Mean Airway Pressure With Mechanical Ventilation |
0.92; 0.92 | 0.37 |
| SECONDARY Blood Glucose Management |
1786; 1848 | 0.30 |
| SECONDARY Measured Anesthetic Concentration |
29851; 30087 | 0.85 |
| SECONDARY Fresh Gas Flow Rates |
19899; 19839 | 0.51 |
Eligibility Criteria
Inclusion Criteria
- All patients 18 years or older undergoing surgery at Barnes Jewish Hospital in St. Louis, MO
Exclusion Criteria
-
Data sourced from ClinicalTrials.gov (NCT03923699) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.