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A post-ICU telehealth care model may improve outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We sought to evaluate the cost-effectiveness and clinical efficacy of a post-ICU telehealth care model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a single-center randomized controlled trial of 400 ICU patients with sepsis and\/or acute respiratory failure, who had two or fewer hospital admissions in the past year, and who were not admitted from or discharged to hospice, a skilled nursing facility, or a long-term acute care hospital. The intervention group had scheduled telehealth visits at 1 and 2 weeks after ICU discharge and as needed for 6 months with a clinician trained in post-ICU recovery. The primary outcome is the cost-effectiveness of the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements and Main Results<\/jats:title>\n                    <jats:p>Overall healthcare spending on emergency room (ER) visits and hospitalizations were a mean (SD, in U.S. dollars) $7,801.10 ($15,461.03) in the attention control group versus $8,086.50 ($17,464.87) in the intervention group, with a calculated incremental net benefit of $1,958.29 (\u2212$5,779.56 to $9,696.14). ER visits to our healthcare system were the same between groups, but patient-reported ER visits to outside hospitals were different (0.97 per 100 patients per month in the attention control group vs. 2.43 in the intervention group; P\u2009=\u20090.03). Readmissions, mortality, quality-of-life scores, and overall patient satisfaction scores were similar between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This randomized controlled trial of a post-ICU telehealth intervention demonstrated wide variation but no clear incremental net benefit compared with standard care.<\/jats:p>\n                    <jats:p>Clinical trial registered with www.clinicaltrials.gov (NCT 04576065).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1164\/rccm.202411-2167oc","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T16:45:02Z","timestamp":1750265102000},"page":"1662-1670","update-policy":"https:\/\/doi.org\/10.1164\/crossmarkpolicies","source":"Crossref","is-referenced-by-count":13,"title":["A Randomized Controlled Trial of a Post-ICU Telehealth Care Model (WFIT)"],"prefix":"10.1093","volume":"211","author":[{"given":"Rita N.","family":"Bakhru","sequence":"first","affiliation":[{"name":"Pulmonary, Critical Care, Allergy, and Sleep, Medical University of South Carolina, Charleston, South Carolina"},{"name":"Pulmonary, Critical Care, Allergy, and Immunologic Diseases"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori","family":"Flores","sequence":"additional","affiliation":[{"name":"Pulmonary, Critical Care, Allergy, and Immunologic Diseases"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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