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Understanding Regional Critical Care Delivery in Acute Respiratory Failure

Primary Investigator: David J. Wallace, MD, MPH, RDMS

Mentor(s): Derek C. Angus, MD, MPH, FRCP and Jeremy M. Kahn, MD, MS


Regionalized critical care delivery is a quality improvement strategy where select patients admitted to small resource-poor hospitals are triaged to large regional referral centers. This approach creates an opportunity to increase access to high-quality critical care for patients with high severity of illness, such as those requiring mechanical ventilation. Although there is enthusiasm for regionalized care of high-risk critically ill patients, there is little data to directly support widespread implementation.

The project empirically evaluates mortality benefit of regionalized critical care for patients with acute respiratory failure. The evaluation will inform efforts to reorganize critical care and improve outcomes for this high-risk patient population.