Tags

Type your tag names separated by a space and hit enter

Location of patients before transfer to a tertiary care intensive care unit: impact on outcome.
J Crit Care. 2009 Mar; 24(1):108-13.JC

Abstract

OBJECTIVE

To evaluate the impact of the source of patients transferred to a tertiary care intensive care unit (ICU) (referring hospital ICU vs referring hospital emergency department [ED]) on outcomes of transferred patients.

DESIGN AND SETTING

We performed a retrospective review of data contained in the Project Impact database of a medical-surgical ICU at a university hospital.

PATIENTS AND PARTICIPANTS

A total of 503 patients transferred from local community hospitals, 283 from EDs and 220 from ICUs, were identified and included. In addition to comparing all ED transfers with all ICU transfers, comparisons between the 2 populations were made for the subgroups of patients with intracranial hemorrhage (group 1), nonhemorrhagic stroke (group 2), and all other patients (group 3).

MEASUREMENTS AND RESULTS

Patients were evaluated for a variety of outcome parameters, including mortality and ICU and hospital length of stay (LOS) according to their location at the referring hospital at the time of transfer: ICU (ICUtx) or ED (EDtx). Mortality was significantly lower among EDtx in all transferred patients as well as in groups 2 and 3 with no difference in mortality identified in group 1. Intensive care unit LOS was shorter for EDtx and the 3 groups, and hospital LOS was shorter among all EDtx and those in group 3. Group 3 EDtx also had lower than predicted mortality.

CONCLUSIONS

Transfer of patients to a tertiary care ICU from the ED of a referring hospital is associated with significantly better outcomes than transfers from referring hospital ICUs.

Authors+Show Affiliations

Critical Care Medicine, Cooper University Hospital, Camden, NJ 08103, USA. gerber-dave@cooperhealth.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19272546

Citation

Gerber, David R., et al. "Location of Patients Before Transfer to a Tertiary Care Intensive Care Unit: Impact On Outcome." Journal of Critical Care, vol. 24, no. 1, 2009, pp. 108-13.
Gerber DR, Schorr C, Ahmed I, et al. Location of patients before transfer to a tertiary care intensive care unit: impact on outcome. J Crit Care. 2009;24(1):108-13.
Gerber, D. R., Schorr, C., Ahmed, I., Dellinger, R. P., & Parrillo, J. (2009). Location of patients before transfer to a tertiary care intensive care unit: impact on outcome. Journal of Critical Care, 24(1), 108-13. https://doi.org/10.1016/j.jcrc.2008.03.002
Gerber DR, et al. Location of Patients Before Transfer to a Tertiary Care Intensive Care Unit: Impact On Outcome. J Crit Care. 2009;24(1):108-13. PubMed PMID: 19272546.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Location of patients before transfer to a tertiary care intensive care unit: impact on outcome. AU - Gerber,David R, AU - Schorr,Christa, AU - Ahmed,Imtiaz, AU - Dellinger,R Phillip, AU - Parrillo,Joseph, Y1 - 2008/05/14/ PY - 2007/05/16/received PY - 2008/01/18/revised PY - 2008/03/06/accepted PY - 2009/3/11/entrez PY - 2009/3/11/pubmed PY - 2009/8/6/medline SP - 108 EP - 13 JF - Journal of critical care JO - J Crit Care VL - 24 IS - 1 N2 - OBJECTIVE: To evaluate the impact of the source of patients transferred to a tertiary care intensive care unit (ICU) (referring hospital ICU vs referring hospital emergency department [ED]) on outcomes of transferred patients. DESIGN AND SETTING: We performed a retrospective review of data contained in the Project Impact database of a medical-surgical ICU at a university hospital. PATIENTS AND PARTICIPANTS: A total of 503 patients transferred from local community hospitals, 283 from EDs and 220 from ICUs, were identified and included. In addition to comparing all ED transfers with all ICU transfers, comparisons between the 2 populations were made for the subgroups of patients with intracranial hemorrhage (group 1), nonhemorrhagic stroke (group 2), and all other patients (group 3). MEASUREMENTS AND RESULTS: Patients were evaluated for a variety of outcome parameters, including mortality and ICU and hospital length of stay (LOS) according to their location at the referring hospital at the time of transfer: ICU (ICUtx) or ED (EDtx). Mortality was significantly lower among EDtx in all transferred patients as well as in groups 2 and 3 with no difference in mortality identified in group 1. Intensive care unit LOS was shorter for EDtx and the 3 groups, and hospital LOS was shorter among all EDtx and those in group 3. Group 3 EDtx also had lower than predicted mortality. CONCLUSIONS: Transfer of patients to a tertiary care ICU from the ED of a referring hospital is associated with significantly better outcomes than transfers from referring hospital ICUs. SN - 1557-8615 UR - https://www.unboundmedicine.com/medline/citation/19272546/Location_of_patients_before_transfer_to_a_tertiary_care_intensive_care_unit:_impact_on_outcome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0883-9441(08)00066-X DB - PRIME DP - Unbound Medicine ER -