Direct and delayed admission to an intensive care or high dependency unit following discharge from the emergency department: Associated patient characteristics and hospital outcomes

Critical Care and Resuscitation

Volumn 14, Issue 3, 2012, Pages 191-197

  Flabouris, Arthas ^a,b   Jeyadoss, Jellsingh ^b   Field, John ^b   Soulsby, Tom ^b  

^a ROYAL ADELAIDE HOSPITAL   (Australia)

^b UNIVERSITY OF ADELAIDE   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; AUSTRALIA; COMPARATIVE STUDY; EMERGENCY HEALTH SERVICE; FEMALE; HEALTH CARE FACILITY; HOSPITAL DISCHARGE; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MALE; MIDDLE AGED; MORTALITY; OUTCOME ASSESSMENT; TIME;

ADULT; AGED; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT DISCHARGE; PATIENTS' ROOMS; SOUTH AUSTRALIA; TIME FACTORS; TRIAGE;

EID: 84868257187     PISSN: 14412772     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (34)

1. Rapoport J, Teres D, Lemeshow S, Harris D. Timing of intensive care unit admission in relation to ICU outcome. Crit Care Med 1990; 18: 1231-1235.
2. Goldhill DR, McNarry AF, Hadjianastassiou VG, Tekkis P.P. The longer patients are in hospital before Intensive Care admission the higher their mortality. Intensive Care Med 2004; 30: 1908-1913.
3. Cardoso LT, Grion CM, Matsuo T, et al. Impact of delayed admission to intensive care units on mortality of critically ill patients: a cohort study. Crit Care 2011; 15: R28.
4. Flabouris A, Hart GK, George C. Outcomes of patients admitted to tertiary intensive care units after interhospital transfer: comparison with patients admitted from emergency departments. Crit Care Resusc 2008; 10: 97-105.
5. Durairaj L, Will JG, Torner JC, Doebbeling BN. Prognostic factors for mortality following interhospital transfers to the medical intensive care unit of a tertiary referral center. Crit Care Med 2003; 31: 1981-1986.
6. Rosenberg AL, Hofer T P, Strachan C, et al. Accepting critically ill transfer patients: adverse effect on a referral center's outcome and benchmark measures. Ann Intern Med 2003; 138: 882-890.
7. Flabouris A. Patient referral and transportation to a regional tertiary ICU: patient demographics, severity of illness and outcome comparison with non-transported patients. Anaesth Intensive Care 1999; 27: 385-390.
8. Escobar GJ, Greene JD, Gardner MN, et al. Intra-hospital transfers to a higher level of care: contribution to total hospital and intensive care unit (ICU) mortality and length of stay (LOS). J Hosp Med 2011; 6: 74-80.
9. Goldhill DR, Sumner A. Outcome of intensive care patients in a group of British intensive care units. Crit Care Med 1998; 26: 1337-1345.
10. Lundberg JS, Perl TM, Wiblin T, et al. Septic shock: an analysis of outcomes for patients with onset on hospital wards versus intensive care units. Crit Care Med 1998; 26: 1020-1024.
11. Victorian Intensive Care Data Review Committee. Intensive care for adults in Victorian public hospitals 2002. Report to the public. Melbourne: Department of Human Services, 2004.
12. Richardson JD, Franklin G, Santos A, et al. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. J Am Coll Surg 2009; 208: 671-678.
13. Atzema CL, Austin PC, Tu JV, Schull MJ. Emergency department triage of acute myocardial infarction patients and the effect on outcomes. Ann Emerg Med 2009; 53: 736-745.
14. Trinkle RM, Flabouris A. Medical reviews before cardiac arrest, medical emergency call or unanticipated intensive care unit admission: their nature and impact on patient outcome. Crit Care Resusc 2011; 13: 175-180.
15. Lu TC, Tsai CL, Lee CC, et al. Preventable deaths in patients admitted from emergency department. Emerg Med J 2006: 23: 452-455.
16. Parkhe M, Myles PS, Leach DS, Maclean AV. Outcome of emergency department patients with delayed admission to an intensive care unit. Emerg Med 2002; 14: 50-57.
17. Australian College for Emergency Medicine. Policy on the Australasian Triage Scale. http://www.acem.org.au/media/policies_and_guidelines/ P06_Aust_Triage_Scale_-_Nov_2000.pdf (accessed Nov 2011).
18. Breiman L, Friedman JH, Olshen RA, Stone CJ. Classification and regression trees. Monterey, Cal: Wadsworth Inc, 1984.
19. Frost SA, Alexandrou E, Bogdanovski T, et al. Unplanned admission to intensive care after emergency hospitalisation: risk factors and development of a nomogram for individualised risk. Resuscitation 2009; 80: 224-230.
20. Carter AW, Pilcher D, Bailey M, et al. Is ED length of stay before ICU admission related to patient mortality? Emerg Med Australas 2010; 22: 145-150.
21. McQuillan P, Pilkington S, Alan A, et al. Confidential inquiry into quality of care before admission to intensive care. BMJ 1998; 316: 1853-1858.
22. Rivers E, Nguyen B, Havstad S, et al, For the Early Goal-Directed Therapy Collaborative Group. Early goal-directed therapy. N Engl J Med 2001; 345: 1368-1377.
23. Treasure T, Bennett D. Reducing the risk of major elective surgery. BMJ 1999; 318: 1087-1088.
24. Singh S, Manji M. A survey of pre-operative optimisation of high-risk surgical patients undergoing major elective surgery. Anaesthesia 2001; 56: 988-990.
25. Fee C, Weber EJ, Maak CA, Bacchetti P. Effect of emergency department crowding on time to antibiotics in patients admitted with community-acquired pneumonia. Ann Emerg Med 2007; 50: 501-509.
26. Schull MJ, Vermeulen M, Slaughter G, et al. Emergency department crowding and thrombolysis delays in acute myocardial infarction. Ann Emerg Med 2004; 44: 577-585.
27. Hochman JS, Sleeper LA, Webb JG, et al. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should we emergently revascularize occluded coronaries for cardiogenic shock. N Engl J Med 1999; 341: 625-634.
28. Champion HR, Sacco WJ, Gainer PS, Patow SM. The effect of medical direction on trauma triage. J Trauma 1988; 28: 235-239.
29. Scott I, Vaughan L, Bell D. Effectiveness of acute medical units in hospitals: a systematic review. Int J Qual Health Care 2009; 21: 397-407.
30. McGaughey J, Alderdice F, Fowler R, et al. Outreach and Early Warning Systems (EWS) for the prevention of intensive care admission and death of critically ill adult patients on general hospital wards. Cochrane Database Syst Rev 2007; (3): CD005529.
31. Priestley G, Watson W, Rashidian A, et al. Introducing Critical Care Outreach: a ward-randomised trial of phased introduction in a general hospital. Intensive Care Med 2004; 30: 1398-1404.
32. Ball C, Kirkby M, Williams S. Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomised population based study. BMJ 2003; 327: 1014.
33. Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthesiology 2005; 103: 1121-1129.
34. Australian Council on Healthcare Standards. Australasian clinical indicator report 2003-2010. 12th Ed. Sydney: ACHS, 2011. http:// www.achs.org.au/cireports (accessed Nov 2011).