Effect of Interhospital ICU Relocation on Patient Physiology and Clinical Outcomes.

Abstract:

:Relocation of large numbers of critically ill patients between hospitals is sometimes necessary and the risks associated with relocation may be high. In the setting of adherence to an interhospital intensive care unit (ICU) relocation protocol, we aimed to determine whether the interhospital relocation of all ICU patients in a single day is associated with changes in vital signs, device removal, and worse clinical outcomes. We conducted a prospective, observational, cohort study of all critically ill adults admitted to a tertiary medical center's ICUs on the day of a planned hospital relocation and exposed to interhospital ICU relocation compared with unexposed critically ill adults. Changes in vital signs were evaluated by the before-and-after interhospital relocation measurement of vital signs, and clinical outcomes were collected for all patients. A total of 699 patients were admitted to the ICU during the observation period, 24 of whom were exposed to interhospital ICU relocation on a single day. The median interhospital transport duration was 28 minutes (interquartile range: 24-35) and 29% of patients were receiving invasive mechanical ventilation. Patients exposed to interhospital ICU relocation had no significant change in any vital sign measurement and no devices were unintentionally removed. Inhospital mortality was similar (8.3%) to patients not exposed to interhospital ICU relocation (9.2%, P > .99). In the setting of adherence to an ICU relocation protocol, the interhospital ICU relocation of all critically ill adults during a single day is not associated with changes in vital signs, device removal, or worse clinical outcomes.

journal_name

J Intensive Care Med

authors

Janz DR,Khan YA,Mooney JL,Semler MW,Rice TW,Johnson JL,deBoisblanc BP,ICU MOVE Investigators and the Pragmatic Critical Care Research Group.

doi

10.1177/0885066617726754

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

1010-1016

issue

11-12

eissn

0885-0666

issn

1525-1489

journal_volume

34

pub_type

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