ArticleIntensive care medicine2005
A nationwide survey of intensive care unit discharge practices.
Article in Intensive care medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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Who cites it
20 citing papers in PubMed.
- Reducing unplanned medical intensive care unit admissions by the critical care outreach team: a quality improvement report.BMJ open quality · 2025Article
- Effects of Implementing an ICU Discharge Readiness Checklist onHealthcare (Basel, Switzerland) · 2025Article
- Determinants of Readmission in the Intensive Care Unit: A Prospective Observational Study.Cureus · 2024Article
- Delphi study to derive expert consensus on a set of criteria to evaluate discharge readiness for adult ICU patients to be discharged to a general ward-European perspective.BMC health services research · 2022Article
- Improving Transitions of Care between the Intensive Care Unit and General Internal Medicine Ward. A Demonstration Study.ATS scholar · 2020Article
- Using the National Early Warning Score (NEWS/NEWS 2) in different Intensive Care Units (ICUs) to predict the discharge location of patients.BMC public health · 2019Article
- The Critical Care Society of Southern Africa Consensus Statement on ICU Triage and Rationing (ConICTri).The Southern African journal of critical care : the official journal of the Critical Care Society · 2019Article
- A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit.BMC health services research · 2018Article
- Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices.BMC health services research · 2017Article
- Barriers and facilitators to improve safety and efficiency of the ICU discharge process: a mixed methods study.BMC health services research · 2017Article
- Modelling risk-adjusted variation in length of stay among Australian and New Zealand ICUs.PloS one · 2017Article
- Optimal control of ICU patient discharge: from theory to implementation.Health care management science · 2015Article
- Improving clinical handover between intensive care unit and general ward professionals at intensive care unit discharge.Intensive care medicine · 2015Review
- Readmission to medical intensive care units: risk factors and prediction.Yonsei medical journal · 2015Article
- Identifying intensive care unit discharge planning tools: protocol for a scoping review.BMJ open · 2013Article
- Readmissions and death after ICU discharge: development and validation of two predictive models.PloS one · 2012Article
- Discharge from outpatient orthopaedic physiotherapy: a qualitative descriptive study of physiotherapists' practices.Physiotherapy Canada. Physiotherapie Canada · 2010Article
- Year in review in intensive care medicine, 2005. II. Infection and sepsis, ventilator-associated pneumonia, ethics, haematology and haemostasis, ICU organisation and scoring, brain injury.Intensive care medicine · 2006Article
- Causes of death and determinants of outcome in critically ill patients.Critical care (London, England) · 2006Article
- Stakeholder views regarding patient discharge from intensive care: Suboptimal quality and opportunities for improvement.Canadian respiratory journalArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe intensive care unit (ICU) discharge practices, examine factors associated with physicians' discharge decisions, and explore ICU and hospital characteristics and clinical determinants associated with the discharge process.
designSurvey in adult ICUs affiliated with the Swiss Society of Intensive Care Medicine.
interventionsQuestionnaire inquiring about ICU structure and organization mailed to 73 medical directors. Level of monitoring, intravenous medications, and physiological variables were proposed as elements of discharge decision. Five clinical situations were presented with request to assign a discharge disposition. MEASUREMENTS AND
resultsFifty-five ICUs participated, representing 75% of adult Swiss ICUs. Responsibility for patient management was assigned in 91% to the ICU team directing patient care. Only 22% of responding centers used written discharge guidelines. One-half of the respondents considered at least 10 of 15 proposed criteria to decide patient discharge. ICUs in central referral hospitals used fewer criteria than community and private hospitals. The availability of intermediate care units was significantly greater in university hospitals. The ICU director's level of experience was not associated with the number of criteria used. In the five clinical scenarios there was wide variation in discharge decision.
conclusionsOur data indicate that there is marked heterogeneity in ICUs discharge practices, and that discharge decisions may be influenced by institutional factors. University teaching hospitals had more intermediate care facilities available. Written discharge guidelines were not widely used.
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