ArticleNeurocritical care2015
Unplanned Transfers from Hospital Wards to the Neurological Intensive Care Unit.
Article in Neurocritical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The trial behind it
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Who cites it
9 citing papers in PubMed.
- Article
- Outcome of neurosurgical patients in surgical intensive care unit of a tertiary care center.Pakistan journal of medical sciences · 2026Article
- AI assisted prediction of unplanned intensive care admissions using natural language processing in elective neurosurgery.NPJ digital medicine · 2025Article
- Frequency, Risk Factors, and Outcomes of Unplanned Readmission to the Neurological Intensive Care Unit after Spontaneous Intracerebral Hemorrhage.Neurocritical care · 2022Observational
- Standardized Transfer Process for a Neurointensive Care Unit and Assessment of Patient Bounceback.Neurocritical care · 2022Article
- Comparison of the Performance of 24 Early Warning Scores with the Updated National Early Warning Score (NEWS2) for Predicting Unplanned Intensive Care Unit (ICU) Admission in Postoperative Brain Tumor Patients: A Retrospective Study at a Single Center.Medical science monitor : international medical journal of experimental and clinical research · 2021Article
- Towards development of alert thresholds for clinical deterioration using continuous predictive analytics monitoring.Journal of clinical monitoring and computing · 2020Article
- A Standardized Checklist Improves the Transfer of Stroke Patients from the Neurocritical Care Unit to Hospital Ward.The Neurohospitalist · 2020Article
- Preventing Early Bouncebacks to the Neurointensive Care Unit: A Retrospective Analysis and Quality Improvement Pilot.Neurocritical care · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe aim of this study is to evaluate the characteristics of unplanned transfers of adult patients from hospital wards to a neurological intensive care unit (NICU).
methodsWe retrospectively reviewed consecutive unplanned transfers from hospital wards to the NICU at our institution over a 3-year period. In-hospital mortality rates were compared between patients readmitted to the NICU ("bounce-back transfers") and patients admitted to hospital wards from sources other than the NICU who were then transferred to the NICU ("incident transfers"). We also measured clinical characteristics of transfers, including source of admission and indication for transfer.
resultsA total of 446 unplanned transfers from hospital wards to the NICU occurred, of which 39% were bounce-back transfers. The in-hospital mortality rate associated with all unplanned transfers to the NICU was 17% and did not differ significantly between bounce-back transfers and incident transfers. Transfers to the NICU within 24 h of admission to a floor service accounted for 32% of all transfers and were significantly more common for incident transfers than bounce-back transfers (39 vs. 21%, p = .0002). Of patients admitted via the emergency department who had subsequent incident transfers to the NICU, 50% were transferred within 24 h of admission.
conclusionsUnplanned transfers to an NICU were common and were associated with a high in-hospital mortality rate. Quality improvement projects should target the triage process and transitions of care to the hospital wards in order to decrease unplanned transfers of high-risk patients to the NICU.
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