ArticleIntensive care medicine2016
Critical care transition programs and the risk of readmission or death after discharge from ICU.
Article in Intensive care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- ICU Readmission and In-Hospital Mortality Rates for Patients Discharged from the ICU-Risk Factors and Validation of a New Predictive Model: The Worse Outcome Score (WOScore).Journal of personalized medicine · 2025Article
- Intensive Care Unit Readmissions in a Level I Trauma Center.The Journal of surgical research · 2025Article
- Transition experiences of patients and families upon discharge from intensive care: a scoping review.Revista latino-americana de enfermagem · 2025Article
- Perception of Pediatric Nurses on the Use of Standardized Nursing Handover Process in Intra-Hospital Patients Transfer: Attitudes, Barriers, and Practical Challenges.Nursing reports (Pavia, Italy) · 2024Article
- Implementation of nursing-led follow-up service for patients newly discharged from paediatric intensive care units: quality improvement initiative.BMJ open quality · 2023Article
- Risk Factors for Unplanned ICU Readmission Among Trauma Patients: Age Matters.Critical care explorations · 2022Article
- Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021.Intensive care medicine · 2021Article
- Challenges of the patient transition process from the intensive care unit: a qualitative study.Acute and critical care · 2021Article
- Intensive care units follow-up: a scoping review protocol.BMJ open · 2020Article
- Transition of care at discharge from the Intensive Care Unit: a scoping review.Revista latino-americana de enfermagem · 2020Article
- A multicentre controlled pre-post trial of an implementation science intervention to improve venous thromboembolism prophylaxis in critically ill patients.Intensive care medicine · 2019Article
- Assessment of the Safety of Discharging Select Patients Directly Home From the Intensive Care Unit: A Multicenter Population-Based Cohort Study.JAMA internal medicine · 2018Article
- A qualitative exploration of the discharge process and factors predisposing to readmissions to the intensive care unit.BMC health services research · 2018Article
- Non-readmission decisions in the intensive care unit under French rules: A nationwide survey of practices.PloS one · 2018Article
- Using an intervention mapping approach to develop a discharge protocol for intensive care patients.BMC health services research · 2017Article
- The impact of critical care transition programs on outcomes after intensive care unit (ICU) discharge: can we get there from here?Journal of thoracic disease · 2016Article
- Prognostic impact of the time of admission and discharge from the intensive care unit.Revista Brasileira de terapia intensivaObservational
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCritical care transition programs have been widely implemented to improve the safety of patient discharge from ICU, but have undergone limited evaluation. We sought to evaluate implementation of a critical care transition program on patient readmission to ICU (72 h) and mortality (14 days).
methodsInterrupted time series analysis of 32,234 consecutive adult patients discharged alive from medical-surgical ICUs in eight hospitals in two cities between January 1, 2002 and January 1, 2012. A multidisciplinary ICU provider team (physician, nurse, respiratory therapist) that serially evaluated each patient after ICU discharge was implemented in three hospitals in one city (study group), but not the five hospitals in the other city (control group). Temporal changes were examined using multivariable, segmented linear regression models.
resultsAfter implementation of the program, there was an immediate non-significant decrease in the absolute proportion of patients readmitted to ICU in the study group (-0.4%, 95% CI -1.7 to +1.0%) and a non-significant increase in the absolute proportion of patients readmitted to ICU in the control group (+1.0%, 95% CI -0.3 to +2.2%). Subsequently, there were non-significant changes in the absolute proportion of patients readmitted to ICU in both the study (+0.1% per quarter; 95% CI, -0.1 to +0.2%) and control (-0.1 per quarter; 95% CI, -0.2 to +0.1%) groups over time. No significant changes were observed in mortality. The results were stable across patient subgroups.
conclusionsImplementation of a critical care transition program was not associated with patient readmission to ICU or mortality.
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