ArticleRevista Brasileira de terapia intensiva2019
Adverse events during intrahospital transport of critically ill patients in a large hospital.
Article in Revista Brasileira de terapia intensiva, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Designing a hybrid surgical ICU to avoid intrahospital transport in selected critically Ill patients: the CUHK-SZ institutional concept.World journal of emergency surgery : WJES · 2026Article
- Evaluating the effectiveness of the 'patient transport' app in improving healthcare quality, patient safety, and workflow efficiency.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Design and application of a novel surgical transfer sheet: a randomized controlled trial.BMC nursing · 2025Article
- Portable Bedside Low-Field MRI for Assessment of Ventricular Size.AJNR. American journal of neuroradiology · 2025Article
- Status of knowledge, attitude and practice of clinical nurses towards the intrahospital transport of critically ill patients: A cross-sectional study.Nursing open · 2024Article
- Reliability and validity assessment of the Chinese version of the Intrahospital Transport Safety Scale (IHTSS) in intensive care units.BMC nursing · 2024Article
- Article
- Low-Field Portable Magnetic Resonance Imaging for Post-Thrombectomy Assessment of Ongoing Brain Injury.Stroke (Hoboken, N.J.) · 2023Article
- Benchmarking Hospital Practices and Policies on Intrahospital Neurocritical Care Transport: The Safe-Neuro-Transport Study.Journal of clinical medicine · 2023Article
- Changes in vital signs, ventilation mode, and catecholamine use during intensive care aeromedical evacuation flights.Frontiers in public health · 2023Article
- Current role of portable MRI in diagnosis of acute neurological conditions.Frontiers in neurology · 2023Review
- MRI and the Critical Care Patient: Clinical, Operational, and Financial Challenges.Critical care research and practice · 2023Review
- Bedside monitoring of hypoxic ischemic brain injury using low-field, portable brain magnetic resonance imaging after cardiac arrest.Resuscitation · 2022Article
- Portable, low-field magnetic resonance imaging enables highly accessible and dynamic bedside evaluation of ischemic stroke.Science advances · 2022Article
- Incidence of Adverse Events Associated With the In-Hospital Transport of Critically Ill Patients.Critical care explorations · 2022Article
- Effectiveness of the graded transport mode for the intrahospital transport of critically ill patients: A retrospective study.Frontiers in public health · 2022Article
- Application of comprehensive u nit-based safety program model in the inter-hospital transfer of patients with critical diseases: a retrospective controlled study.BMC health services research · 2021Observational
- Methodology for Low-Field, Portable Magnetic Resonance Neuroimaging at the Bedside.Frontiers in neurology · 2021Article
- Evidence-Based Guideline on Critical Patient Transport and Handover to ICU.Anesthesiology research and practice · 2021Review
- Development and initial psychometric testing of the Intrahospital Transport Safety Scale in intensive care.BMJ open · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the incidence of clinical and non-clinical events during intrahospital transport of critically ill patients and to analyze the associated risk factors.
methodsCohort study with retrospective data collected from October 2016 to October 2017. All cases of intrahospital transport for diagnostic and therapeutic purposes in a large hospital with six adult intensive care units were analyzed, and the adverse events and related risk factors were evaluated.
resultsDuring the study period, 1,559 intrahospital transports were performed with 1,348 patients, with a mean age of 66 ± 17 years and a mean transport time of 43 ± 34 minutes. During transport, 19.8% of the patients were using vasoactive drugs; 13.7% were under sedation; and 10.6% were under mechanical ventilation. Clinical events occurred in 117 transports (7.5%), and non-clinical events occurred in 125 (8.0%) transports. Communication failures were prevalent; however, the multivariate analysis showed that the use of sedatives, noradrenaline and nitroprusside and a transport time greater than 36.5 minutes were associated with adverse clinical events. The use of dobutamine and a transport time greater than 36.5 minutes were associated with non-clinical events. At the end of transport, 98.1% of the patients presented unchanged clinical conditions compared with baseline.
conclusionIntrahospital transport is related to a high incidence of adverse events, and transport time and the use of sedatives and vasoactive drugs were related to these events.
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