Evidence map›Paper›PMID 32284716›Full record

ArticleJournal of the Intensive Care Society2020

Critical care transfer in an English critical care network: Analysis of 1124 transfers delivered by an ad-hoc system.

Scott Grier, Graham Brant, Timothy H Gould, Johannes von Vopelius-Feldt, Julian Thompson

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the Intensive Care Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 34 citations in OpenAlex.

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  10. Determining the factors for interhospital transfer in advanced heart failure cases.International journal of cardiology. Heart & vasculature · 2022
    Article
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  14. Taking upstairs care outside.Qatar medical journal · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Scott GrierIntensive Care Medicine and Pre-Hospital Emergency Medicine, Intensive Care Unit, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Graham BrantSouth West Critical Care Network, Bristol Royal Infirmary, Bristol, UK.
Timothy H GouldSouth West Critical Care Network, Bristol Royal Infirmary, Bristol, UK.
Johannes von Vopelius-FeldtGreat Western Air Ambulance Charity, Emergency Air Operations Base, Bristol, UK.
Julian ThompsonGreat Western Air Ambulance Charity, Emergency Air Operations Base, Bristol, UK.
Bristol Royal Infirmary · GBGW4Southmead Hospital · GBUniversity of the West of England · GB

Funding

Department of Health DRF-2015-08-040
6 · The paper itself

Abstract

backgroundCritical care transfers between hospitals are time critical high-risk episodes for unstable patients who often require urgent lifesaving intervention. This study aimed to establish the scale, nature and safety of current transfer practice in the South West Critical Care Network (SWCCN) in England.

methodsThe SWCCN database contains prospectively collected data in accordance with national guidelines. It was interrogated for all adult (>15 years of age) patients from January 2012 to November 2017.

resultsA total of 1124 inter-hospital transfers were recorded, with the majority (935, 83.2%) made for specialist treatment. The transferring team included a doctor in 998 (88.8%) and nurse in 935 (93.7%) transfers. In 204 (18.1%) transfers, delays occurred, with the commonest cause being availability of transport. Critical incidents occurred in 77 (6.9%).

conclusionsThis is the first published data on the transfer activity of a UK adult critical care network. It demonstrates that current ad-hoc provision is not meeting the longstanding expectations of national guidelines in terms of training, clinical experience and timeliness. The authors hope that this study may inform national conversation regarding the development of National Health Service commissioned inter-hospital transfer services for adult patients in England.

Indexed as

Critical careinter-hospital transferpatient transferretrievaltransportation of patients

Identifiers

PMID32284716
PMCPMC7137162
OpenAlexW2918396460

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.