Evidence map›Paper›PMID 32317594›Full record

ArticleCritical care medicine2020

Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study.

Khara M Sauro, Andrea Soo, Chloe de Grood, Michael M H Yang, Benjamin Wierstra, Luc Benoit, Philippe Couillard, François Lamontagne, Alexis F Turgeon, Alan J Forster and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Critical care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Khara M SauroDepartment of Critical Care Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.
Andrea SooDepartment of Critical Care Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.
Chloe de GroodDepartment of Critical Care Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.
Michael M H YangDepartment of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada.
Benjamin WierstraDepartment of Critical Care Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.
Luc BenoitDepartment of Critical Care Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.
Philippe CouillardDepartment of Critical Care Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.
François LamontagneCentre de Recherche du CHU de Sherbrooke et Université de Sherbrooke, Sherbrooke, QC, Canada.
Alexis F TurgeonCentre de Recherche du CHU de Québec-Université Laval, Quebec City, QC, Canada.
Alan J ForsterDepartment of Medicine, The Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.
Robert A FowlerDepartment of Medicine and Critical Care Medicine, Sunnybrook Hospital, University of Toronto, Toronto, ON, Canada.
Peter M DodekDivision of Critical Care Medicine and Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital and University of British Columbia, Vancouver, BC, Canada.
Sean M BagshawDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta and Alberta Health Services, Edmonton, AB, Canada.
Henry T StelfoxDepartment of Critical Care Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.

Funding

CIHR
6 · The paper itself

Abstract

objectivesTo examine adverse events and associated factors and outcomes during transition from ICU to hospital ward (after ICU discharge).

designMulticenter cohort study.

settingTen adult medical-surgical Canadian ICUs. PATIENTS: Patients were those admitted to one of the 10 ICUs from July 2014 to January 2016.

interventionsNone. MEASUREMENTS AND MAIN

resultsTwo ICU physicians independently reviewed progress and consultation notes documented in the medical record within 7 days of patient's ICU discharge date to identify and classify adverse events. The adverse event data were linked to patient characteristics and ICU and ward physician surveys collected during the larger prospective cohort study. Analyses were conducted using multivariable logistic regression. Of the 451 patients included in the study, 84 (19%) experienced an adverse event, the majority (62%) within 3 days of transfer from ICU to hospital ward. Most adverse events resulted only in symptoms (77%) and 36% were judged to be preventable. Patients with adverse events were more likely to be readmitted to the ICU (odds ratio, 5.5; 95% CI, 2.4-13.0), have a longer hospital stay (mean difference, 16.1 d; 95% CI, 8.4-23.7) or die in hospital (odds ratio, 4.6; 95% CI, 1.8-11.8) than those without an adverse event. ICU and ward physician predictions at the time of ICU discharge had low sensitivity and specificity for predicting adverse events, ICU readmissions, and hospital death.

conclusionsAdverse events are common after ICU discharge to hospital ward and are associated with ICU readmission, increased hospital length of stay and death and are not predicted by ICU or ward physicians.

Indexed as

Patient TransferAdultCanadaContinuity of Patient CareFemaleHospital MortalityHumansIntensive Care UnitsMaleMedical ErrorsPatient DischargePatient ReadmissionRetrospective StudiesRisk Factors

Identifiers

PMID32317594

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.