Evidence map›Paper›PMID 40279011›Full record

ArticleNeurocritical care2025

NeuroICU FastTrack: Rapid Disposition of Patients with Intracerebral Hemorrhage from the Emergency Department to Neuro-ICU.

Nicolle W Davis, Jeannette M Hester, Brandon Allen, Christina Wilson, Anna Khanna, Ashley E Magnuson, Teng J Peng, Katharina M Busl, Amita Singh

Abstract read
PubMed Publisher
In one paragraph

Article in Neurocritical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Nicolle W DavisComprehensive Stroke Center, University of Florida Health Shands Hospital, Gainesville, FL, USA. wilsnm@shands.ufl.edu.ORCID 0000-0003-3758-1171
Jeannette M HesterComprehensive Stroke Center, University of Florida Health Shands Hospital, Gainesville, FL, USA.
Brandon AllenDepartment of Emergency, College of Medicine, University of Florida, Gainesville, FL, USA.
Christina WilsonDepartment of Neurology, College of Medicine, University of Florida, Gainesville, FL, USA.
Anna KhannaDepartment of Neurology, College of Medicine, University of Florida, Gainesville, FL, USA.
Ashley E MagnusonComprehensive Stroke Center, University of Florida Health Shands Hospital, Gainesville, FL, USA.
Teng J PengDepartment of Neurology, College of Medicine, University of Florida, Gainesville, FL, USA.
Katharina M BuslDepartment of Neurology, College of Medicine, University of Florida, Gainesville, FL, USA.
Amita SinghDepartment of Neurology, College of Medicine, University of Florida, Gainesville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency department length of stay (EDLOS) directly impacts outcomes of critically ill patients, with the risk of in-hospital mortality increasing by nearly 40% when an intensive care unit (ICU) bed is delayed beyond 4 h. Patients with intracerebral hemorrhage (ICH) suffer from worse functional outcomes and higher mortality when EDLOS exceeds 5 h, even for EDLOS exceeding just 1 h. Our goal was to implement an expedited triage pathway to reduce EDLOS of patients with ICH to less than 3 h and evaluate for downstream reduced morbidity and mortality.

methodsWe conducted a retrospective analysis of patients with ICH evaluated in the emergency department (ED) at an academic comprehensive stroke center between January 1, 2022, and June 30, 2023. Univariate and multivariate logistic regression analyses were conducted to investigate the association between the NeuroICU FastTrack intervention with EDLOS less than 3 h and the rate of in-hospital mortality.

resultsA total of 234 patients with ICH arrived to the ED and were admitted to the neuro-ICU. Post implementation, there was a statistically significant decrease in EDLOS from an average of 6.6 h to 4 h (p < 0.001) and a significant decrease in patient mortality (p = 0.006). There was also a reduction in mortality to 9.3% (p = 0.006) compared to a preintervention mortality rate of 22.9%. Additionally, the morbidity outcome (mRS of 0-2) remained relatively constant in both groups preintervention (23%) to post intervention (28%).

conclusionsConsistent with prior published evidence and National Institute of Neurological Disorders and Stroke recommendations, a shorter EDLOS significantly decreased mortality, but there was no difference in morbidity in our population. The NeuroICU FastTrack process expedited critically ill ICH patient throughput from the ED to the ICU, enhanced bed availability through streamlined procedures, and improved patient outcomes.

Indexed as

Cerebral HemorrhageCritical CareEmergency Service, HospitalIntensive Care UnitsLength of StayTime-to-TreatmentTriageAgedAged, 80 and overFemaleHospital MortalityHumansMaleMiddle AgedRetrospective StudiesEmergency departmentIntracerebral hemorrhageNeurointensive care unitStroke

Identifiers

PMID40279011

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.