Do specialist transport personnel improve hospital outcome in critically ill patients transferred to higher centers? A systematic review

Journal of Critical Care
Dean BelwayPeter M Dodek

Abstract

The aim of the study was to determine whether the use of specialist transport personnel improves patient outcome at the receiving hospital for critically ill patients transferred to higher centers. A search of 6 electronic databases, 15 relevant journals, and the reference lists of all retrieved articles was conducted for studies comparing outcome at the receiving hospital for critically ill adult or pediatric patients transported by dedicated transport crews or tertiary-based specialists with other forms of transport personnel including referring house staff. All potentially relevant articles were retrieved in full and reviewed independently by 2 reviewers to determine eligibility for inclusion. Data were tabulated and results were summarized. Six cohort studies (n = 4534) were included. When patients of equal severity were assessed, only 1 study demonstrated an improvement in outcome at the receiving hospital (survival to 6 hours) when specialist personnel transported the patients. Methodological limitations and interstudy differences in participants and transport personnel precluded pooling of results. Current data are insufficient. The study designs used create opportunity for significant bias, preventing any useful inferen...Continue Reading

References

Feb 15, 1975·British Medical Journal·G WaddellI M Ledingham
Apr 1, 1992·Anaesthesia·C J RuncieP G Wallace
Apr 1, 1992·Annals of Emergency Medicine·R E BurneyR Maio
Jan 13, 1990·BMJ : British Medical Journal·W G ReeveP G Wallace
Oct 1, 1989·Anaesthesia·S Ridley, R Carter
Jan 16, 1988·British Medical Journal·J F BionP A Taylor
May 1, 1988·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M J GirottiA Patterson
Jun 1, 1986·Critical Care Medicine·J EhrenwerthA Hackel
Jan 1, 1987·Annals of Emergency Medicine·L KaplanR E Burney
Aug 17, 1985·British Medical Journal·J F BionI M Ledingham
Nov 1, 1983·Annals of Emergency Medicine·J M GoreJ E Dalen
Dec 2, 1982·The New England Journal of Medicine·R E BlackP Clark
Apr 1, 1980·The Journal of Trauma·R C TreatB A Pruitt
Feb 1, 1995·Annals of Emergency Medicine·R E BurneyR Maio
Jul 1, 1994·Critical Care Medicine·W E EdgeR F Walsh
Jul 1, 1994·Archives of Disease in Childhood·P W Barry, C Ralston
Jan 1, 1994·The Annals of Thoracic Surgery·J B BennettJ A Parsons
Mar 1, 1997·British Journal of Anaesthesia·R RossaintK Falke
Jul 16, 1999·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·M J EtxebarríaJ López
Sep 25, 1999·The Journal of Trauma·N C MannC N Mock
Feb 10, 2000·Critical Care Medicine·M GebremichaelH N Reynolds
Mar 25, 2000·JAMA : the Journal of the American Medical Association·M E OstermannW J Sibbald
Apr 12, 2001·Critical Care : the Official Journal of the Critical Care Forum·S D SurgenorT Clerico
Feb 5, 2002·Pediatrics·Bernard J WilsonRobert DiGeronimo
Jan 25, 2003·Acta Cardiologica·Hans VanoverbekeGuido Van Nooten
Jan 7, 2004·Critical Care Medicine·Jonathan WarrenUNKNOWN American College of Critical Care Medicine

❮ Previous
Next ❯

Citations

Dec 3, 2010·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Isla M HainsJohanna I Westbrook
Aug 19, 2014·Revista de calidad asistencial : organo de la Sociedad Española de Calidad Asistencial·M I Cano-del PozoA Tomé-Rey
Aug 28, 2013·AORN Journal
Dec 2, 2011·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Blair L BighamLaurie J Morrison
Dec 10, 2009·Anaesthesia·M J FriedG Smith
Sep 5, 2013·Air Medical Journal·William RaynovichKim Galt
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Joep M DrooghJan G Zijlstra
May 12, 2016·Intensive Care Medicine·Erik Jan van LieshoutMargreeth B Vroom
Feb 2, 2013·Clinical and Translational Medicine·Stig Bengmark
Jun 24, 2015·Journal of Advanced Nursing·Ate DijkstraRuud J G Halfens
Dec 28, 2019·Critical Care : the Official Journal of the Critical Care Forum·Marlies Ostermann, Jean-Louis Vincent
May 13, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Amir ZayeghBennett Sheridan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.