Survival and Safety Outcomes of ICU Patients Discharged Directly Home-A Direct From ICU Sent Home Study

Critical Care Medicine
Vincent I LauIan M Ball

Abstract

Evaluate outcomes (mortality, morbidity, unplanned return visits) of patients who are discharged directly to home from the ICU. Prospective cohort study. Two tertiary care medical-surgical-trauma ICUs at Canadian hospitals over 1 year (February 2016-2017). All adult patients who were either discharged directly to home (Recruited and Nonrecruited cohorts) from ICU or discharged home within 24 hours after ward transfer (Ward Transfer cohort). Direct discharge home from ICU or discharge home within 24 hours of ward transfer from ICU. One-hundred ninety-eight patients were in the study, 100 patients in the discharged directly to home Recruited arm, 37 patients in the discharged directly to home Nonrecruited arm, and 61 patients in the Ward cohort. All three patient cohorts had 0% mortality at 8 weeks post discharge. The unplanned return visit rate for the Recruited cohort was 24% (emergency department 18%, Ward 4%, ICU 1%), whereas the rate for the Nonrecruited cohort was 52% (emergency department 34%, Ward 14%, ICU 3%) and the Ward Transfer cohort was 46% (emergency department 17%, Ward 26%, ICU 3%) (p = 0.005). No home support was available for 7% of the discharged directly to home Recruited cohort. Twenty-four percent of patient...Continue Reading

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Citations

May 16, 2018·Critical Care Medicine·Kyan C Safavi, Edward A Bittner
Mar 25, 2020·Critical Care Medicine·Sean M Bagshaw, Henry T Stelfox
Dec 27, 2019·Critical Care Medicine·Claudio M MartinDamon C Scales
Nov 28, 2018·Journal of Intensive Care Medicine·Vincent Issac LauIan M Ball
Mar 25, 2020·Critical Care Medicine·Claudio M MartinDamon C Scales
Sep 24, 2021·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Eric SyVincent I Lau

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