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Discharge home from critical care: safety assessment in a resource constrained system.
Xing, Siyao; Roshdy, Ashraf; Radhakrishnan, Jayachandran; Kiff, Kevin; Collins, Jake.
Afiliación
  • Xing S; Watford General Hospital, West Hertfordshire Hospitals NHS Trust, Watford, UK.
  • Roshdy A; General ICU, St George's University Hospitals NHS Trust, London, UK, ashrafroshdy76@hotmail.com.
  • Radhakrishnan J; Critical Care Department - Alexandria University, Egypt.
  • Kiff K; General ICU - Broomfield Hospital, Chelmsford, Mid Essex NHS Trust, UK.
  • Collins J; General ICU - Broomfield Hospital, Chelmsford, Mid Essex NHS Trust, UK.
J R Coll Physicians Edinb ; 49(1): 23-25, 2019 Mar.
Article en En | MEDLINE | ID: mdl-30838986
BACKGROUND: High bed occupancy rates have delayed patient discharges from UK critical care units, especially in acute medical hospitals. As a result, more patients are discharged home directly from critical care (DH). METHODS: In this observational, retrospective study, we quantify the trends in DH from 2013 to 2018, and assess readmission rates and outcome in this group when compared to patients discharged from a ward, from 2014 to 2016. RESULTS: DH rates, as a proportion of critical care admissions, increased every year (2.47% in 2013 to 19.36% in 2018). In 2014-16, the most common admission diagnoses in DH patients were diabetic ketoacidosis (DKA; 35%), drug overdose (12%), seizures (8%) and respiratory failure (8%). DH patients were younger and had shorter critical care stay. Readmission rates in DH patients were comparable to the rest of the hospital. Patients with DKA and seizures were more likely to be readmitted. CONCLUSIONS: Our data suggest that direct home discharge from critical care is increasingly common but safe in selected patient groups.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Evaluación de Resultado en la Atención de Salud / Cuidados Críticos / Seguridad del Paciente / Unidades de Cuidados Intensivos Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J R Coll Physicians Edinb Asunto de la revista: EDUCACAO / HISTORIA DA MEDICINA / MEDICINA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Evaluación de Resultado en la Atención de Salud / Cuidados Críticos / Seguridad del Paciente / Unidades de Cuidados Intensivos Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J R Coll Physicians Edinb Asunto de la revista: EDUCACAO / HISTORIA DA MEDICINA / MEDICINA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido