Journal of Critical Care
Volume 22, Issue 4 , Pages 290-295 , December 2007

Interhospital transfer of critically ill patients: Demographic and outcomes comparison with nontransferred intensive care unit patients

  • Andrea D. Hill, MSc

      Affiliations

    • Department of Medicine, London Health Sciences Centre, Ontario, Canada
    • Corresponding Author InformationCorresponding author. Tel.: +1 416 340 4800x2765.
    • ,
  • Evelyn Vingilis, PhD

      Affiliations

    • Department of Family Medicine, University of Western Ontario, Ontario, Canada
    • Department of Epidemiology and Biostatistics, University of Western Ontario, Ontario, Canada
    • ,
  • Claudio M. Martin, MD, MSc, FRCPC

      Affiliations

    • Centre for Critical Illness Research, Lawson Health Research Institute, London Health Sciences Centre, Ontario, Canada
    • Department of Medicine, University of Western Ontario, Ontario, Canada
    • ,
  • Kathleen Hartford, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, University of Western Ontario, Ontario, Canada
    • School of Nursing, University of Western Ontario, Ontario, Canada
    • ,
  • Kathy N. Speechley, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, University of Western Ontario, Ontario, Canada
    • Department of Paediatrics, University of Western Ontario, Ontario, Canada

References 

  1. Goh AY, Abdel-Latif M, Lum LC, Abu-Bakar MN. Outcome of children with different accessibility to tertiary pediatric intensive care in a developing country—a prospective cohort study. Intensive Care Med. 2003;29:97–102
  2. Surgenor SD, Corwin HL, Clerico T. Survival of patients transferred to tertiary intensive care from rural community hospitals. Crit Care. 2001;5:100–104
  3. Flabouris A. Patient referral and transportation to a regional tertiary ICU: patient demographics, severity of illness and outcome comparison with non-transported patients. Anaesth Intensive Care. 1999;27:385–390
  4. Rosenberg AL, Hofer TP, Strachan C, Watts CM, Hayward RA. Accepting critically ill transfer patients: adverse effect on a referral center's outcome and benchmark measures. Ann Intern Med. 2003;138:882–890
  5. Duke GJ, Green JV. Outcome of critically ill patients undergoing interhospital transfer. Med J Aust. 2001;174:122–125
  6. Ridley S, Carter R. The effects of secondary transport on critically ill patients. Anaesthesia. 1989;44:822–827
  7. Combes A, Luyt CE, Trouillet JL, Chastre J, Gibert C. Adverse effect on a referral intensive care unit's performance of accepting patients transferred from another intensive care unit. Crit Care Med. 2005;33:705–710
  8. Clough JD, Kay R, Gombeski WR, Nickelson DE, Loop FD. Mortality of patients transferred to a tertiary care hospital. Cleve Clin J Med. 1993;60:449–454
  9. Bernard AM, Hayward RA, Rosevear J, Chun H, McMahon LF. Comparing the hospitalizations of transfer and non-transfer patients in an academic medical center. Acad Med. 1996;71:262–266
  10. Riggs JE, Libell DP, Hobbs GR. In-hospital stroke mortality, hospital transfers, and referral bias at a rural academic medical center. J Rural Health. 2002;18:294–297
  11. Escarce JJ, Kelley MA. Admission source to the medical intensive care unit predicts hospital death independent of APACHE II score. JAMA. 1990;264:2389–2394
  12. Keenan SP, Martin CM, Kossuth JD, Eberhard J, Sibbald WJ. The Critical Care Research Network: a partnership in community-based research and research transfer. J Eval Clin Pract. 2000;6:15–22
  13. Knaus WA, Wagner DP, Draper EA, Zimmerman JE, Bergner M, Bastos PG, et al. The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. Chest. 1991;100:1619–1636
  14. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13:818–829
  15. Chen LM, Martin CM, Morrison TL, Sibbald WJ. Interobserver variability in data collection of the APACHE II score in teaching and community hospitals. Crit Care Med. 1999;27:1999–2004
  16. Hughes CM. Regionalization of critical care medicine. Crit Care Med. 1995;23:1153–1155
  17. Clark K. Regionalization: economies of scale for acute critical care. J Nurs Adm. 2002;32:173–174
  18. Anonymous . Consensus report for regionalization of services for critically ill or injured children. Council of the Society of Critical Care Medicine. Crit Care Med. 2000;28:236–239
  19. Durairaj L, Will JG, Torner JC, Doebbeling BN. Prognostic factors for mortality following interhospital transfers to the medical intensive care unit of a tertiary referral center. Crit Care Med. 2003;31:1981–1986
  20. Gordon HS, Rosenthal GE. Impact of interhospital transfers on outcomes in an academic medical center. Implications for profiling hospital quality.
  21. Dragsted L, Jorgensen J, Jensen NH, Bonsing E, Jacobsen E, Knaus WA, et al. Interhospital comparisons of patient outcome from intensive care: importance of lead-time bias. Crit Care Med. 1989;17:418–422
  22. Rapoport J, Teres D, Lemeshow S, Harris D. Timing of intensive care unit admission in relation to ICU outcome. Crit Care Med. 1990;18:1231–1235
  23. Hillman K. Critical care without walls. Curr Opin Crit Care. 2002;8:594–599
  24. Ball C, Kirkby M, Williams S. Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomised population based study. BMJ. 2001;327:1014
  25. Kollef MH, Ward S. The influence of access to a private attending physician on the withdrawal of life-sustaining therapies in the intensive care unit. Crit Care Med. 1999;27:2125–2132
  26. Jayes RL, Zimmerman JE, Wagner DP, Knaus WA. Variations in the use of do-not-resuscitate orders in ICUs. Findings from a national study. Chest. 1996;110:1332–1339
  27. Carey JS, Parker JP, Robertson JM, Misbach GA, Fisher AL. Hospital discharge to other healthcare facilities: impact on in-hospital mortality. J Am Coll Surg. 2003;197:806–812
  28. Rosenthal GE, Baker DW, Norris DG, Way LE, Harper DL, Snow RJ. Relationships between in-hospital and 30-day standardized hospital mortality: implications for profiling hospitals. Health Serv Res. 2000;34:1449–1468

☆ Work for this study was performed at the London Health Sciences Centre, Ontario, Canada, and the University of Western Ontario.

☆☆ Partial support was received from Physicians Services Incorporated Foundation.

PII: S0883-9441(07)00086-X

doi: 10.1016/j.jcrc.2007.06.002

Journal of Critical Care
Volume 22, Issue 4 , Pages 290-295 , December 2007

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