Journal of Critical Care
Volume 25, Issue 2 , Pages 196-204 , June 2010

The effects of critical care outreach services before and after critical care: A matched-cohort analysis

  • David A. Harrison, PhD

      Affiliations

    • Intensive Care National Audit & Research Centre, Tavistock House, Tavistock Square, London WC1H 9HR, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 20 7388 2856; fax: +44 20 7388 3759.
  • ,
  • Haiyan Gao, PhD

      Affiliations

    • Intensive Care National Audit & Research Centre, Tavistock House, Tavistock Square, London WC1H 9HR, UK
    • Current affiliation: National Institute of Clinical Outcomes Research, University College London, Suite 501, Heart Hospital, Westmoreland Street, London W1G 8PH, UK
  • ,
  • Catherine A. Welch, MSc

      Affiliations

    • Intensive Care National Audit & Research Centre, Tavistock House, Tavistock Square, London WC1H 9HR, UK
  • ,
  • Kathryn M. Rowan, DPhil

      Affiliations

    • Intensive Care National Audit & Research Centre, Tavistock House, Tavistock Square, London WC1H 9HR, UK

References 

  1. Department of Health . Comprehensive critical care: a review of adult critical care services. London: Department of Health; 2000;
  2. Berwick DM, Calkins DR, McCannon CJ, Hackbarth AD. The 100,000 lives campaign: setting a goal and a deadline for improving health care quality. JAMA. 2006;295:324–327
  3. Lee A, Bishop G, Hillman KM, Daffurn K. The medical emergency team. Anaesth Intensive Care. 1995;23:183–186
  4. Esmonde L, McDonnell A, Ball C, et al. Investigating the effectiveness of critical care outreach services: a systematic review. Intensive Care Med. 2006;32:1713–1721
  5. Winters BD, Pham JC, Hunt EA, et al. Rapid response systems: a systematic review. Crit Care Med. 2007;35:1238–1243
  6. Priestley G, Watson W, Rashidian A, et al. Introducing Critical Care Outreach: a ward-randomised trial of phased introduction in a general hospital. Intensive Care Med. 2004;30:1398–1404
  7. Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365:2091–2097
  8. Buist M, Harrison J, Abaloz E, Van Dyke S. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. BMJ. 2007;335:1210–1212
  9. McDonnell A, Esmonde L, Morgan R, et al. The provision of critical care outreach services in England: findings from a national survey. J Crit Care. 2007;22:212–218
  10. Department of Health and NHS Modernisation Agency . The national outreach report 2003. London: Department of Health; 2003;
  11. Gao H, Harrison DA, Parry GJ, et al. The impact of the introduction of critical care outreach services in England: a multicentre interrupted time-series analysis. Crit Care. 2007;11:R113
  12. Harrison DA, Gao H, Welch CA, Rowan KM. The impact of critical care outreach services on the characteristics and outcomes of admissions to intensive care units: a matched-cohort analysis. Intensive Care Med. 2007;33:S10;(abstr)
  13. Harrison DA, Brady AR, Rowan K. Case mix, outcome and length of stay for admissions to adult, general critical care units in England, Wales and Northern Ireland: the Intensive Care National Audit & Research Centre Case Mix Programme Database. Crit Care. 2004;8:R99–R111
  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. Young JD, Goldfrad C, Rowan K. Development and testing of a hierarchical method to code the reason for admission to intensive care units: the ICNARC Coding Method. Intensive Care National Audit & Research Centre. Br J Anaesth. 2001;87:543–548
  16. Harrison DA, Parry GJ, Carpenter JR, et al. A new risk prediction model for critical care: the Intensive Care National Audit & Research Centre (ICNARC) model. Crit Care Med. 2007;35:1091–1098
  17. Harrell FE. Relaxing linearity assumption for continuous predictors. In: Regression modeling strategies: with applications to linear models, logistic regression and survival analysis. New York: Springer-Verlag; 2001;p. 16–26
  18. Austin PC, Grootendorst P, Anderson GM. A comparison of the ability of different propensity score models to balance measured variables between treated and untreated subjects: a Monte Carlo study. Stat Med. 2007;26:734–753
  19. Normand ST, Landrum MB, Guadagnoli E, et al. Validating recommendations for coronary angiography following acute myocardial infarction in the elderly: a matched analysis using propensity scores. J Clin Epidemiol. 2001;54:387–398
  20. Cummings P, McKnight B. Analysis of matched cohort data. Stata J. 2004;4:274–281
  21. Dragsted L, Jorgensen J, Jensen NH, et al. Interhospital comparisons of patient outcome from intensive care: importance of lead-time bias. Crit Care Med. 1989;17:418–422
  22. Sacks H, Chalmers TC, Smith H. Randomized versus historical controls for clinical trials. Am J Med. 1982;72:233–240
  23. Green SB, Byar DP. Using observational data from registries to compare treatments: the fallacy of omnimetrics. Stat Med. 1984;3:361–373
  24. National Institute for Health and Clinical Excellence . Acutely ill patients in hospital: recognition of and response to acute illness in adults in hospital. London: NICE; 2007;http://www.nice.org.uk/CG50

 All work was carried out at the Intensive Care National Audit & Research Centre, London, United Kingdom.

PII: S0883-9441(10)00119-X

doi: 10.1016/j.jcrc.2009.12.015

Journal of Critical Care
Volume 25, Issue 2 , Pages 196-204 , June 2010