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Impact of intensive care unit admission during handover on mortality: propensity matched cohort study

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Titel: Impact of intensive care unit admission during handover on mortality: propensity matched cohort study
Autoren: Thais Dias Midega, Newton Carlos Viana Leite Filho, Antonio Paulo Nassar Jr, Roger Monteiro Alencar, Antonio Capone Neto, Leonardo José Rolim Ferraz, Thiago Domingos Corrêa
Quelle: Einstein (São Paulo), Vol 19 (2021)
Verlagsinformationen: Instituto Israelita de Ensino e Pesquisa Albert Einstein, 2021.
Publikationsjahr: 2021
Bestand: LCC:Medicine
Schlagwörter: Patient handoff, Patient safety, Patient outcome assessment, Intensive care units/statistics & numerical data, Communication, Patient readmission, Patient discharge, Hospital mortality, Health resources/statistics & numerical data, Medicine
Beschreibung: ABSTRACT Objective: To investigate the impact of intensive care unit admission during medical handover on mortality. Methods: Post-hoc analysis of data extracted from a prior study aimed at addressing the impacts of intensive care unit readmission on clinical outcomes. This retrospective, single-center, propensity-matched cohort study was conducted in a 41-bed general open-model intensive care unit. Patients were assigned to one of two cohorts according to time of intensive care unit admission: Handover Group (intensive care unit admission between 6:30 am and 7:30 am or 6:30 pm and 7:30 pm) or Control Group (intensive care unit admission between 7:31 am and 6:29 pm or 7:31 pm and 6:29 am). Patients in the Handover Group were propensity-matched to patients in the Control Group at a 1:2 ratio. Results: A total of 6,650 adult patients were admitted to the intensive care unit between June 1st 2013 and May 31st 2015. Following exclusion of non-eligible participants, 5,779 patients (389; 6.7% and 5,390; 93.3%, Handover and Control Group) were deemed eligible for propensity score matching. Of these, 1,166 were successfully matched (389; 33.4% and 777; 66.6%, Handover and Control Group). Following propensity-score matching, intensive care unit admission during handover was not associated with increased risk of intensive care unit (OR: 1.40; 95%CI: 0.92-2.11; p=0.113) or in-hospital (OR: 1.23; 95%CI: 0.85-1.75; p=0.265) mortality. Conclusion: Intensive care unit admission during medical handover did not affect in-hospital mortality in this propensity-matched, single-center cohort study.
Publikationsart: article
Dateibeschreibung: electronic resource
Sprache: English
Portuguese
ISSN: 2317-6385
Relation: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100213&tlng=pt; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100213&tlng=en; https://doaj.org/toc/2317-6385
DOI: 10.31744/einstein_journal/2021ao5748
Zugangs-URL: https://doaj.org/article/88002d8ee3894f6699ddd5d08b437cdc
Dokumentencode: edsdoj.88002d8ee3894f6699ddd5d08b437cdc
Datenbank: Directory of Open Access Journals
Beschreibung
Abstract:ABSTRACT Objective: To investigate the impact of intensive care unit admission during medical handover on mortality. Methods: Post-hoc analysis of data extracted from a prior study aimed at addressing the impacts of intensive care unit readmission on clinical outcomes. This retrospective, single-center, propensity-matched cohort study was conducted in a 41-bed general open-model intensive care unit. Patients were assigned to one of two cohorts according to time of intensive care unit admission: Handover Group (intensive care unit admission between 6:30 am and 7:30 am or 6:30 pm and 7:30 pm) or Control Group (intensive care unit admission between 7:31 am and 6:29 pm or 7:31 pm and 6:29 am). Patients in the Handover Group were propensity-matched to patients in the Control Group at a 1:2 ratio. Results: A total of 6,650 adult patients were admitted to the intensive care unit between June 1st 2013 and May 31st 2015. Following exclusion of non-eligible participants, 5,779 patients (389; 6.7% and 5,390; 93.3%, Handover and Control Group) were deemed eligible for propensity score matching. Of these, 1,166 were successfully matched (389; 33.4% and 777; 66.6%, Handover and Control Group). Following propensity-score matching, intensive care unit admission during handover was not associated with increased risk of intensive care unit (OR: 1.40; 95%CI: 0.92-2.11; p=0.113) or in-hospital (OR: 1.23; 95%CI: 0.85-1.75; p=0.265) mortality. Conclusion: Intensive care unit admission during medical handover did not affect in-hospital mortality in this propensity-matched, single-center cohort study.
ISSN:23176385
DOI:10.31744/einstein_journal/2021ao5748