Short-term outcomes and mortality after interhospital intensive care transportation: an observational prospective cohort study of 368 consecutive transports with a mobile intensive care unit

U. Strauch; D.C.J.J. Bergmans; B. Winkens; P.M.H.J. Roekaerts

doi:10.1136/bmjopen-2014-006801

Short-term outcomes and mortality after interhospital intensive care transportation: an observational prospective cohort study of 368 consecutive transports with a mobile intensive care unit

U. Strauch^*, D.C.J.J. Bergmans, B. Winkens, P.M.H.J. Roekaerts

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objectives: To evaluate short-term outcomes and mortality after interhospital transportation of intensive care patients performed by a mobile intensive care unit (MICU).

Setting: This study was performed in the tertiary care process of interhospital transportation using the local MICU system in the South East of the Netherlands.

Participants: Between March 2009 and December 2011, all transports of adult patients being performed by the local MICU centre have been documented; data on 42 variables, including a 24 h follow-up Sequential Organ Failure Assessment (SOFA) score of 368 consecutive interhospital transports of intensive care patients, were recorded. In 24 cases, the follow-up SOFA score was missing, so 344 data sets were included.

Interventions: No interventions have been done.

Primary/secondary outcome measures: Primary outcome measures were the mean SOFA score before and 24 h after transport, and the 24 h post-transport mortality. Moreover, the differences between the groups of 24 h post-transport survivors and non-survivors have been analysed.

Results: The mean SOFA score before transport was 8.8 for the whole population and 8.6 for those patients who were alive 24 h after transport, with a mean SOFA score of 8.4 after transport. The adverse events rate was 6.4%. Fourteen patients (4.1%) died within 24 h after transport. Patients in this group had a higher SOFA score, lower pH, higher age and more additional medical support devices than those patients in the survivor group.

Conclusions: The non-significant decrease in the post-transport SOFA score and the lack of an association between transport and 24 h post-transport mortality indicates that in the study setting, interhospital transportation of intensive care patients performed by a MICU system was not associated with a clinically relevant deterioration of the patient.

Original language	English
Article number	e006801
Number of pages	7
Journal	BMJ Open
Volume	5
Issue number	4
DOIs	https://doi.org/10.1136/bmjopen-2014-006801
Publication status	Published - 1 Jan 2015

Keywords

CRITICALLY-ILL PATIENTS
SPECIALIST RETRIEVAL TEAM
INTRAHOSPITAL TRANSPORT
PATIENT TRANSPORT
REGIONALIZATION
PERFORMANCE
EXPERIENCE
DELIVERY
CENTERS
QUALITY

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Cite this

@article{8b039aa56d4a4787abe38bbeefe2409e,

title = "Short-term outcomes and mortality after interhospital intensive care transportation: an observational prospective cohort study of 368 consecutive transports with a mobile intensive care unit",

abstract = "Objectives: To evaluate short-term outcomes and mortality after interhospital transportation of intensive care patients performed by a mobile intensive care unit (MICU).Setting: This study was performed in the tertiary care process of interhospital transportation using the local MICU system in the South East of the Netherlands.Participants: Between March 2009 and December 2011, all transports of adult patients being performed by the local MICU centre have been documented; data on 42 variables, including a 24 h follow-up Sequential Organ Failure Assessment (SOFA) score of 368 consecutive interhospital transports of intensive care patients, were recorded. In 24 cases, the follow-up SOFA score was missing, so 344 data sets were included.Interventions: No interventions have been done.Primary/secondary outcome measures: Primary outcome measures were the mean SOFA score before and 24 h after transport, and the 24 h post-transport mortality. Moreover, the differences between the groups of 24 h post-transport survivors and non-survivors have been analysed.Results: The mean SOFA score before transport was 8.8 for the whole population and 8.6 for those patients who were alive 24 h after transport, with a mean SOFA score of 8.4 after transport. The adverse events rate was 6.4%. Fourteen patients (4.1%) died within 24 h after transport. Patients in this group had a higher SOFA score, lower pH, higher age and more additional medical support devices than those patients in the survivor group.Conclusions: The non-significant decrease in the post-transport SOFA score and the lack of an association between transport and 24 h post-transport mortality indicates that in the study setting, interhospital transportation of intensive care patients performed by a MICU system was not associated with a clinically relevant deterioration of the patient.",

keywords = "CRITICALLY-ILL PATIENTS, SPECIALIST RETRIEVAL TEAM, INTRAHOSPITAL TRANSPORT, PATIENT TRANSPORT, REGIONALIZATION, PERFORMANCE, EXPERIENCE, DELIVERY, CENTERS, QUALITY",

author = "U. Strauch and D.C.J.J. Bergmans and B. Winkens and P.M.H.J. Roekaerts",

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doi = "10.1136/bmjopen-2014-006801",

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journal = "BMJ Open",

issn = "2044-6055",

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Short-term outcomes and mortality after interhospital intensive care transportation: an observational prospective cohort study of 368 consecutive transports with a mobile intensive care unit. / Strauch, U.; Bergmans, D.C.J.J.; Winkens, B. et al.
In: BMJ Open, Vol. 5, No. 4, e006801, 01.01.2015.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Short-term outcomes and mortality after interhospital intensive care transportation: an observational prospective cohort study of 368 consecutive transports with a mobile intensive care unit

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AU - Bergmans, D.C.J.J.

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AU - Roekaerts, P.M.H.J.

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N2 - Objectives: To evaluate short-term outcomes and mortality after interhospital transportation of intensive care patients performed by a mobile intensive care unit (MICU).Setting: This study was performed in the tertiary care process of interhospital transportation using the local MICU system in the South East of the Netherlands.Participants: Between March 2009 and December 2011, all transports of adult patients being performed by the local MICU centre have been documented; data on 42 variables, including a 24 h follow-up Sequential Organ Failure Assessment (SOFA) score of 368 consecutive interhospital transports of intensive care patients, were recorded. In 24 cases, the follow-up SOFA score was missing, so 344 data sets were included.Interventions: No interventions have been done.Primary/secondary outcome measures: Primary outcome measures were the mean SOFA score before and 24 h after transport, and the 24 h post-transport mortality. Moreover, the differences between the groups of 24 h post-transport survivors and non-survivors have been analysed.Results: The mean SOFA score before transport was 8.8 for the whole population and 8.6 for those patients who were alive 24 h after transport, with a mean SOFA score of 8.4 after transport. The adverse events rate was 6.4%. Fourteen patients (4.1%) died within 24 h after transport. Patients in this group had a higher SOFA score, lower pH, higher age and more additional medical support devices than those patients in the survivor group.Conclusions: The non-significant decrease in the post-transport SOFA score and the lack of an association between transport and 24 h post-transport mortality indicates that in the study setting, interhospital transportation of intensive care patients performed by a MICU system was not associated with a clinically relevant deterioration of the patient.

AB - Objectives: To evaluate short-term outcomes and mortality after interhospital transportation of intensive care patients performed by a mobile intensive care unit (MICU).Setting: This study was performed in the tertiary care process of interhospital transportation using the local MICU system in the South East of the Netherlands.Participants: Between March 2009 and December 2011, all transports of adult patients being performed by the local MICU centre have been documented; data on 42 variables, including a 24 h follow-up Sequential Organ Failure Assessment (SOFA) score of 368 consecutive interhospital transports of intensive care patients, were recorded. In 24 cases, the follow-up SOFA score was missing, so 344 data sets were included.Interventions: No interventions have been done.Primary/secondary outcome measures: Primary outcome measures were the mean SOFA score before and 24 h after transport, and the 24 h post-transport mortality. Moreover, the differences between the groups of 24 h post-transport survivors and non-survivors have been analysed.Results: The mean SOFA score before transport was 8.8 for the whole population and 8.6 for those patients who were alive 24 h after transport, with a mean SOFA score of 8.4 after transport. The adverse events rate was 6.4%. Fourteen patients (4.1%) died within 24 h after transport. Patients in this group had a higher SOFA score, lower pH, higher age and more additional medical support devices than those patients in the survivor group.Conclusions: The non-significant decrease in the post-transport SOFA score and the lack of an association between transport and 24 h post-transport mortality indicates that in the study setting, interhospital transportation of intensive care patients performed by a MICU system was not associated with a clinically relevant deterioration of the patient.

KW - CRITICALLY-ILL PATIENTS

KW - SPECIALIST RETRIEVAL TEAM

KW - INTRAHOSPITAL TRANSPORT

KW - PATIENT TRANSPORT

KW - REGIONALIZATION

KW - PERFORMANCE

KW - EXPERIENCE

KW - DELIVERY

KW - CENTERS

KW - QUALITY

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M3 - Article

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SN - 2044-6055

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JO - BMJ Open

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