Analysis of Benefit of Intensive Care Unit Transfer for Deteriorating Ward Patients | Zendy

Richard Grieve | Zendy; Stephen O’Neill | Zendy; Anirban Basu | Zendy; Luke Keele | Zendy; Kathy Rowan | Zendy; Steve Harris | Zendy

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Analysis of Benefit of Intensive Care Unit Transfer for Deteriorating Ward Patients

Author(s) -

Richard Grieve,

Stephen O’Neill,

Anirban Basu,

Luke Keele,

Kathy Rowan,

Steve Harris

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2018.7704

Subject(s) - medicine , confounding , intensive care unit , emergency medicine , intensive care , prospective cohort study , cohort study , severity of illness , pediatrics , intensive care medicine

Key Points Question Which deteriorating ward patients benefit from intensive care unit transfer? Findings This analysis of a cohort study of 4596 deteriorating ward patients used an instrumental variable approach to evaluate estimates of person-centered effects of ICU transfer and mortality. This study found an increased risk reduction in 28-day mortality in patients transferred to ICU who were older than 75 years and had greater illness severity (National Early Warning Scores >6). Meaning The instrumental variable approach in this study found that benefits of intensive care unit transfer may increase with age and baseline physiology score.

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