OBJECTIVE: To describe the incidence of clinical and non-clinical events during intrahospital transport of critically ill patients and to analyze the associated risk factors. METHODS: Cohort study with retrospective data collected from October 2016 to October 2017. All cases of intrahospital transport for diagnostic and therapeutic purposes in a large hospital with six adult intensive care units were analyzed, and the adverse events and related risk factors were evaluated. RESULTS: During the study period, 1,559 intrahospital transports were performed with 1,348 patients, with a mean age of 66 ± 17 years and a mean transport time of 43 ± 34 minutes. During transport, 19.8% of the patients were using vasoactive drugs; 13.7% were under sedation; and 10.6% were under mechanical ventilation. Clinical events occurred in 117 transports (7.5%), and non-clinical events occurred in 125 (8.0%) transports. Communication failures were prevalent; however, the multivariate analysis showed that the use of sedatives, noradrenaline and nitroprusside and a transport time greater than 36.5 minutes were associated with adverse clinical events. The use of dobutamine and a transport time greater than 36.5 minutes were associated with non-clinical events. At the end of transport, 98.1% of the patients presented unchanged clinical conditions compared with baseline. CONCLUSION: Intrahospital transport is related to a high incidence of adverse events, and transport time and the use of sedatives and vasoactive drugs were related to these events.
OBJECTIVE: To describe the incidence of clinical and non-clinical events during intrahospital transport of critically ill patients and to analyze the associated risk factors. METHODS: Cohort study with retrospective data collected from October 2016 to October 2017. All cases of intrahospital transport for diagnostic and therapeutic purposes in a large hospital with six adult intensive care units were analyzed, and the adverse events and related risk factors were evaluated. RESULTS: During the study period, 1,559 intrahospital transports were performed with 1,348 patients, with a mean age of 66 ± 17 years and a mean transport time of 43 ± 34 minutes. During transport, 19.8% of the patients were using vasoactive drugs; 13.7% were under sedation; and 10.6% were under mechanical ventilation. Clinical events occurred in 117 transports (7.5%), and non-clinical events occurred in 125 (8.0%) transports. Communication failures were prevalent; however, the multivariate analysis showed that the use of sedatives, noradrenaline and nitroprusside and a transport time greater than 36.5 minutes were associated with adverse clinical events. The use of dobutamine and a transport time greater than 36.5 minutes were associated with non-clinical events. At the end of transport, 98.1% of the patients presented unchanged clinical conditions compared with baseline. CONCLUSION: Intrahospital transport is related to a high incidence of adverse events, and transport time and the use of sedatives and vasoactive drugs were related to these events.
Authors: Ursula Beckmann; Donna M Gillies; Sean M Berenholtz; Albert W Wu; Peter Pronovost Journal: Intensive Care Med Date: 2004-02-26 Impact factor: 17.440
Authors: Matthew M Yuen; Anjali M Prabhat; Mercy H Mazurek; Isha R Chavva; Anna Crawford; Bradley A Cahn; Rachel Beekman; Jennifer A Kim; Kevin T Gobeske; Nils H Petersen; Guido J Falcone; Emily J Gilmore; David Y Hwang; Adam S Jasne; Hardik Amin; Richa Sharma; Charles Matouk; Adrienne Ward; Joseph Schindler; Lauren Sansing; Adam de Havenon; Ani Aydin; Charles Wira; Gordon Sze; Matthew S Rosen; W Taylor Kimberly; Kevin N Sheth Journal: Sci Adv Date: 2022-04-20 Impact factor: 14.957
Authors: Anjali M Prabhat; Anna L Crawford; Mercy H Mazurek; Matthew M Yuen; Isha R Chavva; Adrienne Ward; William V Hofmann; Nona Timario; Stephanie R Qualls; Juliana Helland; Charles Wira; Gordon Sze; Matthew S Rosen; William Taylor Kimberly; Kevin N Sheth Journal: Front Neurol Date: 2021-12-10 Impact factor: 4.003