Impact of critical care reconfiguration and track-and-trigger outreach team intervention on outcomes of haematology patients requiring intensive care admission

Bokhari, Syed W; Munir, Talha; Memon, Shabeeha; Byrne, J L; Russell, Nigel H.; Beed, Martin

doi:10.1007/s00277-009-0853-0

Cited by 42 publications

(34 citation statements)

References 17 publications

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“…However, a recent systematic review reports inconsistent results from a small number of studies. 6,[13][14][15] Further research using data from a larger number of patients is recommended.…”

Section: Discussionmentioning

confidence: 99%

A single-centre observational cohort study of admission National Early Warning Score (NEWS)

Abbott¹,

Vaid²,

Ip³

et al. 2015

Resuscitation

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NEWS on admission is superior to PARS for identifying patients at risk of death or critical care admission within the first 2 days of hospital stay. Current guidelines advocate a threshold of 5 for triggering a clinical review. However, since a score of 3 or more was associated with a poor outcome, this recommendation should be reviewed. Both scores were poor predictors of hospital length of stay.

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Section: Discussionmentioning

confidence: 99%

A single-centre observational cohort study of admission National Early Warning Score (NEWS)

Abbott¹,

Vaid²,

Ip³

et al. 2015

Resuscitation

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“…Although the median age of all aHSCT patients in the later period was 5 years older, the ICU transfer rate did not change. The lower MPM II score on ICU admission, decreased use of mechanical ventilation and vasopressors in the latter 6-year period may be due to earlier recognition and intervention for deteriorating patients, a strategy shown to improve outcomes in aHSCT patients [36]. These differences were observed at our center when the number of ICU beds was increased from 12 to 20 in 2008, affording rapid bed availability to aHSCT patients with less severe pathology.…”

Section: Discussionmentioning

confidence: 99%

Short- and long-term outcomes of adult allogeneic hematopoietic stem cell transplant patients admitted to the intensive care unit in the peritransplant period

Mayer

Pastores

Riedel

et al. 2016

Leukemia & Lymphoma

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Survival of allogeneic hematopoietic stem cell transplant (aHSCT) recipients in the intensive care unit (ICU) has been poor. We retrospectively analyzed the short- and long-term outcomes of aHSCT patients admitted to the ICU over a 12-year period. Of 1235 adult patients who had aHSCT between 2002 and 2013, 161 (13%) were admitted to the ICU. The impact of clinical parameters was assessed and outcomes were compared for the periods 2002–2007 and 2008–2013. The ICU, in-hospital, 1- and 5-year survival rates were 64.6 %, 46%, 33% and 20%, respectively. Mechanical ventilation and vasopressor use predicted for worse hospital- and overall survival. After 2008, the requirement for mechanical ventilation and vasopressors, and the diagnosis of sepsis were reduced. While hospital mortality decreased from 69% to 44%, long-term survival remained unchanged. Late deaths, due to causes not associated with the ICU such as relapse and graft-versus-host disease, increased. As thresholds for transplant are lowered, improvements in ICU outcomes for aHSCT recipients may be limited.

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“…Early warning systems and scores have been studied in several clinical settings including pediatrics, 14,16 general medical and surgical admission populations, [17][18][19] and medical 20 and surgical 21 specialties. The quality of data supporting the use of individual systems is generally poor.…”

Section: Early Warning Systems In Other Specialtiesmentioning

confidence: 99%

Maternal Early Warning Systems

Friedman¹

2015

Obstetrics and Gynecology Clinics of North America

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Impact of critical care reconfiguration and track-and-trigger outreach team intervention on outcomes of haematology patients requiring intensive care admission

Cited by 42 publications

References 17 publications

A single-centre observational cohort study of admission National Early Warning Score (NEWS)

A single-centre observational cohort study of admission National Early Warning Score (NEWS)

Short- and long-term outcomes of adult allogeneic hematopoietic stem cell transplant patients admitted to the intensive care unit in the peritransplant period

Maternal Early Warning Systems

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