Intensive care unit-to-unit capacity transfers are associated with increased mortality: no hasty conclusions in the event of a crisis

Painvin, Benoît; Ehrmann, Stéphan; Thille, Arnaud W.; Tadié, Jean‐Marc

doi:10.1186/s13613-022-01031-7

Cited by 2 publications

(2 citation statements)

References 8 publications

(10 reference statements)

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“…Parenmark et al, in Sweden, found that the mortality rate of patients from inter-ICU transfers was high except for those from repatriations [4]. The latter article has been criticized for being too hasty in its conclusions [5]. According to some studies, even though the transfer is a risk, patients from transfer would have a similar mortality to other types of admission if the rules of transfer were respected [6].…”

Section: Discussionmentioning

confidence: 99%

Interhospital Transfer Versus Other Modes of Admission of Patients With Covid-19 at the University Hospital Andohatapenaka: “a Retrospective Cohort Study”

RAKOTOARISOA,

RAKOTOMAVO,

RAKOTONAIVO

et al. 2023

Preprint

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Background The COVID-19 pandemic did not spare Madagascar, and we observed that a significant number of inpatients who were transferred passed away. The aim of this study was to investigate how admission by transfer influences the outcome of COVID-19 patients and to identify factors associated with mortality in patients admitted through interhospital transfer. Methods This is a retrospective cohort study conducted at the Andohatapenaka University Hospital over a three-month period from December 2021 to February 2022. The first group included in the study population was composed of patients from interhospital transfers (n = 54). The second group consisted of patients admitted by other admission methods (n = 127). The chi-square test was used to check the validity of the relative risk (RR), and the significance threshold was set by a p value < 0.05. Results After analysis, it was found that the mode of admission interhospital transfer was associated with patient mortality (RR = 1.47 [1.06–2.04]). Additionally, we identified several factors associated with mortality in COVID-19 patients, including a history of diabetes (RR = 1.58[1.02–2.43]), a respiratory rate of more than 30 cycles/min (RR = 1.58[1.02–2.45]), SpO2 less than or equal to 88% (RR = 2.45[1.21–4.92]), Glasgow score between 9 and 12 (RR = 2.09[1.55–2.83]), critical form (RR = 2.41 [1.68–3.47]), lung involvement greater than 50% (RR = 1.99 [1.05–3.74]), presence of complications (RR = 1.90 [1.24–2.93]), complications by myocardial infarction (RR = 2.00 [1.50–2.65]), and use of noninvasive ventilation (RR = 2.00 [1.50–2.65]). Therefore, admission through interhospital transfer influenced the unfavorable patient outcome. Conclusion Our study shows that admission by transfer is associated with mortality in COVID-19 patients. We recommend that healthcare professionals exercise vigilance in managing these patients to improve outcomes.

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Section: Discussionmentioning

confidence: 99%

Interhospital Transfer Versus Other Modes of Admission of Patients With Covid-19 at the University Hospital Andohatapenaka: “a Retrospective Cohort Study”

RAKOTOARISOA,

RAKOTOMAVO,

RAKOTONAIVO

et al. 2023

Preprint

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“…In a recent metaanalysis, the frequency of death during intrahospital transfers was 1.47% [95% confidence interval (CI) 0.43-2.95] [6 & ]. Death for interhospital transfers has been reported with a frequency in the range of 2-3% [7,8].…”

Section: Risks and Benefits From An Invasive Strategy Post-return Of ...mentioning

confidence: 99%

Coronary angiography after cardiac arrest

Νικολάου

2023

Current Opinion in Critical Care

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Purpose of reviewAcute coronary syndromes represent the commonest cause of out-of-hospital cardiac arrest (OHCA) in adults. Coronary angiography (CAG) followed by percutaneous coronary intervention (PCI) has been established as the treatment strategy for these patients. In this review, we aim first to discuss the potential risks and expected benefits from it, the caveats in its implementation, and the current tools for patient selection. Then summarize the recent evidence on the group of patients without ST-segment elevation on post-return of spontaneous circulation (ROSC) ECG. Recent findingsThe implementation of this strategy still shows a wide variation among the various systems of care. The presence of ST-segment elevation on post-ROSC ECG remains the most reliable tool for patient selection for immediate CAG. A primary PCI strategy is currently recommended for patients with ST-segment elevation on post-ROSC ECG regardless of the conscious state of patients. Recently several randomised studies including patients without ST-segment elevation on post-ROSC ECG showed no benefit with immediate CAG compared to delayed/ elective CAG. This has led to a substantial although not uniform change in current recommendations.

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Intensive care unit-to-unit capacity transfers are associated with increased mortality: no hasty conclusions in the event of a crisis

Cited by 2 publications

References 8 publications

Interhospital Transfer Versus Other Modes of Admission of Patients With Covid-19 at the University Hospital Andohatapenaka: “a Retrospective Cohort Study”

Interhospital Transfer Versus Other Modes of Admission of Patients With Covid-19 at the University Hospital Andohatapenaka: “a Retrospective Cohort Study”

Coronary angiography after cardiac arrest

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