Adverse events and associated factors during intra-hospital transport of mechanically ventilated intensive care patients
Authors' conclusion
IHT of mechanically ventilated ICU patients is associated with a high rate of AEs, driven primarily by patient severity and procedural complexity. These findings support the need for structured transport protocols and larger multicentre studies to evaluate targeted safety strategies.
Study context
- Population
- Intubated and mechanically ventilated adult patients undergoing intra-hospital transport (IHT) in nine French intensive care unit (ICUs)
- Participants
- 160 analysed transports
- Exposure
- Factors associated with AE occurrence during IHT
- Outcome
- At least one AE during IHT (AEs defined according to the 2011 SFAR recommendations)
Main finding
As reported in the abstract
IHTs with at least one AE
56.4%
95% CI 48.6–64.2
Observational data: associations, not effects.
Further findings
Factors independently associated with AE occurrence
| OR for AE occurrence (CI) | ||
|---|---|---|
| Neuromuscular blocking agent useMultivariable analysis | 4.0 (1.2–13.5) | |
| ≥4 invasive devicesMultivariable analysis | 2.6 (1.1–6.1) | |
| ≥3 accompanying staff membersMultivariable analysis | 2.7 (1.4–5.5) | |
| 0.050.21520OR for AE occurrence (log scale) |
Type and severity of adverse events (AEs)
- Clinical events (most events)
- 47.5%
- Serious AEs (rare)
- 0.6%
Transport phase of AEs
- Procedural phase, proportion of events (highest)
- 66.7%
Factors independently associated with AE occurrence
- Emergency status and transport indication were not significantly associated with AE occurrence
Original publication
Adverse events and associated factors during intra-hospital transport of mechanically ventilated intensive care patients. Anaesth Crit Care Pain Med. Published 7 October 2026. doi:10.
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