Beyond Unplanned ICU Transfers: Linking a Revised Definition of Deterioration to Patient Outcomes
Main finding · Death within 7 daysResult — go to the resultAdjusted odds ratio 12.5 95% CI 8.9–17.4Authors' conclusion
The revised definition of deterioration establishes an electronic descriptor of clinical deterioration that is strongly associated with short-term mortality and length of stay and identifies deterioration over 2.5 hours earlier than ICU transfer.
Study context
- Population
- All adult patients with an acute hospital encounter, January 1, 2018–December 31, 2022, community-academic health system
- Exposure
- Revised definition vs Transferred to the ICU or died
- Outcome
- Death within 7 days
- Follow-up
- 7 days
Methodological detailsexploratory record review, regression analyses, multicentre
- Exploratory record review
- Regression analyses
- Multicentre
Main finding
As reported in the abstract
Adjusted odds ratio
12.5
95% CI 8.9–17.4
Revised definition vs ICU transfer or death
aOR 12.5 (95% CI 8.9–17.4)
Observational data: associations, not effects.
Further findings
| Outcome | Longer LOS (%) (95% CI) |
|---|---|
| LOSRevised definition vs ICU transfer or death | 95.3 (88.6–102.3%) |
- Detection time before ICU transfer (patients meeting revised definition before ICU transfer)
- 157.0 · 1812 events
- Detection time before ICU transfer (patients meeting revised definition before ICU transfer): 1812 (52.4%) met the revised definition before ICU transfer
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Beyond Unplanned ICU Transfers: Linking a Revised Definition of Deterioration to Patient Outcomes. Crit Care Med. Published 4 June 2024. doi:10.
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