Hemodynamics, fluids & transfusion
Intensive care unit (ICU) transfer delay and mortality after ward-onset shock
Authors' conclusion
ICU transfer delay after ward-onset shock was independently associated with increased mortality, whereas early POCUS was associated with lower mortality.
Study context
- Population
- Adults with ward-onset shock requiring first ICU transfer, West China Hospital, Jan 1, 2019-Jan 31, 2024
- Participants
- 3,535 adults
- Exposure
- ICU transfer delay 3-6 h or >6 h vs <3 h
- <3 hn = 2,849reference
- 3-6 hn = 150
- >6 hn = 536
- Outcome
- In-hospital mortality
Methodological detailsregistry linked to electronic health records, single-centre, multivariable logistic regression
- Registry linked to electronic health records
- Single-centre
- Multivariable logistic regression
Main finding
As reported in the abstract
Each group vs <3 hOdds ratio (95% CI)P value
3-6 h
2.34(1.62–3.38)
P < 0.001>6 h
3.27(2.65–4.03)
P < 0.001- Overall in-hospital mortality
- 24.0%
Observational data: associations, not effects.
Further findings
In-hospital mortality, early point-of-care ultrasound (POCUS) (within 6 h of shock onset; n = 251, 7.1%)
| aOR (95% CI) | P value | ||
|---|---|---|---|
| Early POCUS | 0.57 (0.37–0.84) | P = 0.005 | |
| 0.20.5125Adjusted odds ratio (log scale) |
28-day mortality, early POCUS
| aOR (95% CI) | P value | ||
|---|---|---|---|
| Early POCUS | 0.47 (0.30–0.72) | P < 0.001 | |
| 0.20.5125Adjusted odds ratio (log scale) |
Original publication
ICU transfer delay and mortality after ward-onset shock. J Crit Care. Published 10 January 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →