ICU sedation, delirium & recovery
Interfacility transfer of the critically ill: Transfer status does not influence survival
Main finding · GAMResult — go to the resultOdds ratio 0.99 95% CI 0.82–1.19Authors' conclusion
The transfer of critically ill patients between ICUs in Nova Scotia did not impact case-mix adjusted hospital mortality.
Study context
- Population
- Adult ICU patients, 12 ICUs in Nova Scotia, Canada, April 2018-September 2023ICU visits, 12 ICUs
- Participants
- 19,260 patients
- Exposure
- Interfacility transfer during ICU stay vs no transfer
- Transferredn = 1,040
- Outcome
- Case-mix adjusted hospital mortality
Methodological detailsmulticentre, provincial ICU database, generalized additive models
- Multicentre
- Provincial ICU database
- Generalized additive models
Main finding
GAM
Odds ratio
0.99
95% CI 0.82–1.19
P = 0.91
Transferred vs Non-transferred
OR 0.99 (95% CI 0.82–1.19); P = 0.91
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Hospital mortality by transfer category (no transfer, one transfer, multiple transfers)Multiple transfers vs No transfer | 0.68 (0.46–1.00) | P = 0.05 | |
| Hospital mortality, multiple transfers vs no transfer (post-hoc matched cohort sensitivity analysis)No difference identified · post-hoc matched cohort | 0.68 (0.46–1.01) | P = 0.05 | |
| 0.512Odds ratio (log scale) |
| Outcome | OR (95% CI) | P value |
|---|---|---|
| Hospital mortality, single vs multiple transfers | 0.87 (0.45 to −1.69) | P = 0.68 |
Original publication
Interfacility transfer of the critically ill: Transfer status does not influence survival. J Crit Care. Published 17 April 2024. doi:10.
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