ICU sedation, delirium & recovery

Unit-to-unit transfer due to shortage of intensive care beds in Sweden 2015–2019 was associated with a lower risk of death but a longer intensive care stay compared to no transfer: a registry study

J Intensive CarePublished Retrospective cohort study

Main finding · Death within 90 days after ICU admissionResult — go to the resultOdds ratio 0.71 95% CI 0.65–0.69

Authors' conclusion

Intensive care unit-to-unit transfer due to shortage of bed capacity as compared to no transfer during a 5-year period preceding the COVID-19 pandemic in Sweden was associated with lower risk of death within 90 days but with longer stay in intensive care.

Study context

Population
Critically ill ICU patients in the Swedish Intensive Care Registry over a 5-year period before the COVID-19 pandemic; patients with insufficient data or a recurring capacity transfer within 90 days excluded161,140 eligible ICU admissions
Participants
2,912 vs 135,641
Exposure
Capacity transfer to another ICU due to bed shortage vs no transfer
  • Transferredn = 2,912
  • Non-transferredn = 135,641reference
Outcome
Death within 90 days after ICU admission
Follow-up
90 days
Methodological detailsnationwide registry, step-wise adjusted logistic regression, Excluded: insufficient data entries or recurring capacity transfer within 90 days
  • Nationwide registry
  • Step-wise adjusted logistic regression
  • Excluded: insufficient data entries or recurring capacity transfer within 90 days

Main finding

As reported in the abstract

Odds ratio

0.71

95% CI 0.65–0.69

Observational data: associations, not effects.

Further findings

Days spent in intensive care · within 90 days · fully adjusted model

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Unit-to-unit transfer due to shortage of intensive care beds in Sweden 2015–2019 was associated with a lower risk of death but a longer intensive care stay compared to no transfer: a registry study. J Intensive Care. Published 27 February 2024. doi:10.1186/s40560-024-00722-6

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