Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomised population based study
Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomised population based study
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DOI：
10.1136/bmj.327.7422.1014
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发表时间：
2003-11-01
影响因子：
--
通讯作者：
Williams, S
中科院分区：
文献类型：
--
作者：
Ball, C;Kirkby, M;Williams, S
目的探讨重症监护外展团队对危重病患者出院和再入院后存活率的影响。设计基于非随机人群的研究。设立1200张床位的三级转诊教学医院。患者在首次或仅入院两个研究期后出院。2000年2月26日至2001年2月25日和2001年2月26日至2002年2月25日。主要指标出院后的存活率和再入院后的存活率。结果引入重症监护外展小组后，出院存活率增加了6.8%(风险比1.08)。再次入院重症监护减少6.4%(0.48)。结论重症监护外展团队的活动似乎改善了患者出院后的存活率，并可能减少再入院重症监护的次数。
Objectives To determine the effect of the critical care outreach team on patient survival to discharge from hospital after discharge from critical care and readmission to critical care.Design Non-randomised population based study.Setting Tertiary referral teaching hospital with 1200 beds.Participants Patients discharged from the critical care unit after their first or only admission for two study periods, 26 February 2000 to 25 February 2001 and 26 February 2001 to 25 February 2002.Main outcome measures Survival to discharge from hospital after discharge from critical care and readmission to critical care.Results The introduction of a critical care outreach team increased survival to discharge from hospital after discharge from critical care by 6.8% (risk ratio 1.08). Readmission to critical care decreased by 6.4% (0.48).Conclusions The activity of the critical care outreach team seems to improve patient survival to discharge from hospital and may reduce the number of readmissions to critical care.