Out of our reach? Assessing the impact of introducing a critical care outreach service
Out of our reach? Assessing the impact of introducing a critical care outreach service
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DOI：
10.1046/j.1365-2044.2003.03331.x
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发表时间：
2003-09-01
期刊：
影响因子：
10.7
通讯作者：
Pittard, AJ
中科院分区：
文献类型：
--
作者：
Pittard, AJ
在一家大型教学医院的三个外科病房和外科高度依赖病房引入了外展服务。使用了改进的预警评分和标注算法，以便于转介到该团队。寻求在引入外展服务后改变重症监护的计划外住院率、住院时间、死亡率和再次入院人数。在引入外展服务后，重症监护室的紧急住院率从58%下降到43%(p=0.05)。这些急诊患者的住院时间较短(4.8天对7.4天)，死亡率较低(28.6%对23.5%，p=0.05)。再入院率也从5.1%下降到3.3%(p=0.05)。外展服务对危重病护理的使用产生了重大影响。
An outreach service was introduced in three surgical wards and the surgical high dependency unit in a large teaching hospital. A modified early warning score and callout algorithm were used to facilitate referrals to the team. Changes in unplanned admission rate to intensive care, length of stay, mortality rate and number of re-admissions following the introduction of outreach were sought. Following the introduction of the outreach service the emergency admission rate to intensive care fell from 58% to 43% (p=0.05). These emergency patients had shorter lengths of stay (4.8 days vs. 7.4 days) and had a lower mortality (28.6% vs. 23.5%, p=0.05). The re-admission rate also fell from 5.1% to 3.3% (p=0.05). The outreach service had a significant impact on critical care utilisation.