Key result
Discharge from the intensive care unit at a time of no vacancy significantly increased the risk of early death or ICU readmission within 7 days (adjusted RR 1.56; 95% CI 1.05-2.31).
Why the study?
Does discharge from the intensive care unit at a time of no vacancy increase the risk of early readmission or death in critically ill patients?
Population
8,693 patients admitted to a single Canadian tertiary care teaching hospital intensive care unit between…
Comparison
Discharge from the intensive care unit at a time… vs Discharge from the intensive care unit at a time…
Design
Cohort
Follow-up
7 days post intensive care unit discharge
Authors
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May warrant caution during high-occupancy discharges; leaves open causal effects of capacity policies on outcomes.
Cohort (n=8,693)
No
Does discharge from the intensive care unit at a time of no vacancy increase the risk of early readmission or death in critically ill patients?
Effect estimate: RR 1.56 (95% CI 1.05-2.31)
p-value: p=0.001
High ICU occupancy is associated with an increased risk of early death or readmission within 7 days of discharge, suggesting premature discharge due to capacity constraints.
Chrusch et al. (2009) conducted a cohort in Intensive care unit admissions (n=8,693). Discharge from the intensive care unit at a time of no vacancy vs. Discharge at a time with vacancy was evaluated on Early readmission or death in the first 7 days post intensive care unit discharge (RR 1.56, 95% CI 1.05-2.31, p=0.001). Discharge from the intensive care unit at a time of no vacancy significantly increased the risk of early death or ICU readmission within 7 days (adjusted RR 1.56; 95% CI 1.05-2.31).
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