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October 1, 2018Journal of Intensive Care Medicine

Impact of Intensive Care Unit Discharge Delays on Patient Outcomes: A Retrospective Cohort Study

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Why the study?

Does a long ICU discharge delay increase in-hospital mortality or length of stay in adult medical ICU patients?

Population

9,673 adult patient discharges admitted to the medical ICU between 2005 and 2011 at a single tertiary…

Comparison

Long discharge delay vs Short discharge delay (<24 hours)

Design

Cohort

Follow-up

In-hospital

Key result

A long ICU discharge delay (≥24 hours) was not associated with increased odds of death compared to a short delay (aOR 0.99; 95% CI 0.74-1.31; P=0.95).

Authors

SBSomnath BoseAJAlistair E. W. JohnsonAMAri Moskowitz

Discussion

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Overview

Long ICU discharge delays were not linked to mortality; leaves open effects on other outcomes and requires prospective confirmation.

Study Design

Type

Cohort (n=9,673)

Multicenter

No

Structured PICO

Does a long ICU discharge delay increase in-hospital mortality or length of stay in adult medical ICU patients?

P
Population
9,673 adult patients admitted to a medical ICU between 2005 and 2011 evaluated for the impact of discharge delays.
E
Exposure
Long discharge delay (≥24 hours between request for a ward bed and time of ICU discharge)
C
Comparator
Short discharge delay (<24 hours)
O
Outcome
In-hospital mortality and post-ICU discharge length of stayhard clinical

Main Result

Odds Ratio: 0.99 (95% CI 0.74–1.31)

p-value: p=.95

Long ICU discharge delays (≥24 hours) are not associated with increased in-hospital mortality, but are associated with shorter post-ICU length of stay, though overall hospital length of stay from bed request is longer.

Cite This Study

Bose et al. (2018) conducted a cohort in ICU admission (n=9,673). Long discharge delay (≥24 hours) vs. Short discharge delay (<24 hours) was evaluated on death (aOR 0.99, 95% CI 0.74-1.31, p=.95). A long ICU discharge delay (≥24 hours) was not associated with increased odds of death compared to a short delay (aOR 0.99; 95% CI 0.74-1.31; P=0.95).

synapsesocial.com/papers/6a75a3a2117c5bc884dd77d1https://doi.org/10.1177/0885066618800276
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