Key result
After-hours discharge from the ICU was associated with higher hospital mortality compared to in-hours discharge (8.0% vs. 5.3%; OR 1.42, 95% CI 1.32-1.52; P<0.0001).
Why the study?
Does after-hours discharge from the ICU increase hospital mortality and ICU readmission in ICU patients?
Population
76,690 patients discharged alive from ICU in Australia and New Zealand between January 1, 2003, and December…
Comparison
After-hours discharge from ICU vs Discharge during regular hours
Design
Cohort
Authors
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May warrant avoiding after-hours ICU discharge when feasible; leaves open whether the mortality association is causal or modifiable.
Observational (n=76,690)
Yes
Does after-hours discharge from the ICU increase hospital mortality and ICU readmission in ICU patients?
Odds Ratio: 1.42 (95% CI 1.32–1.52)
Absolute Event Rate: 8% vs 5.3%
p-value: p=< 0.0001
After-hours discharge from the ICU is associated with a significantly increased risk of hospital mortality and ICU readmission.
Pilcher et al. (2007) conducted an observational in Intensive care unit patients (n=76,690). After-hours discharge from ICU (between 1800 and 0559 hours) vs. In-hours discharge was evaluated on Hospital mortality (OR 1.42, 95% CI 1.32-1.52, p=< 0.0001). After-hours discharge from the ICU was associated with higher hospital mortality compared to in-hours discharge (8.0% vs. 5.3%; OR 1.42, 95% CI 1.32-1.52; P<0.0001).
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