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July 1, 2026International Journal of Critical Illness and Injury Science

Prospective cohort study to estimate the safety of direct discharge to home from the intensive care unit

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Why the study?

ICU discharge has traditionally used a tiered approach transferring patients to wards before home, but evolving postdischarge services have shifted interest toward direct discharge to home.

Does direct discharge to home improve clinical outcomes and safety in ICU patients compared to transfer to hospital wards?

Population

ICU patients at a tertiary care hospital

Comparison

Direct discharge to home vs transfer to ward with minimum stay 24 h

Design

Prospective cohort study

Follow-up

3 months

Key result

Direct discharge to home from the ICU was associated with significantly better clinical outcomes and safety compared to transfer to hospital wards for carefully selected patients.

Authors

SYShikha YadavRPRavi PrakashZAZia Arshad

Discussion

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Member takes

Overview

May support direct home discharge from ICU with modern services; leaves open need for RCTs to confirm safety versus step-down care.

Study Design

Type

Cohort

Multicenter

No

Structured PICO

Does direct discharge to home improve clinical outcomes and safety in ICU patients compared to transfer to hospital wards?

P
Population
ICU patients followed for up to 3 months after direct discharge to home or transfer to a hospital ward.
E
Exposure
Direct discharge to home (DDH) from the intensive care unit
C
Comparator
Transfer to hospital wards (TTW) with a minimum stay in ward of 24 hours before discharge
O
Outcome
Clinical outcomes and safety (post-ICU recovery) at 3 months (90 days) follow-upsafety

Direct discharge to home from the ICU is associated with better clinical outcomes and safety in carefully selected patients compared to standard ward transfer.

Cite This Study

Yadav et al. (2026) conducted a cohort in ICU patients. Direct discharge to home (DDH) vs. Transfer to ward (TTW) was evaluated on Clinical outcomes and safety (post-ICU recovery). Direct discharge to home from the ICU was associated with significantly better clinical outcomes and safety compared to transfer to hospital wards for carefully selected patients.

synapsesocial.com/papers/6a950c2e397e3dbeede61c07https://doi.org/10.4103/ijciis.ijciis_143_25
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Safety Outcomes of Direct Discharge Home From ICUs: An Updated Systematic Review and Meta-Analysis (Direct From ICU Sent Home Study)*2022 · 14 citations
  2. 2Discharge from the intensive care unit: Straight home or go to ward? A comparison of their admission and discharge characteristics2024
  3. 3Safety of Discharge Directly Home From the PICU2026
  4. 4Discharge Directly Home From the PICU: A Retrospective Cohort Study2022 · 5 citations
  5. 5Impact of Intensive Care Unit Discharge Delays on Patient Outcomes: A Retrospective Cohort Study2018 · 23 citations