Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
February 28, 2018Critical Care Medicine

Direct discharge home from the ICU for recruited patients was associated with a 24% unplanned return visit rate, compared to 46% for patients transferred briefly to the ward (p = 0.005).

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does direct discharge home from the ICU improve outcomes compared to short stay ward transfers in adult ICU patients?

Population

198 adult patients who were either discharged directly to home from ICU or discharged home within 24 hours…

Comparison

Direct discharge home from ICU vs Discharge home within 24 hours of ward transfer…

Design

Cohort

Follow-up

8 weeks

Key result

Direct discharge home from the ICU for recruited patients was associated with a 24% unplanned return visit rate, compared to 46% for patients transferred briefly to the ward (p = 0.005).

Authors

VLVincent LauJLJoyce LamJBJohn Basmaji

Discussion

Loading...

Member takes

Overview

Direct home discharge from ICU linked to low readmission in selected patients; leaves open need for selection tools and RCTs before broader use.

Study Design

Type

Cohort (n=198)

Multicenter

Yes

Structured PICO

Does direct discharge home from the ICU improve outcomes compared to short stay ward transfers in adult ICU patients?

P
Population
198 adult ICU patients discharged directly home or within 24 hours of ward transfer, followed for 8 weeks.
E
Exposure
Direct discharge home from ICU
C
Comparator
Discharge home within 24 hours of ward transfer from ICU
O
Outcome
Mortality, morbidity, and unplanned return visits at 8 weeks post dischargehard clinical

Main Result

Absolute Event Rate: 24% vs 46%

p-value: p=0.005

Direct discharge home from the ICU is associated with 0% mortality at 8 weeks and a lower rate of unplanned return visits compared to short ward transfers in recruited patients.

Cite This Study

Lau et al. (2018) conducted a cohort in ICU patients discharged directly home (n=198). Direct discharge home from ICU vs. Discharge home within 24 hours of ward transfer was evaluated on unplanned return visits (p=0.005). Direct discharge home from the ICU for recruited patients was associated with a 24% unplanned return visit rate, compared to 46% for patients transferred briefly to the ward (p = 0.005).

synapsesocial.com/papers/6aae10b90fad4d9258b32a6ehttps://doi.org/10.1097/ccm.0000000000003074
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Prospective cohort study to estimate the safety of direct discharge to home from the intensive care unit2026
  2. 2Safety Outcomes of Direct Discharge Home From ICUs: An Updated Systematic Review and Meta-Analysis (Direct From ICU Sent Home Study)*2022 · 14 citations
  3. 3Discharge Directly Home From the PICU: A Retrospective Cohort Study2022 · 5 citations
  4. 4Safety of Discharge Directly Home From the PICU2026
  5. 5Discharge from the intensive care unit: Straight home or go to ward? A comparison of their admission and discharge characteristics2024