Key result
SWIFT score implementation fails to reduce 7-day ICU readmission rates.
Why the study?
Provider decisions about ICU discharge are often based on subjective intuition, and the SWIFT score offers a risk stratification tool to predict ICU readmission risk.
Does the incorporation of the SWIFT score into the discharge workflow reduce readmission rates in medical ICU patients?
Cohort (n=5,293)
No
Does the incorporation of the SWIFT score into the discharge workflow reduce readmission rates in medical ICU patients?
Implementation of the SWIFT score in a medical ICU modified provider discharge decisions in one-third of high-risk cases but did not significantly reduce 24-hour or 7-day readmission rates.
SWIFT-guided discharge discussions altered decisions in one-third of high-risk cases without lowering readmissions; leaves open whether score integration improves outcomes.
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Ofoma et al. (2014) conducted a cohort in Medical ICU discharge (n=5,293). SWIFT score implementation vs. Baseline (pre-implementation) was evaluated on 7-day readmission rate (p=0.26). Incorporating the SWIFT score into the medical ICU discharge workflow did not significantly change 7-day readmission rates compared to baseline (7.4% vs. 6.5%, P=0.26).
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