Out-of-hours discharge from intensive care, in-hospital mortality and intensive care readmission rates: a systematic review and meta-analysis.
Sarah VollamSusan DuttonSallie LambTatjana PetrinicJ Duncan YoungPeter WatkinsonPublished in: Intensive care medicine (2018)
Out-of-hours discharge from an ICU is strongly associated with both in-hospital death and ICU readmission. These effects persisted across all definitions of "out of hours" and across healthcare systems in different geographical locations. Whether these increases in mortality and readmission result from patient differences, differences in care, or a combination remains unclear.
Keyphrases
- healthcare
- intensive care unit
- mechanical ventilation
- palliative care
- cardiovascular events
- quality improvement
- risk factors
- emergency department
- affordable care act
- coronary artery disease
- health information
- pain management
- extracorporeal membrane oxygenation
- health insurance
- chronic pain
- social media
- drug induced