Critical care transfer in an English critical care network: Analysis of 1124 transfers delivered by an ad-hoc system.

Autor:	Grier S; Intensive Care Medicine and Pre-Hospital Emergency Medicine, Intensive Care Unit, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.; Great Western Air Ambulance Charity, Emergency Air Operations Base, Bristol, UK., Brant G; South West Critical Care Network, Bristol Royal Infirmary, Bristol, UK., Gould TH; South West Critical Care Network, Bristol Royal Infirmary, Bristol, UK.; Intensive Care Unit, Bristol Royal Infirmary, Bristol, UK., von Vopelius-Feldt J; Great Western Air Ambulance Charity, Emergency Air Operations Base, Bristol, UK.; Emergency Care Research Group, University of the West of England Bristol, Bristol, UK., Thompson J; Great Western Air Ambulance Charity, Emergency Air Operations Base, Bristol, UK.; Emergency Care Research Group, University of the West of England Bristol, Bristol, UK.; Intensive Care Unit, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.; Severn Major Trauma Network, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
Jazyk:	angličtina
Zdroj:	Journal of the Intensive Care Society [J Intensive Care Soc] 2020 Feb; Vol. 21 (1), pp. 33-39. Date of Electronic Publication: 2019 Mar 04.
DOI:	10.1177/1751143719832175
Abstrakt:	Background: Critical care transfers between hospitals are time critical high-risk episodes for unstable patients who often require urgent lifesaving intervention. This study aimed to establish the scale, nature and safety of current transfer practice in the South West Critical Care Network (SWCCN) in England. Methods: The SWCCN database contains prospectively collected data in accordance with national guidelines. It was interrogated for all adult (>15 years of age) patients from January 2012 to November 2017. Results: A total of 1124 inter-hospital transfers were recorded, with the majority (935, 83.2%) made for specialist treatment. The transferring team included a doctor in 998 (88.8%) and nurse in 935 (93.7%) transfers. In 204 (18.1%) transfers, delays occurred, with the commonest cause being availability of transport. Critical incidents occurred in 77 (6.9%). Conclusions: This is the first published data on the transfer activity of a UK adult critical care network. It demonstrates that current ad-hoc provision is not meeting the longstanding expectations of national guidelines in terms of training, clinical experience and timeliness. The authors hope that this study may inform national conversation regarding the development of National Health Service commissioned inter-hospital transfer services for adult patients in England. (© The Intensive Care Society 2019.)
Databáze:	MEDLINE
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