Condition on arrival of transferred critically ill patients
| Autor: | Jan G. Zijlstra, Jjm Lightenberg, T S van der Werf, HG Kreeftenberg, LG Arnold, J. E. Tulleken |
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| Přispěvatelé: | Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE), Vascular Ageing Programme (VAP) |
| Jazyk: | angličtina |
| Rok vydání: | 2000 |
| Předmět: |
Male
Inotrope Resuscitation Quality Assurance Health Care IMPACT Health Status medicine.medical_treatment critically ill Hemodynamics BLOOD-PRESSURE law.invention Hospitals University Risk Factors law guidelines APACHE Netherlands Oxygen saturation (medicine) Aged 80 and over Middle Aged Intensive care unit Transportation of Patients INTERHOSPITAL TRANSPORT Female Needs Assessment Adult medicine.medical_specialty TRAUMA PATIENT Adolescent Critical Care MORBIDITY Predictive Value of Tests Heart rate Internal Medicine medicine Humans Intensive care medicine Aged Monitoring Physiologic Quality of Health Care Retrospective Studies TEAM Mechanical ventilation business.industry CARE Blood pressure SEVERITY transport business transfer SYSTEM |
| Zdroj: | Netherlands Journal of Medicine, 57(5), 180-184. van Zuiden Communications BV. |
| ISSN: | 0300-2977 |
| Popis: | We performed a retrospective inventory of the condition of transferred patients to our 11-bed medical ICU, aimed firstly to measure the quality of these transports and secondly to identify variables that may predict a high risk of deterioration during transferral. By a search in our hospital database, we identified 112 consecutive patients (47 women/65 men) transferred from other hospitals (distance 20-350 km) to our I[CU over a period of 14 months. The following data were collected on departure (if available) and on arrival: blood pressure, heart rate, temperature, oxygen saturation, routine laboratory parameters, arterial blood gas analysis, lactic acid, settings of mechanical ventilation, use of vasopressor/inotropic medication, presence of venous and arterial catheters and Apache II score on arrival. No major worsening during transportation was found, looking at the whole group. However, individual data showed severe deterioration of some patients during transport. We were not able to point out parameters that could predict hemodynamic or respiratory instability during transport or condition on arrival. In conclusion, quality of transport seems fairly good; in individual cases, improvements are possible. Therefore, we plan to investigate whether or not a strict protocol, based on recommendations in the literature and on local feasibility can further improve condition on arrival and survival of transferred ICU patients in our adherence region. (See Editorial p. 177) (C) 2000 Elsevier Science B.V. All rights reserved. |
| Databáze: | OpenAIRE |
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