Impact of intensive care unit admission during handover on mortality: propensity matched cohort study
ABSTRACT Objective: To investigate the impact of intensive care unit admission during medical handover on mortality. Methods: Post-hoc analysis of data extracted from a prior study aimed at addressing the impacts of intensive care unit readmission on clinical outcomes. This retrospective, single-c...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2021-06-01
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100213&tlng=pt |
| _version_ | 1798026244317511680 |
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| author | Thais Dias Midega Newton Carlos Viana Leite Filho Antonio Paulo Nassar Jr Roger Monteiro Alencar Antonio Capone Neto Leonardo José Rolim Ferraz Thiago Domingos Corrêa |
| author_facet | Thais Dias Midega Newton Carlos Viana Leite Filho Antonio Paulo Nassar Jr Roger Monteiro Alencar Antonio Capone Neto Leonardo José Rolim Ferraz Thiago Domingos Corrêa |
| author_sort | Thais Dias Midega |
| collection | DOAJ |
| description | ABSTRACT Objective: To investigate the impact of intensive care unit admission during medical handover on mortality. Methods: Post-hoc analysis of data extracted from a prior study aimed at addressing the impacts of intensive care unit readmission on clinical outcomes. This retrospective, single-center, propensity-matched cohort study was conducted in a 41-bed general open-model intensive care unit. Patients were assigned to one of two cohorts according to time of intensive care unit admission: Handover Group (intensive care unit admission between 6:30 am and 7:30 am or 6:30 pm and 7:30 pm) or Control Group (intensive care unit admission between 7:31 am and 6:29 pm or 7:31 pm and 6:29 am). Patients in the Handover Group were propensity-matched to patients in the Control Group at a 1:2 ratio. Results: A total of 6,650 adult patients were admitted to the intensive care unit between June 1st 2013 and May 31st 2015. Following exclusion of non-eligible participants, 5,779 patients (389; 6.7% and 5,390; 93.3%, Handover and Control Group) were deemed eligible for propensity score matching. Of these, 1,166 were successfully matched (389; 33.4% and 777; 66.6%, Handover and Control Group). Following propensity-score matching, intensive care unit admission during handover was not associated with increased risk of intensive care unit (OR: 1.40; 95%CI: 0.92-2.11; p=0.113) or in-hospital (OR: 1.23; 95%CI: 0.85-1.75; p=0.265) mortality. Conclusion: Intensive care unit admission during medical handover did not affect in-hospital mortality in this propensity-matched, single-center cohort study. |
| first_indexed | 2024-04-11T18:32:11Z |
| format | Article |
| id | doaj.art-88002d8ee3894f6699ddd5d08b437cdc |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-04-11T18:32:11Z |
| publishDate | 2021-06-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-88002d8ee3894f6699ddd5d08b437cdc2022-12-22T04:09:24ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852021-06-011910.31744/einstein_journal/2021ao5748Impact of intensive care unit admission during handover on mortality: propensity matched cohort studyThais Dias Midegahttps://orcid.org/0000-0002-1010-3711Newton Carlos Viana Leite Filhohttps://orcid.org/0000-0002-7255-2926Antonio Paulo Nassar Jrhttps://orcid.org/0000-0002-0522-7445Roger Monteiro Alencarhttps://orcid.org/0000-0002-2698-7873Antonio Capone Netohttps://orcid.org/0000-0002-5852-7150Leonardo José Rolim Ferrazhttps://orcid.org/0000-0003-1822-1568Thiago Domingos Corrêahttps://orcid.org/0000-0001-9546-3910ABSTRACT Objective: To investigate the impact of intensive care unit admission during medical handover on mortality. Methods: Post-hoc analysis of data extracted from a prior study aimed at addressing the impacts of intensive care unit readmission on clinical outcomes. This retrospective, single-center, propensity-matched cohort study was conducted in a 41-bed general open-model intensive care unit. Patients were assigned to one of two cohorts according to time of intensive care unit admission: Handover Group (intensive care unit admission between 6:30 am and 7:30 am or 6:30 pm and 7:30 pm) or Control Group (intensive care unit admission between 7:31 am and 6:29 pm or 7:31 pm and 6:29 am). Patients in the Handover Group were propensity-matched to patients in the Control Group at a 1:2 ratio. Results: A total of 6,650 adult patients were admitted to the intensive care unit between June 1st 2013 and May 31st 2015. Following exclusion of non-eligible participants, 5,779 patients (389; 6.7% and 5,390; 93.3%, Handover and Control Group) were deemed eligible for propensity score matching. Of these, 1,166 were successfully matched (389; 33.4% and 777; 66.6%, Handover and Control Group). Following propensity-score matching, intensive care unit admission during handover was not associated with increased risk of intensive care unit (OR: 1.40; 95%CI: 0.92-2.11; p=0.113) or in-hospital (OR: 1.23; 95%CI: 0.85-1.75; p=0.265) mortality. Conclusion: Intensive care unit admission during medical handover did not affect in-hospital mortality in this propensity-matched, single-center cohort study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100213&tlng=ptPatient handoffPatient safetyPatient outcome assessmentIntensive care units/statistics & numerical dataCommunicationPatient readmissionPatient dischargeHospital mortalityHealth resources/statistics & numerical data |
| spellingShingle | Thais Dias Midega Newton Carlos Viana Leite Filho Antonio Paulo Nassar Jr Roger Monteiro Alencar Antonio Capone Neto Leonardo José Rolim Ferraz Thiago Domingos Corrêa Impact of intensive care unit admission during handover on mortality: propensity matched cohort study Einstein (São Paulo) Patient handoff Patient safety Patient outcome assessment Intensive care units/statistics & numerical data Communication Patient readmission Patient discharge Hospital mortality Health resources/statistics & numerical data |
| title | Impact of intensive care unit admission during handover on mortality: propensity matched cohort study |
| title_full | Impact of intensive care unit admission during handover on mortality: propensity matched cohort study |
| title_fullStr | Impact of intensive care unit admission during handover on mortality: propensity matched cohort study |
| title_full_unstemmed | Impact of intensive care unit admission during handover on mortality: propensity matched cohort study |
| title_short | Impact of intensive care unit admission during handover on mortality: propensity matched cohort study |
| title_sort | impact of intensive care unit admission during handover on mortality propensity matched cohort study |
| topic | Patient handoff Patient safety Patient outcome assessment Intensive care units/statistics & numerical data Communication Patient readmission Patient discharge Hospital mortality Health resources/statistics & numerical data |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100213&tlng=pt |
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