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Lookup NU author(s): Dr Anna Batchelor,
Dr Alistair Gascoigne,
Dr Simon Baudouin
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Objective: To examine the effect of high levels of pre-intensive care unit (ICU) discharge care, as assessed by the Therapeutic Intervention Scoring System (TISS), on subsequent hospital mortality. Design: A 1-year prospective, observational study. Setting: The ICU and wards of a university teaching hospital with no high dependency facility (HDU). Patients: A total of 283 patients were discharged to hospital wards between July 1997 and June 1998. Results: 11% of all ICU discharges subsequently died in hospital. Patients discharged with a TISS of 20 or greater had a 21.4% mortality compared to 3.7% for those with a TISS of less than 10. Increasing age, Acute Physiology Score (APS) on admission and male sex were also significantly associated with post-discharge death. Conclusions: In a hospital without HDU facilities, patients who are receiving HDU levels of care on discharge from the ICU have a high in-hospital mortality.
Author(s): Smith L, Orts CM, O'Neil I, Batchelor AM, Gascoigne AD, Baudouin SV
Publication type: Article
Publication status: Published
Journal: Intensive Care Medicine
Print publication date: 01/01/1999
ISSN (print): 0342-4642
ISSN (electronic): 1432-1238
PubMed id: 10551959
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