Demographics and outcomes of critically ill patients transferred from other hospitals to a tertiary care academic referral center in Saudi Arabia

Asgar H. Rishu, Abdulaziz S. Aldawood, Samir H. Haddad, Hani M. Tamim, Hasan M. Al-Dorzi, Ahmed Al-Jabbary, Abdullah Al-Shimemeri, Muhammad R. Sohail, Yaseen M. Arabi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: The objective of this study was to examine the outcomes of critically ill patients who were transferred from other hospitals to a tertiary care center in Saudi Arabia as a quality improvement project. Methods: This was a retrospective study of adult patients admitted to the medical-surgical intensive care unit (ICU) of a tertiary care hospital. Patients were divided according to the source of referral into three groups: transfers from other hospitals, and direct admissions from emergency department (ED) and from hospital wards. Standardized mortality ratio (SMR) was calculated. Multivariate analysis was performed to determine the independent predictors of mortality. Results: Of the 7,654 patients admitted to the ICU, 611 patients (8%) were transferred from other hospitals, 2,703 (35.3%) were direct admissions from ED and 4,340 (56.7%) from hospital wards. Hospital mortality for patients transferred from other hospitals was not significantly different from those who were directly admitted from ED (35% vs. 33.1%, p = 0.37) but was lower than those who were directly admitted from hospital wards (35% vs. 51.2%, p < 0.0001). SMRs did not differ significantly across the three groups. Conclusions: Critically ill patients who were transferred from other hospitals constituted 8% of all ICU admissions. Mortality of these patients was similar to patients with direct admission from the ED and lower than that of patients with direct admission from hospital wards. However, risk-adjusted mortality was not different from the other two groups.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalAnnals of Intensive Care
Volume3
Issue number1
DOIs
StatePublished - 2013
Externally publishedYes

Fingerprint

Saudi Arabia
Tertiary Healthcare
Critical Illness
Referral and Consultation
Demography
Hospital Emergency Service
Intensive Care Units
Mortality
Tertiary Care Centers
Critical Care
Quality Improvement
Hospital Mortality
Multivariate Analysis
Retrospective Studies

Keywords

  • Ambulance
  • Emergency department
  • Hospital mortality
  • Hospital wards
  • Intensive care unit
  • Mortality
  • Trauma

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Demographics and outcomes of critically ill patients transferred from other hospitals to a tertiary care academic referral center in Saudi Arabia. / Rishu, Asgar H.; Aldawood, Abdulaziz S.; Haddad, Samir H.; Tamim, Hani M.; Al-Dorzi, Hasan M.; Al-Jabbary, Ahmed; Al-Shimemeri, Abdullah; Sohail, Muhammad R.; Arabi, Yaseen M.

In: Annals of Intensive Care, Vol. 3, No. 1, 2013, p. 1-8.

Research output: Contribution to journalArticle

Rishu, AH, Aldawood, AS, Haddad, SH, Tamim, HM, Al-Dorzi, HM, Al-Jabbary, A, Al-Shimemeri, A, Sohail, MR & Arabi, YM 2013, 'Demographics and outcomes of critically ill patients transferred from other hospitals to a tertiary care academic referral center in Saudi Arabia', Annals of Intensive Care, vol. 3, no. 1, pp. 1-8. https://doi.org/10.1186/2110-5820-3-26
Rishu, Asgar H. ; Aldawood, Abdulaziz S. ; Haddad, Samir H. ; Tamim, Hani M. ; Al-Dorzi, Hasan M. ; Al-Jabbary, Ahmed ; Al-Shimemeri, Abdullah ; Sohail, Muhammad R. ; Arabi, Yaseen M. / Demographics and outcomes of critically ill patients transferred from other hospitals to a tertiary care academic referral center in Saudi Arabia. In: Annals of Intensive Care. 2013 ; Vol. 3, No. 1. pp. 1-8.
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abstract = "Background: The objective of this study was to examine the outcomes of critically ill patients who were transferred from other hospitals to a tertiary care center in Saudi Arabia as a quality improvement project. Methods: This was a retrospective study of adult patients admitted to the medical-surgical intensive care unit (ICU) of a tertiary care hospital. Patients were divided according to the source of referral into three groups: transfers from other hospitals, and direct admissions from emergency department (ED) and from hospital wards. Standardized mortality ratio (SMR) was calculated. Multivariate analysis was performed to determine the independent predictors of mortality. Results: Of the 7,654 patients admitted to the ICU, 611 patients (8{\%}) were transferred from other hospitals, 2,703 (35.3{\%}) were direct admissions from ED and 4,340 (56.7{\%}) from hospital wards. Hospital mortality for patients transferred from other hospitals was not significantly different from those who were directly admitted from ED (35{\%} vs. 33.1{\%}, p = 0.37) but was lower than those who were directly admitted from hospital wards (35{\%} vs. 51.2{\%}, p < 0.0001). SMRs did not differ significantly across the three groups. Conclusions: Critically ill patients who were transferred from other hospitals constituted 8{\%} of all ICU admissions. Mortality of these patients was similar to patients with direct admission from the ED and lower than that of patients with direct admission from hospital wards. However, risk-adjusted mortality was not different from the other two groups.",
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AU - Aldawood, Abdulaziz S.

AU - Haddad, Samir H.

AU - Tamim, Hani M.

AU - Al-Dorzi, Hasan M.

AU - Al-Jabbary, Ahmed

AU - Al-Shimemeri, Abdullah

AU - Sohail, Muhammad R.

AU - Arabi, Yaseen M.

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N2 - Background: The objective of this study was to examine the outcomes of critically ill patients who were transferred from other hospitals to a tertiary care center in Saudi Arabia as a quality improvement project. Methods: This was a retrospective study of adult patients admitted to the medical-surgical intensive care unit (ICU) of a tertiary care hospital. Patients were divided according to the source of referral into three groups: transfers from other hospitals, and direct admissions from emergency department (ED) and from hospital wards. Standardized mortality ratio (SMR) was calculated. Multivariate analysis was performed to determine the independent predictors of mortality. Results: Of the 7,654 patients admitted to the ICU, 611 patients (8%) were transferred from other hospitals, 2,703 (35.3%) were direct admissions from ED and 4,340 (56.7%) from hospital wards. Hospital mortality for patients transferred from other hospitals was not significantly different from those who were directly admitted from ED (35% vs. 33.1%, p = 0.37) but was lower than those who were directly admitted from hospital wards (35% vs. 51.2%, p < 0.0001). SMRs did not differ significantly across the three groups. Conclusions: Critically ill patients who were transferred from other hospitals constituted 8% of all ICU admissions. Mortality of these patients was similar to patients with direct admission from the ED and lower than that of patients with direct admission from hospital wards. However, risk-adjusted mortality was not different from the other two groups.

AB - Background: The objective of this study was to examine the outcomes of critically ill patients who were transferred from other hospitals to a tertiary care center in Saudi Arabia as a quality improvement project. Methods: This was a retrospective study of adult patients admitted to the medical-surgical intensive care unit (ICU) of a tertiary care hospital. Patients were divided according to the source of referral into three groups: transfers from other hospitals, and direct admissions from emergency department (ED) and from hospital wards. Standardized mortality ratio (SMR) was calculated. Multivariate analysis was performed to determine the independent predictors of mortality. Results: Of the 7,654 patients admitted to the ICU, 611 patients (8%) were transferred from other hospitals, 2,703 (35.3%) were direct admissions from ED and 4,340 (56.7%) from hospital wards. Hospital mortality for patients transferred from other hospitals was not significantly different from those who were directly admitted from ED (35% vs. 33.1%, p = 0.37) but was lower than those who were directly admitted from hospital wards (35% vs. 51.2%, p < 0.0001). SMRs did not differ significantly across the three groups. Conclusions: Critically ill patients who were transferred from other hospitals constituted 8% of all ICU admissions. Mortality of these patients was similar to patients with direct admission from the ED and lower than that of patients with direct admission from hospital wards. However, risk-adjusted mortality was not different from the other two groups.

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