Does the implementation of a novel intensive care discharge risk score and nurse-led inpatient review tool improve outcome? A prospective cohort study in two intensive care units in the UK.

ABSTRACT:

Objective

To develop a clinical prediction model for poor outcome after intensive care unit (ICU) discharge in a large observational data set and couple this to an acute post-ICU ward-based review tool (PIRT) to identify high-risk patients at the time of ICU discharge and improve their acute ward-based review and outcome.

Design

Retrospective patient cohort of index ICU admissions between June 2006 and October 2011 receiving routine inpatient review. Prospective cohort between March 2012 and March 2013 underwent risk scoring (PIRT) which subsequently guided inpatient ward-based review.

Setting

Two UK adult ICUs.

Participants

4212 eligible discharges from ICU in the retrospective development cohort and 1028 patients included in the prospective intervention cohor

SUBMITTER: Fabes J 

PROVIDER: S-EPMC5770841 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature