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Adverse events during intrahospital transport of critically ill patients in a large hospital

OBJECTIVE: To describe the incidence of clinical and non-clinical events during intrahospital transport of critically ill patients and to analyze the associated risk factors. METHODS: Cohort study with retrospective data collected from October 2016 to October 2017. All cases of intrahospital transpo...

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Autores principales: Veiga, Viviane Cordeiro, Postalli, Natalia Fioravanti, Alvarisa, Thais Kawagoe, Travassos, Phillipe Pereira, Vale, Raquel Telles da Silva, de Oliveira, Cleyton Zanardo, Rojas, Salomón Soriano Ordinola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Medicina Intensiva Brasileira - AMIB 2019
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443312/
https://www.ncbi.nlm.nih.gov/pubmed/30843950
http://dx.doi.org/10.5935/0103-507X.20190003
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author Veiga, Viviane Cordeiro
Postalli, Natalia Fioravanti
Alvarisa, Thais Kawagoe
Travassos, Phillipe Pereira
Vale, Raquel Telles da Silva
de Oliveira, Cleyton Zanardo
Rojas, Salomón Soriano Ordinola
author_facet Veiga, Viviane Cordeiro
Postalli, Natalia Fioravanti
Alvarisa, Thais Kawagoe
Travassos, Phillipe Pereira
Vale, Raquel Telles da Silva
de Oliveira, Cleyton Zanardo
Rojas, Salomón Soriano Ordinola
author_sort Veiga, Viviane Cordeiro
collection PubMed
description OBJECTIVE: To describe the incidence of clinical and non-clinical events during intrahospital transport of critically ill patients and to analyze the associated risk factors. METHODS: Cohort study with retrospective data collected from October 2016 to October 2017. All cases of intrahospital transport for diagnostic and therapeutic purposes in a large hospital with six adult intensive care units were analyzed, and the adverse events and related risk factors were evaluated. RESULTS: During the study period, 1,559 intrahospital transports were performed with 1,348 patients, with a mean age of 66 ± 17 years and a mean transport time of 43 ± 34 minutes. During transport, 19.8% of the patients were using vasoactive drugs; 13.7% were under sedation; and 10.6% were under mechanical ventilation. Clinical events occurred in 117 transports (7.5%), and non-clinical events occurred in 125 (8.0%) transports. Communication failures were prevalent; however, the multivariate analysis showed that the use of sedatives, noradrenaline and nitroprusside and a transport time greater than 36.5 minutes were associated with adverse clinical events. The use of dobutamine and a transport time greater than 36.5 minutes were associated with non-clinical events. At the end of transport, 98.1% of the patients presented unchanged clinical conditions compared with baseline. CONCLUSION: Intrahospital transport is related to a high incidence of adverse events, and transport time and the use of sedatives and vasoactive drugs were related to these events.
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spelling pubmed-64433122019-04-04 Adverse events during intrahospital transport of critically ill patients in a large hospital Veiga, Viviane Cordeiro Postalli, Natalia Fioravanti Alvarisa, Thais Kawagoe Travassos, Phillipe Pereira Vale, Raquel Telles da Silva de Oliveira, Cleyton Zanardo Rojas, Salomón Soriano Ordinola Rev Bras Ter Intensiva Original Articles OBJECTIVE: To describe the incidence of clinical and non-clinical events during intrahospital transport of critically ill patients and to analyze the associated risk factors. METHODS: Cohort study with retrospective data collected from October 2016 to October 2017. All cases of intrahospital transport for diagnostic and therapeutic purposes in a large hospital with six adult intensive care units were analyzed, and the adverse events and related risk factors were evaluated. RESULTS: During the study period, 1,559 intrahospital transports were performed with 1,348 patients, with a mean age of 66 ± 17 years and a mean transport time of 43 ± 34 minutes. During transport, 19.8% of the patients were using vasoactive drugs; 13.7% were under sedation; and 10.6% were under mechanical ventilation. Clinical events occurred in 117 transports (7.5%), and non-clinical events occurred in 125 (8.0%) transports. Communication failures were prevalent; however, the multivariate analysis showed that the use of sedatives, noradrenaline and nitroprusside and a transport time greater than 36.5 minutes were associated with adverse clinical events. The use of dobutamine and a transport time greater than 36.5 minutes were associated with non-clinical events. At the end of transport, 98.1% of the patients presented unchanged clinical conditions compared with baseline. CONCLUSION: Intrahospital transport is related to a high incidence of adverse events, and transport time and the use of sedatives and vasoactive drugs were related to these events. Associação de Medicina Intensiva Brasileira - AMIB 2019 /pmc/articles/PMC6443312/ /pubmed/30843950 http://dx.doi.org/10.5935/0103-507X.20190003 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Veiga, Viviane Cordeiro
Postalli, Natalia Fioravanti
Alvarisa, Thais Kawagoe
Travassos, Phillipe Pereira
Vale, Raquel Telles da Silva
de Oliveira, Cleyton Zanardo
Rojas, Salomón Soriano Ordinola
Adverse events during intrahospital transport of critically ill patients in a large hospital
title Adverse events during intrahospital transport of critically ill patients in a large hospital
title_full Adverse events during intrahospital transport of critically ill patients in a large hospital
title_fullStr Adverse events during intrahospital transport of critically ill patients in a large hospital
title_full_unstemmed Adverse events during intrahospital transport of critically ill patients in a large hospital
title_short Adverse events during intrahospital transport of critically ill patients in a large hospital
title_sort adverse events during intrahospital transport of critically ill patients in a large hospital
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443312/
https://www.ncbi.nlm.nih.gov/pubmed/30843950
http://dx.doi.org/10.5935/0103-507X.20190003
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