Out of our reach? Assessing the impact of introducing a critical care outreach service
Abstract
Summary: An outreach service was introduced in three surgical wards and the surgical high dependency unit in a large teaching hospital. A modified early warning score and callout algorithm were used to facilitate referrals to the team. Changes in unplanned admission rate to intensive care, length of stay, mortality rate and number of re‐admissions following the introduction of outreach were sought. Following the introduction of the outreach service the emergency admission rate to intensive care fell from 58% to 43% (p = 0.05). These emergency patients had shorter lengths of stay (4.8 days vs. 7.4 days) and had a lower mortality (28.6% vs. 23.5%, p = 0.05). The re‐admission rate also fell from 5.1% to 3.3% (p = 0.05). The outreach service had a significant impact on critical care utilisation.
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Several studies, mostly before-and-after design, have examined critical care transition programmes on reducing ICU readmission or death among patients transferred from ICU to ward.
“Several studies, mostly before-and-after design, have examined the impact of critical care transition programmes on reducing ICU readmission or death among patients transferred from ICU to the ward [597, 601, 603–611].”
From Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 (2021) · cites this paper as [610]
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Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021.
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., et al. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005337 · Cited by 2,935 · see citing works
Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., et al. (2021) · Intensive Care Medicine · doi:10.1007/s00134-021-06506-y · Cited by 5,082 · see citing works
- Authors
- Pittard, A. J.
- Affiliations
- Leeds General Infirmary (GB)
- Corresponding author
- Pittard, A. J.
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 2003-08
- Volume
- 58
- Issue
- 9
- Pages
- 882-885
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- OpenAlex
- W2165293485
- Cited by
- 130
- References
- 9
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 4 · 2018: 1 · 2017: 5 · 2016: 1 · 2015: 5 · 2014: 6 · 2013: 6 · 2012: 7
- FWCI
- 13.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Anaesthesia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Keywords
- critical care outreach, surgical wards, early warning scores, length of hospital stay, mortality, hospital readmission
- MeSH terms
- Algorithms, Community-Institutional Relations, Continuity of Patient Care, Critical Care, England, Health Services Research, Hospitals, Teaching, Humans, Intensive Care Units, Length of Stay, Patient Care Team, Patient Readmission, Referral and Consultation, Hospital Mortality
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