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Characteristics and outcomes of surgical patients admitted to an overnight intensive recovery unit: A retrospective observational study.
Costa-Pinto, Rahul; Yanase, Fumitaka; Kennedy, Lucy M; Talbot, Lachie J; Flanagan, Jeremy Pm; Opdam, Helen I; Ellard, Louise M; Bellomo, Rinaldo; Jones, Daryl A.
Afiliação
  • Costa-Pinto R; Department of Intensive Care, Austin Hospital, Heidelberg, Australia.
  • Yanase F; Department of Critical Care, University of Melbourne, Parkville, Australia.
  • Kennedy LM; Department of Intensive Care, Austin Hospital, Heidelberg, Australia.
  • Talbot LJ; Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Australia.
  • Flanagan JP; Department of Intensive Care, Austin Hospital, Heidelberg, Australia.
  • Opdam HI; Melbourne Medical School, University of Melbourne, Parkville, Australia.
  • Ellard LM; Melbourne Medical School, University of Melbourne, Parkville, Australia.
  • Bellomo R; Department of Intensive Care, Austin Hospital, Heidelberg, Australia.
  • Jones DA; Department of Critical Care, University of Melbourne, Parkville, Australia.
Anaesth Intensive Care ; 51(1): 29-37, 2023 Jan.
Article em En | MEDLINE | ID: mdl-36217293
ABSTRACT
Postoperative 'enhanced care' models that sit between critical care and ward-based care may allow for more cost-effective and efficient utilisation of resources for high-risk surgical patients. In this retrospective observational study, we describe an overnight intensive recovery model in a tertiary hospital, termed 'recovery high dependency unit', and the characteristics, treatment, disposition at discharge and in-hospital outcomes of patients admitted to this unit. We included all adult patients (≥18 years) admitted to the recovery high dependency unit for at least one hour between July 2017 and June 2020. Over this three-year period, 1257 patients were included in the study. The median length of stay in the recovery high dependency unit was 12.6 (interquartile range 9.1-15.9) hours and the median length of hospital stay was 8.3 (interquartile range 5.0-17.3) days. Hospital discharge data showed that 1027 (81.7%) patients were discharged home and that 37 (2.9%) patients died. Non-invasive ventilation was delivered to 59 (4.7%) patients and 290 (23.1%) required vasopressor support. A total of 164 patients (13.0%) were admitted to the intensive care unit following their recovery high dependency unit admission. Of the 1093 patients who were discharged to the ward, 70 patients (6.4%) had a medical emergency team call within 24 hours of discharge from the recovery high dependency unit. In this study of a recovery high dependency unit patient cohort, there was a relatively low need for intensive care unit admission postoperatively and a very low incidence of medical emergency team calls post-discharge to the ward. Other institutions may consider the introduction and evaluation of this model in the care of their higher risk surgical patients.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Alta do Paciente / Assistência ao Convalescente Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Alta do Paciente / Assistência ao Convalescente Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article