• BMJ · Nov 2003

    Effect of the critical care outreach team on patient survival to discharge from hospital and readmission to critical care: non-randomised population based study.

    • Carol Ball, Margaret Kirkby, and Susan Williams.
    • Critical Care Unit, Royal Free Hampstead NHS Trust, London NW3 2QG. carol.ball@royalfree.nhs.uk
    • BMJ. 2003 Nov 1;327(7422):1014.

    ObjectivesTo determine the effect of the critical care outreach team on patient survival to discharge from hospital after discharge from critical care and readmission to critical care.DesignNon-randomised population based study.SettingTertiary referral teaching hospital with 1200 beds.ParticipantsPatients discharged from the critical care unit after their first or only admission for two study periods, 26 February 2000 to 25 February 2001 and 26 February 2001 to 25 February 2002.Main Outcome MeasuresSurvival to discharge from hospital after discharge from critical care and readmission to critical care.ResultsThe introduction of a critical care outreach team improved survival to discharge from hospital after discharge from critical care by 6.8% (risk ratio 1.08). Readmission to critical care decreased by 6.4% (0.48).ConclusionsThe activity of the critical care outreach team seems to improve patient survival to discharge from hospital and may reduce the number of readmissions to critical care.

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