Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study

<p<Abstract</p< <p<Background</p< <p<Although the association between mortality and admission to intensive care units (ICU) in the "after hours" (weekends and nights) has been the topic of extensive investigation, the timing of discharge from ICU and outcome h...
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Autor*in:	Laupland Kevin B [verfasserIn] Misset Benoit [verfasserIn] Souweine Bertrand [verfasserIn] Tabah Alexis [verfasserIn] Azoulay Elie [verfasserIn] Goldgran-Toledano Dany [verfasserIn] Dumenil Anne-Sylvie [verfasserIn] Vésin Aurélien [verfasserIn] Jamali Samir [verfasserIn] Kallel Hatem [verfasserIn] Clec'h Christophe [verfasserIn] Darmon Michael [verfasserIn] Schwebel Carole [verfasserIn] Timsit Jean-Francois [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2011

Übergeordnetes Werk:	In: BMC Health Services Research - BMC, 2003, 11(2011), 1, p 321
Übergeordnetes Werk:	volume:11 ; year:2011 ; number:1, p 321

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/1472-6963-11-321

Katalog-ID:	DOAJ038463628

Internformat


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520			\|a <p<Abstract</p< <p<Background</p< <p<Although the association between mortality and admission to intensive care units (ICU) in the "after hours" (weekends and nights) has been the topic of extensive investigation, the timing of discharge from ICU and outcome has been less well investigated. The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death.</p< <p<Methods</p< <p<Adults (≥18 years) admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included.</p< <p<Results</p< <p<Among the 7,380 patients included, 61% (4,481) were male, the median age was 62 (IQR, 49-75) years, and the median SAPS II score was 40 (IQR, 28-56). Admissions to ICU occurred during weekends (Saturday and Sunday) in 1,708 (23%) cases, during the night (18:00-07:59) in 3,855 (52%), and on nights and/or weekends in 4,659 (63%) cases. Among 5,992 survivors to ICU discharge, 903 (15%) were discharged on weekends, 659 (11%) at night, and 1,434 (24%) on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. However, patients discharged from ICU on nights were at higher adjusted risk (odds ratio, 1.54; 95% confidence interval, 1.12-2.11) for death.</p< <p<Conclusions</p< <p<In this study, ICU discharge at night but not admission was associated with a significant increased risk for death. Further studies are needed to examine whether minimizing night time discharges from ICU may improve outcome.</p<
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allfields	10.1186/1472-6963-11-321 doi (DE-627)DOAJ038463628 (DE-599)DOAJ64a12f78a9a14cfeb6f0ae724c7047a5 DE-627 ger DE-627 rakwb eng RA1-1270 Laupland Kevin B verfasserin aut Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Although the association between mortality and admission to intensive care units (ICU) in the "after hours" (weekends and nights) has been the topic of extensive investigation, the timing of discharge from ICU and outcome has been less well investigated. The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death.</p< <p<Methods</p< <p<Adults (≥18 years) admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included.</p< <p<Results</p< <p<Among the 7,380 patients included, 61% (4,481) were male, the median age was 62 (IQR, 49-75) years, and the median SAPS II score was 40 (IQR, 28-56). Admissions to ICU occurred during weekends (Saturday and Sunday) in 1,708 (23%) cases, during the night (18:00-07:59) in 3,855 (52%), and on nights and/or weekends in 4,659 (63%) cases. Among 5,992 survivors to ICU discharge, 903 (15%) were discharged on weekends, 659 (11%) at night, and 1,434 (24%) on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. However, patients discharged from ICU on nights were at higher adjusted risk (odds ratio, 1.54; 95% confidence interval, 1.12-2.11) for death.</p< <p<Conclusions</p< <p<In this study, ICU discharge at night but not admission was associated with a significant increased risk for death. Further studies are needed to examine whether minimizing night time discharges from ICU may improve outcome.</p< Public aspects of medicine Misset Benoit verfasserin aut Souweine Bertrand verfasserin aut Tabah Alexis verfasserin aut Azoulay Elie verfasserin aut Goldgran-Toledano Dany verfasserin aut Dumenil Anne-Sylvie verfasserin aut Vésin Aurélien verfasserin aut Jamali Samir verfasserin aut Kallel Hatem verfasserin aut Clec'h Christophe verfasserin aut Darmon Michael verfasserin aut Schwebel Carole verfasserin aut Timsit Jean-Francois verfasserin aut In BMC Health Services Research BMC, 2003 11(2011), 1, p 321 (DE-627)331018756 (DE-600)2050434-2 14726963 nnns volume:11 year:2011 number:1, p 321 https://doi.org/10.1186/1472-6963-11-321 kostenfrei https://doaj.org/article/64a12f78a9a14cfeb6f0ae724c7047a5 kostenfrei http://www.biomedcentral.com/1472-6963/11/321 kostenfrei https://doaj.org/toc/1472-6963 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2011 1, p 321
spelling	10.1186/1472-6963-11-321 doi (DE-627)DOAJ038463628 (DE-599)DOAJ64a12f78a9a14cfeb6f0ae724c7047a5 DE-627 ger DE-627 rakwb eng RA1-1270 Laupland Kevin B verfasserin aut Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Although the association between mortality and admission to intensive care units (ICU) in the "after hours" (weekends and nights) has been the topic of extensive investigation, the timing of discharge from ICU and outcome has been less well investigated. The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death.</p< <p<Methods</p< <p<Adults (≥18 years) admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included.</p< <p<Results</p< <p<Among the 7,380 patients included, 61% (4,481) were male, the median age was 62 (IQR, 49-75) years, and the median SAPS II score was 40 (IQR, 28-56). Admissions to ICU occurred during weekends (Saturday and Sunday) in 1,708 (23%) cases, during the night (18:00-07:59) in 3,855 (52%), and on nights and/or weekends in 4,659 (63%) cases. Among 5,992 survivors to ICU discharge, 903 (15%) were discharged on weekends, 659 (11%) at night, and 1,434 (24%) on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. However, patients discharged from ICU on nights were at higher adjusted risk (odds ratio, 1.54; 95% confidence interval, 1.12-2.11) for death.</p< <p<Conclusions</p< <p<In this study, ICU discharge at night but not admission was associated with a significant increased risk for death. Further studies are needed to examine whether minimizing night time discharges from ICU may improve outcome.</p< Public aspects of medicine Misset Benoit verfasserin aut Souweine Bertrand verfasserin aut Tabah Alexis verfasserin aut Azoulay Elie verfasserin aut Goldgran-Toledano Dany verfasserin aut Dumenil Anne-Sylvie verfasserin aut Vésin Aurélien verfasserin aut Jamali Samir verfasserin aut Kallel Hatem verfasserin aut Clec'h Christophe verfasserin aut Darmon Michael verfasserin aut Schwebel Carole verfasserin aut Timsit Jean-Francois verfasserin aut In BMC Health Services Research BMC, 2003 11(2011), 1, p 321 (DE-627)331018756 (DE-600)2050434-2 14726963 nnns volume:11 year:2011 number:1, p 321 https://doi.org/10.1186/1472-6963-11-321 kostenfrei https://doaj.org/article/64a12f78a9a14cfeb6f0ae724c7047a5 kostenfrei http://www.biomedcentral.com/1472-6963/11/321 kostenfrei https://doaj.org/toc/1472-6963 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2011 1, p 321
allfields_unstemmed	10.1186/1472-6963-11-321 doi (DE-627)DOAJ038463628 (DE-599)DOAJ64a12f78a9a14cfeb6f0ae724c7047a5 DE-627 ger DE-627 rakwb eng RA1-1270 Laupland Kevin B verfasserin aut Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Although the association between mortality and admission to intensive care units (ICU) in the "after hours" (weekends and nights) has been the topic of extensive investigation, the timing of discharge from ICU and outcome has been less well investigated. The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death.</p< <p<Methods</p< <p<Adults (≥18 years) admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included.</p< <p<Results</p< <p<Among the 7,380 patients included, 61% (4,481) were male, the median age was 62 (IQR, 49-75) years, and the median SAPS II score was 40 (IQR, 28-56). Admissions to ICU occurred during weekends (Saturday and Sunday) in 1,708 (23%) cases, during the night (18:00-07:59) in 3,855 (52%), and on nights and/or weekends in 4,659 (63%) cases. Among 5,992 survivors to ICU discharge, 903 (15%) were discharged on weekends, 659 (11%) at night, and 1,434 (24%) on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. However, patients discharged from ICU on nights were at higher adjusted risk (odds ratio, 1.54; 95% confidence interval, 1.12-2.11) for death.</p< <p<Conclusions</p< <p<In this study, ICU discharge at night but not admission was associated with a significant increased risk for death. Further studies are needed to examine whether minimizing night time discharges from ICU may improve outcome.</p< Public aspects of medicine Misset Benoit verfasserin aut Souweine Bertrand verfasserin aut Tabah Alexis verfasserin aut Azoulay Elie verfasserin aut Goldgran-Toledano Dany verfasserin aut Dumenil Anne-Sylvie verfasserin aut Vésin Aurélien verfasserin aut Jamali Samir verfasserin aut Kallel Hatem verfasserin aut Clec'h Christophe verfasserin aut Darmon Michael verfasserin aut Schwebel Carole verfasserin aut Timsit Jean-Francois verfasserin aut In BMC Health Services Research BMC, 2003 11(2011), 1, p 321 (DE-627)331018756 (DE-600)2050434-2 14726963 nnns volume:11 year:2011 number:1, p 321 https://doi.org/10.1186/1472-6963-11-321 kostenfrei https://doaj.org/article/64a12f78a9a14cfeb6f0ae724c7047a5 kostenfrei http://www.biomedcentral.com/1472-6963/11/321 kostenfrei https://doaj.org/toc/1472-6963 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2011 1, p 321
allfieldsGer	10.1186/1472-6963-11-321 doi (DE-627)DOAJ038463628 (DE-599)DOAJ64a12f78a9a14cfeb6f0ae724c7047a5 DE-627 ger DE-627 rakwb eng RA1-1270 Laupland Kevin B verfasserin aut Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Although the association between mortality and admission to intensive care units (ICU) in the "after hours" (weekends and nights) has been the topic of extensive investigation, the timing of discharge from ICU and outcome has been less well investigated. The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death.</p< <p<Methods</p< <p<Adults (≥18 years) admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included.</p< <p<Results</p< <p<Among the 7,380 patients included, 61% (4,481) were male, the median age was 62 (IQR, 49-75) years, and the median SAPS II score was 40 (IQR, 28-56). Admissions to ICU occurred during weekends (Saturday and Sunday) in 1,708 (23%) cases, during the night (18:00-07:59) in 3,855 (52%), and on nights and/or weekends in 4,659 (63%) cases. Among 5,992 survivors to ICU discharge, 903 (15%) were discharged on weekends, 659 (11%) at night, and 1,434 (24%) on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. However, patients discharged from ICU on nights were at higher adjusted risk (odds ratio, 1.54; 95% confidence interval, 1.12-2.11) for death.</p< <p<Conclusions</p< <p<In this study, ICU discharge at night but not admission was associated with a significant increased risk for death. Further studies are needed to examine whether minimizing night time discharges from ICU may improve outcome.</p< Public aspects of medicine Misset Benoit verfasserin aut Souweine Bertrand verfasserin aut Tabah Alexis verfasserin aut Azoulay Elie verfasserin aut Goldgran-Toledano Dany verfasserin aut Dumenil Anne-Sylvie verfasserin aut Vésin Aurélien verfasserin aut Jamali Samir verfasserin aut Kallel Hatem verfasserin aut Clec'h Christophe verfasserin aut Darmon Michael verfasserin aut Schwebel Carole verfasserin aut Timsit Jean-Francois verfasserin aut In BMC Health Services Research BMC, 2003 11(2011), 1, p 321 (DE-627)331018756 (DE-600)2050434-2 14726963 nnns volume:11 year:2011 number:1, p 321 https://doi.org/10.1186/1472-6963-11-321 kostenfrei https://doaj.org/article/64a12f78a9a14cfeb6f0ae724c7047a5 kostenfrei http://www.biomedcentral.com/1472-6963/11/321 kostenfrei https://doaj.org/toc/1472-6963 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2011 1, p 321
allfieldsSound	10.1186/1472-6963-11-321 doi (DE-627)DOAJ038463628 (DE-599)DOAJ64a12f78a9a14cfeb6f0ae724c7047a5 DE-627 ger DE-627 rakwb eng RA1-1270 Laupland Kevin B verfasserin aut Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<Although the association between mortality and admission to intensive care units (ICU) in the "after hours" (weekends and nights) has been the topic of extensive investigation, the timing of discharge from ICU and outcome has been less well investigated. The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death.</p< <p<Methods</p< <p<Adults (≥18 years) admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included.</p< <p<Results</p< <p<Among the 7,380 patients included, 61% (4,481) were male, the median age was 62 (IQR, 49-75) years, and the median SAPS II score was 40 (IQR, 28-56). Admissions to ICU occurred during weekends (Saturday and Sunday) in 1,708 (23%) cases, during the night (18:00-07:59) in 3,855 (52%), and on nights and/or weekends in 4,659 (63%) cases. Among 5,992 survivors to ICU discharge, 903 (15%) were discharged on weekends, 659 (11%) at night, and 1,434 (24%) on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. However, patients discharged from ICU on nights were at higher adjusted risk (odds ratio, 1.54; 95% confidence interval, 1.12-2.11) for death.</p< <p<Conclusions</p< <p<In this study, ICU discharge at night but not admission was associated with a significant increased risk for death. Further studies are needed to examine whether minimizing night time discharges from ICU may improve outcome.</p< Public aspects of medicine Misset Benoit verfasserin aut Souweine Bertrand verfasserin aut Tabah Alexis verfasserin aut Azoulay Elie verfasserin aut Goldgran-Toledano Dany verfasserin aut Dumenil Anne-Sylvie verfasserin aut Vésin Aurélien verfasserin aut Jamali Samir verfasserin aut Kallel Hatem verfasserin aut Clec'h Christophe verfasserin aut Darmon Michael verfasserin aut Schwebel Carole verfasserin aut Timsit Jean-Francois verfasserin aut In BMC Health Services Research BMC, 2003 11(2011), 1, p 321 (DE-627)331018756 (DE-600)2050434-2 14726963 nnns volume:11 year:2011 number:1, p 321 https://doi.org/10.1186/1472-6963-11-321 kostenfrei https://doaj.org/article/64a12f78a9a14cfeb6f0ae724c7047a5 kostenfrei http://www.biomedcentral.com/1472-6963/11/321 kostenfrei https://doaj.org/toc/1472-6963 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2129 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2011 1, p 321
language	English
source	In BMC Health Services Research 11(2011), 1, p 321 volume:11 year:2011 number:1, p 321
sourceStr	In BMC Health Services Research 11(2011), 1, p 321 volume:11 year:2011 number:1, p 321
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Public aspects of medicine
isfreeaccess_bool	true
container_title	BMC Health Services Research
authorswithroles_txt_mv	Laupland Kevin B @@aut@@ Misset Benoit @@aut@@ Souweine Bertrand @@aut@@ Tabah Alexis @@aut@@ Azoulay Elie @@aut@@ Goldgran-Toledano Dany @@aut@@ Dumenil Anne-Sylvie @@aut@@ Vésin Aurélien @@aut@@ Jamali Samir @@aut@@ Kallel Hatem @@aut@@ Clec'h Christophe @@aut@@ Darmon Michael @@aut@@ Schwebel Carole @@aut@@ Timsit Jean-Francois @@aut@@
publishDateDaySort_date	2011-01-01T00:00:00Z
hierarchy_top_id	331018756
id	DOAJ038463628
language_de	englisch
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The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death.</p< <p<Methods</p< <p<Adults (≥18 years) admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included.</p< <p<Results</p< <p<Among the 7,380 patients included, 61% (4,481) were male, the median age was 62 (IQR, 49-75) years, and the median SAPS II score was 40 (IQR, 28-56). Admissions to ICU occurred during weekends (Saturday and Sunday) in 1,708 (23%) cases, during the night (18:00-07:59) in 3,855 (52%), and on nights and/or weekends in 4,659 (63%) cases. Among 5,992 survivors to ICU discharge, 903 (15%) were discharged on weekends, 659 (11%) at night, and 1,434 (24%) on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. 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topic_title	RA1-1270 Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study
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title	Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study
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title_full	Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study
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title_sort	mortality associated with timing of admission to and discharge from icu: a retrospective cohort study
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title_auth	Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study
abstract	<p<Abstract</p< <p<Background</p< <p<Although the association between mortality and admission to intensive care units (ICU) in the "after hours" (weekends and nights) has been the topic of extensive investigation, the timing of discharge from ICU and outcome has been less well investigated. The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death.</p< <p<Methods</p< <p<Adults (≥18 years) admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included.</p< <p<Results</p< <p<Among the 7,380 patients included, 61% (4,481) were male, the median age was 62 (IQR, 49-75) years, and the median SAPS II score was 40 (IQR, 28-56). Admissions to ICU occurred during weekends (Saturday and Sunday) in 1,708 (23%) cases, during the night (18:00-07:59) in 3,855 (52%), and on nights and/or weekends in 4,659 (63%) cases. Among 5,992 survivors to ICU discharge, 903 (15%) were discharged on weekends, 659 (11%) at night, and 1,434 (24%) on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. However, patients discharged from ICU on nights were at higher adjusted risk (odds ratio, 1.54; 95% confidence interval, 1.12-2.11) for death.</p< <p<Conclusions</p< <p<In this study, ICU discharge at night but not admission was associated with a significant increased risk for death. Further studies are needed to examine whether minimizing night time discharges from ICU may improve outcome.</p<
abstractGer	<p<Abstract</p< <p<Background</p< <p<Although the association between mortality and admission to intensive care units (ICU) in the "after hours" (weekends and nights) has been the topic of extensive investigation, the timing of discharge from ICU and outcome has been less well investigated. The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death.</p< <p<Methods</p< <p<Adults (≥18 years) admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included.</p< <p<Results</p< <p<Among the 7,380 patients included, 61% (4,481) were male, the median age was 62 (IQR, 49-75) years, and the median SAPS II score was 40 (IQR, 28-56). Admissions to ICU occurred during weekends (Saturday and Sunday) in 1,708 (23%) cases, during the night (18:00-07:59) in 3,855 (52%), and on nights and/or weekends in 4,659 (63%) cases. Among 5,992 survivors to ICU discharge, 903 (15%) were discharged on weekends, 659 (11%) at night, and 1,434 (24%) on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. However, patients discharged from ICU on nights were at higher adjusted risk (odds ratio, 1.54; 95% confidence interval, 1.12-2.11) for death.</p< <p<Conclusions</p< <p<In this study, ICU discharge at night but not admission was associated with a significant increased risk for death. Further studies are needed to examine whether minimizing night time discharges from ICU may improve outcome.</p<
abstract_unstemmed	<p<Abstract</p< <p<Background</p< <p<Although the association between mortality and admission to intensive care units (ICU) in the "after hours" (weekends and nights) has been the topic of extensive investigation, the timing of discharge from ICU and outcome has been less well investigated. The objective of this study was to assess effect of timing of admission to and discharge from ICUs and subsequent risk for death.</p< <p<Methods</p< <p<Adults (≥18 years) admitted to French ICUs participating in Outcomerea between January 2006 and November 2010 were included.</p< <p<Results</p< <p<Among the 7,380 patients included, 61% (4,481) were male, the median age was 62 (IQR, 49-75) years, and the median SAPS II score was 40 (IQR, 28-56). Admissions to ICU occurred during weekends (Saturday and Sunday) in 1,708 (23%) cases, during the night (18:00-07:59) in 3,855 (52%), and on nights and/or weekends in 4,659 (63%) cases. Among 5,992 survivors to ICU discharge, 903 (15%) were discharged on weekends, 659 (11%) at night, and 1,434 (24%) on nights and/or weekends. After controlling for a number of co-variates using logistic regression analysis, admission during the after hours was not associated with an increased risk for death. However, patients discharged from ICU on nights were at higher adjusted risk (odds ratio, 1.54; 95% confidence interval, 1.12-2.11) for death.</p< <p<Conclusions</p< <p<In this study, ICU discharge at night but not admission was associated with a significant increased risk for death. Further studies are needed to examine whether minimizing night time discharges from ICU may improve outcome.</p<
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title_short	Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study
url	https://doi.org/10.1186/1472-6963-11-321 https://doaj.org/article/64a12f78a9a14cfeb6f0ae724c7047a5 http://www.biomedcentral.com/1472-6963/11/321 https://doaj.org/toc/1472-6963
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Mortality associated with timing of admission to and discharge from ICU: a retrospective cohort study

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