TISS and mortality after discharge from intensive care

To examine the effect of high levels of pre-intensive care unit discharge care, as assessed by the Therapeutic Intervention Scoring System, on subsequent hospital mortality.¶Design: A 1-year prospective, observational study.¶Setting: The ICU and wards of a university teaching hospital with no high dependency facility.¶Patients: A total of 283 patients were discharged to hospital wards between July 1997 and June 1998.¶Results: 11 % of all ICU discharges subsequently died in hospital

L. Smith; C. M. Orts; I. O'Neil; A. M. Batchelor; A. D. Gascoigne; S. V. Baudouin

2002

Scholarcy highlights

  • To examine the effect of high levels of pre-intensive care unit discharge care, as assessed by the Therapeutic Intervention Scoring System, on subsequent hospital mortality.¶Design: A 1-year prospective, observational study.¶Setting: The ICU and wards of a university teaching hospital with no high dependency facility.¶Patients: A total of 283 patients were discharged to hospital wards between July 1997 and June 1998.¶Results: 11 % of all ICU discharges subsequently died in hospital
  • Patients discharged with a TISS of 20 or greater had a 21.4 % mortality compared to 3.7 % for those with a TISS of less than 10
  • Increasing age, Acute Physiology Score on admission and male sex were significantly associated with post-discharge death.¶Conclusions: In a hospital without HDU facilities, patients who are receiving HDU levels of care on discharge from the ICU have a high in-hospital mortality
  • Increasing age, Acute Physiology Score on admission and male sex were significantly associated with post-discharge death.¶Conclusions: In a hospital without HDU facilities, patients who are receiving HDU levels of care on discharge from the intensive care unit have a high in-hospital mortality

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