Transporting Critically Ill Patients: A Review of Risks and Outcomes
Author Information
Author(s): Fan Eddy, MacDonald Russell D, Adhikari Neill KJ, Scales Damon C, Wax Randy S, Stewart Thomas E, Ferguson Niall D
Primary Institution: University of Toronto
Hypothesis
What are the adverse events and important prognostic factors associated with interfacility transport of intubated and mechanically ventilated adult patients?
Conclusion
Insufficient data exist to draw firm conclusions regarding the mortality, morbidity, or risk factors associated with the interfacility transport of intubated and mechanically ventilated adult patients.
Supporting Evidence
- Five studies met the inclusion criteria, enrolling a total of 245 patients.
- Death during transfer was rare, with only one reported case.
- Transport modalities included air (66%) and ground (31%) ambulance.
- Pre-transport severity of illness was reported in only one study.
Takeaway
This study looked at how safe it is to move very sick patients from one hospital to another. It found that not much is known about the risks involved.
Methodology
A systematic review of clinical studies describing the incidence and predictors of adverse events in intubated and mechanically ventilated adult patients undergoing interfacility transport.
Potential Biases
The studies were retrospective and lacked standard definitions for adverse events, which may introduce bias.
Limitations
The studies included were mostly case series with few patients, and there was significant heterogeneity in study populations and reported outcomes.
Participant Demographics
Intubated and mechanically ventilated adult patients, aged ≥ 18 years.
Digital Object Identifier (DOI)
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