Incidence of complications in intrahospital transport of critically ill patients – experience in an Austrian university hospital

Lahner, Daniel; Nikolic, Ajsa; Marhofer, Peter; Koinig, Herbert; Germann, Peter; Weinstabl, C.; Krenn, Claus G.

doi:10.1007/s00508-007-0813-4

Cited by 94 publications

(144 citation statements)

References 27 publications

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“…(11) Another analysis showed 26% of physiologic changes in 452 analyzed transports. (12) The prevalence of adverse events found in this study was consistent with the literature, in which the incidence of physiological complications ranged between 6 and 68%, given the diversity of the analyzed population, as well as the criteria used to define these changes. (13) According to data, the service has efficient personal and material resources to minimize complications in transporting patients.…”

Section: Resultssupporting

confidence: 90%

“…(12) Therefore, communication is key during the planning of transport because it helps to reduce the waiting period for the exam, as well as the total time spent in the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…(11,12) For some authors, only the abdominal CT scan and angiography result in changes of therapeutic conduct, in case of patients victim of trauma. (6) It was found that the equipment recommendations were followed during the transport.…”

Section: Discussionmentioning

confidence: 99%

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Caracterização do transporte de pacientes críticos na modalidade intra-hospitalar

2014

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Objective: Characterizing the transport of critically ill patients in an adult intensive care unit. Methods: Cross-sectional study in which 459 intra -hospital transports of critically ill patients were included. Data were collected from clinical records of patients and from a form with the description of the materials and equipment necessary for the procedure, description of adverse events and of the transport team. Results: A total of 459 transports of 262 critically ill patients were carried out, with an average of 51 transports per month. Patients were on ventilatory support (41.3 %) and 34.5 % in use of vasoactive drugs. Adverse events occurred in 9.4% of transports and 77.3 % of the teams were composed of physicians, nurses and nurse technicians. Conclusion: The transport of critically ill patients occurred in the morning period for performing computerized tomographies (CT scans) with patients dependent on mechanical ventilation and vasoactive drugs. During the transports the equipment was functioning, and the adverse events were attributed to clinical changes of patients. ResumoObjetivo: Caracterizar o transporte de pacientes críticos em unidade de terapia intensiva adulto. Métodos: Estudo transversal onde foram incluídos 459 transportes de pacientes críticos na modalidade intrahospitalar. Os dados foram coletados nos prontuários clínicos dos pacientes e em um formulário com a descrição dos materiais e equipamentos necessários ao procedimento, descrição de ocorrências adversas e da equipe que realizou. Resultados: Foram realizados 459 transportes de 262 pacientes críticos com média de 51 transportes por mês. Eram pacientes em suporte ventilatório (41,3%) e 34,5% em uso de drogas vasoativas. Em 9,4% dos transportes ocorreram eventos adversos sendo 77,3% das equipes compostas por médico, enfermeiro e técnico de enfermagem. Conclusão: Os transportes de pacientes críticos ocorreram no período da manhã, para realização de tomografia computadorizada, com pacientes dependentes de suporte ventilatório e drogas vasoativas. Os equipamentos durante o transporte estavam funcionando e, os eventos adversos ocorridos foram atribuídos a alterações clínicas dos pacientes.

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Section: Resultssupporting

confidence: 90%

“…(12) Therefore, communication is key during the planning of transport because it helps to reduce the waiting period for the exam, as well as the total time spent in the procedure.…”

Section: Discussionmentioning

confidence: 99%

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Caracterização do transporte de pacientes críticos na modalidade intra-hospitalar

2014

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“…The rate adverse events observed during transportation ranged from 30% to 70% of all cases of intrahospital transportation (7,(12)(13) . The most frequently observed events included: patients' physiological alterations, problems in the multidisciplinary team involved in the transport, inter-staff communication, and equipment failure.…”

Section: Resultsmentioning

confidence: 99%

“…These complications may lead to consequences in the medium and/or long term, are verified up to four hours after transport (12) , and are most frequently observed in patients intubated with mechanical ventilation having Positive End-Expiratory Pressure (PEEP), and the use of continuous vasoactive drugs (13) .…”

Section: Physiological Alterations In the Critically Ill Patient Beinmentioning

confidence: 99%

Transporte intra-hospitalar de pacientes adultos em estado crítico: complicações relacionadas à equipe, equipamentos e fatores fisiológicos

et al. 2012

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Objective: To identify in the literature the complications related to physiological changes of the patient, the multidisciplinary team and the use of equipment during the intrahospital transport of critically ill patients. Methods: Integrative review of literature, through a search in the databases of PubMED, MEDLINE, and LILACS. Results: We encountered 20 articles, all written in the English language. Studies have shown that changes in arterial pressure and heart rate are most common during transport. Of the adverse events related to problems with the team, the lack of knowledge of the professional and failure of communication stood out, apart from those derived from equipment used. Conclusion: Transporting the critically ill patient safely requires improving communication between teams, standardizing the actions and equipment used by means of protocols, and identifying opportunities to obtain excellence in service during transport. RESUMOObjetivo: Identificar na literatura as complicações relacionadas às alterações fisiológicas do paciente, à equipe multidisciplinar e ao uso de equipamentos durante o transporte intra-hospitalar de pacientes críticos. Métodos: Revisão integrativa da literatura, com busca nas bases de dados PUBMED, MEDLINE, e LILACS. Resultados: Foram encontrados 20 artigos, todos escritos na língua inglesa. Os estudos mostraram que as alterações na pressão arterial e na frequência cardíaca são as mais comuns durante o transporte. Dos eventos adversos relacionados a problemas com a equipe, destacaram-se, a falta de conhecimento do profissional e a falha de comunicação, além dos provenientes dos equipamentos utilizados. Conclusão: Transportar o paciente crítico de maneira segura significa melhorar a comunicação entre as equipes, padronizar as ações e equipamentos utilizados por meio de protocolos e identificar intercorrências para obter excelência no atendimento durante o transporte. Descritores: Transporte de pacientes; Transferência de pacientes; Cuidados críticos; Pacientes internados; Sintomas clínicos RESUMEN Objetivo: Identificar en la literatura las complicaciones relacionadas a las alteraciones fisiológicas del paciente, al equipo multidisciplinario y al uso de equipamientos durante el transporte intrahospitalario de pacientes críticos. Métodos: Revisión integrativa de la literatura, con búsqueda en las bases de datos PUBMED, MEDLINE, y LILACS. Resultados: Fueron encontrados 20 artículos, todos escritos en el idioma inglés. Los estudios mostraron que las alteraciones en la presión arterial y en la frecuencia cardíaca son las más comunes durante el transporte. De los eventos adversos relacionados a problemas con el equipo, se destacaron, la falta de conocimiento del profesional y la falla en la comunicación, además de los provenientes de los equipamientos utilizados. Conclusión: Transportar al paciente crítico de manera segura significa mejorar la comunicación entre los equipos, patronizar las acciones y equipamientos utilizados por medio de protocolos e identificar complicaciones...

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Trauma Retrieval

Chambers

Percival

Berry

2022

Textbook of Acute Trauma Care

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Incidence of complications in intrahospital transport of critically ill patients – experience in an Austrian university hospital

Abstract: We conclude that advances in the management of intrahospital transport of critically ill patients have led to an overall decrease of complications. However, an undeniable risk remains, especially in relation to disease severity and the urgency of such transports.

Cited by 94 publications

References 27 publications

Caracterização do transporte de pacientes críticos na modalidade intra-hospitalar

Caracterização do transporte de pacientes críticos na modalidade intra-hospitalar

Transporte intra-hospitalar de pacientes adultos em estado crítico: complicações relacionadas à equipe, equipamentos e fatores fisiológicos

Trauma Retrieval

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