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Article: Emergency medicine ward as a step down unit for selected poisoned patients after intensive care unit management: A pilot study

TitleEmergency medicine ward as a step down unit for selected poisoned patients after intensive care unit management: A pilot study
Authors
KeywordsLength of stay
APACHE II
Emergency medicine
Poisoning
Toxicology
Issue Date2012
Citation
Hong Kong Journal of Emergency Medicine, 2012, v. 19, n. 4, p. 231-241 How to Cite?
AbstractIntroduction: Starting from the 1st July 2009, poisoned patients who fulfilled the emergency medicine ward (EMW) admission criteria were transferred to the EMW for subsequent care after intensive care unit (ICU) management. This study was undertaken to review the impact of such a strategy on the length of stay (ALOS). Study design: This was a retrospective study on consecutive poisoned patients discharged from the ICU from the 1st July 2009 to 31st December 2010. Poisoned patients from the 1st January 2008 to 30th June 2009, who were discharged to the general medical ward or to other specialty wards were used as historical controls for comparison. Method: Medical records of eligible cases were reviewed and data were collected using a standardized data collection form. Disease severity during the ICU stay was assessed using the Acute Physiology and Chronic Health Evaluation II (APACHE II) score. The median ALOS and APACHE II scores of the 2 groups were compared. Results: A total of 32 poisoned patients were transferred from the ICU to EMW during the study period, in which 28 patients were included as the study group. For the historical control group, 19 patients were identified for comparison. The study group had a significantly shorter median length of stay in the ICU (21.3 h vs. 36.0 h, p=0.013) and a significantly shorter median ALOS (28.8 h vs. 52.5 h, p=0.002) compared to the historical control group. All patients discharged to the EMW survived with no ICU re-admission. Conclusion: The strategy of using the EMW as a stepdown unit for selected poisoning cases after ICU discharge is feasible, safe and effective.
Persistent Identifierhttp://hdl.handle.net/10722/208960
ISSN
2015 Impact Factor: 0.153
2015 SCImago Journal Rankings: 0.173

 

DC FieldValueLanguage
dc.contributor.authorLam, Pui Kin-
dc.contributor.authorLeung, Joe Kai Shing-
dc.contributor.authorChan, Lapwa-
dc.contributor.authorWong, Taiwai-
dc.contributor.authorLau, Chorchiu-
dc.date.accessioned2015-03-23T02:02:22Z-
dc.date.available2015-03-23T02:02:22Z-
dc.date.issued2012-
dc.identifier.citationHong Kong Journal of Emergency Medicine, 2012, v. 19, n. 4, p. 231-241-
dc.identifier.issn1024-9079-
dc.identifier.urihttp://hdl.handle.net/10722/208960-
dc.description.abstractIntroduction: Starting from the 1st July 2009, poisoned patients who fulfilled the emergency medicine ward (EMW) admission criteria were transferred to the EMW for subsequent care after intensive care unit (ICU) management. This study was undertaken to review the impact of such a strategy on the length of stay (ALOS). Study design: This was a retrospective study on consecutive poisoned patients discharged from the ICU from the 1st July 2009 to 31st December 2010. Poisoned patients from the 1st January 2008 to 30th June 2009, who were discharged to the general medical ward or to other specialty wards were used as historical controls for comparison. Method: Medical records of eligible cases were reviewed and data were collected using a standardized data collection form. Disease severity during the ICU stay was assessed using the Acute Physiology and Chronic Health Evaluation II (APACHE II) score. The median ALOS and APACHE II scores of the 2 groups were compared. Results: A total of 32 poisoned patients were transferred from the ICU to EMW during the study period, in which 28 patients were included as the study group. For the historical control group, 19 patients were identified for comparison. The study group had a significantly shorter median length of stay in the ICU (21.3 h vs. 36.0 h, p=0.013) and a significantly shorter median ALOS (28.8 h vs. 52.5 h, p=0.002) compared to the historical control group. All patients discharged to the EMW survived with no ICU re-admission. Conclusion: The strategy of using the EMW as a stepdown unit for selected poisoning cases after ICU discharge is feasible, safe and effective.-
dc.languageeng-
dc.relation.ispartofHong Kong Journal of Emergency Medicine-
dc.subjectLength of stay-
dc.subjectAPACHE II-
dc.subjectEmergency medicine-
dc.subjectPoisoning-
dc.subjectToxicology-
dc.titleEmergency medicine ward as a step down unit for selected poisoned patients after intensive care unit management: A pilot study-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-84869024539-
dc.identifier.volume19-
dc.identifier.issue4-
dc.identifier.spage231-
dc.identifier.epage241-

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