- Poster presentation
- Open Access
Impact of extended critical care outreach service with consultant input at queens hospital
- N Muchoki1
© Muchoki et al.; 2015
- Published: 1 October 2015
- Critical Care
- Acute Physiology Score
- Critical Care Unit
- Emergency Admission
- Critical Care Patient
The Critical Care Outreach services are considered to be an essential part of a hospital wide approach in improving the early identification and management of deteriorating patients.
Original recommendations made during the modernisation and improvement programme for Critical Care Services within England in 2000 led to different models of the service introduced but they remained mainly nurse led, with mixed approach to service delivery.
We aimed to compare the difference in patient outcomes on a outreach service with consultant intensivist versus a nurse led outreach service. The CCOT at Queens hospital expanded in September 2013 to include consultant intensivist and the service also had extended the hours of provision from 8 hours /5 days to 7 days/12 hours.
Retrospective cohort study of prospective collected data at a teaching university hospital of adult critical care patients admitted from January to June 2012 and January to June 2014.
Outcomes measured were:
Emergency admissions to critical care. (from ward areas only)
Critical care readmission:- early < 48hrs; Late >48hrs
ICU length of stay
Patients seen by CCOT before admission
Number of cardiac arrest calls.
15% reduction on number of Cardiac Arrest calls, (excluding A/E, critical care and theatres).
5.7% reduction on Length of Stay with a 75% increase in early discharges
121% increase in CCOT visits for critical care admissions.
10% increase in Emergency admissions
> Critical care admitted sicker patients with higher acute physiology score with 91% reduction on admissions requiring zero organ support
0.9%increase in Critical Care readmission (total emergency admissions)
Jan - June 2012
Jan - June 2014
Critical care re-admissions
7 (<48hrs (early)) 8 (>48hrs (late))
7(<48hrs (early)) 12 (>48hrs (late))
CCOT reviews before admission
- Ball C, Kirkby M, Williams S: Effect of the Critical Care Outreach Team on Patient Survival to Discharge from Hospital and Readmission to Critical Care: Non-Randomised Population Based Study. British Medical Journal. 2003, 327 (1): 1-4.Google Scholar
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