Table 1 Summary of epidemiological studies on adverse events during IHT from 1999 to 2007
From: Recommendations for the intra-hospital transport of critically ill patients
|
Author (Year) | Type of study |
N° patients Site of origin | N° of IHTs | Destination procedures | Global AE incidence | Cardiovascular incidents | Respiratory incidents | Material incidents |
Type of ventilation N° IHT/staff |
|---|---|---|---|---|---|---|---|---|---|
|
Doring [10] (1999) | Prospective |
35 ICU Neurosurgery | 35 | Diagnostic |
ICHT = NR No serious AEs |
Ordinary hypotension = 54% Hypotension <90 mmHg = 2% | Hypoxia n = 10 | 33% |
MV = 65% Doctor n = 1/35 |
|
Shirley [18] (2001) | Retrospective |
78 ICU | 78 | Diagnostic | 59% | Average BP variation = 17% | NR |
Equipment = 37% Organisation = 23% |
Junior = 42% Senior = 55% |
|
Lovell [15] (2001) | Prospective |
76 ICU/ED | 97 |
TDM = 83% Angiography = 11% ICU + OT = 3% |
62% Death n = 1 | Clinical problems = 31% | Equipment + environment = 45% |
ManV = 97% Junior = 3% Senior = 97% | |
|
Beckmann [7] (2004) | Retrospective |
176 ICU | 191 |
Therapeutic Diagnostic |
100% Serious AE = 31% Death = 2% |
Severe hypotension = 3% CA = 3% | Hypoxia = 11% |
Equipment = 39% Organisation = 61% | NR |
| Clinical problems = 33% | |||||||||
|
Damm [9] (2004) | Prospective |
64 ICU | 123 |
Therapeutic Diagnostic | 54% |
Hypotension n = 19 Arrhythmia n = 4 CA n = 2 |
Hypoxia n = 11 Non-adaptation n = 21 Extubation n = 0 |
MV problem = 21% O2/elec failure:n = 10 O2 disconnection n = 7 |
MV = 100% Junior n = 117 Senior n = 6 |
|
Gillmann [12] (2006) |
Prospective Retrospective |
290 ED | 290 | ICU |
22.2% Hypothermia = 7% (<35°C n = 20) |
6% VF n = 1, CA/AF n = 1 Asystole n = 1 | Hypoxia n = 1 |
Equipment = 9% Uncharged batteries = 4.5% Patient mix-up = 1% Delay = 38% |
MV = 65% NR |
| Clinical problems = 26% | |||||||||
|
Lahner [14] (2007) | Prospective |
226 ICU | 452 |
Diagnostic = 70% Therapeutic | Serious AE = 4.2% | Asystole n = 2 | Bronchospasm n = 1 | Equipment = 10.4% |
MV = 70% Junior n = NR Senior n >90 |
| Clinical problems = 26.2% | |||||||||
|
Papson [16] (2007) | Prospective |
297 ED | 339 |
Therapeutic Diagnostic |
67.9% Serious AE = 8.9% ICHT n = 4 |
Hypotension++ n = 6 CA n = 3 |
OI n = 4 PNO n = 1 |
Equipment = 45.9% Line = 25.8% Organisation = 2.2% |
MV = 72.6% Junior n = 118 Senior n = 221 |