ICU患者非临床原因转出延迟及干预策略的研究进展

doi:10.3761/j.issn.2096-7446.2023.11.008

Abstract

Abstract: ICU discharge delay was defined as the time between when a patient is determined to be discharge ready and when they leave the ICU. The review describes the status quo,influencing factors,adverse consequences and intervention strategies of ICU discharge delays,in order to improve the attention of domestic intensive care staff to the delay of ICU discharge,and to provide reference for related research.

Key words: Discharge Delays, Intensive Care Units, Risk Factors, Intervention Strategies, Review Literature as Topic

WANG Chaoping, CHEN Junxi, WANG Benjin, CHEN Hongyan, YUAN Xiaoli. Research progress on ICU discharge delays without medical causes and intervention strategy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(11): 1006-1010.

References

[1] Forster GM,Bihari S,Tiruvoipati R,et al.The association between discharge delay from intensive care and patient outcomes[J]. Am J Respir Crit Care Med,2020,202(10):1399-1406.
[2] Bose S,Johnson AEW,Moskowitz A,et al.Impact of intensive care unit discharge delays on patient outcomes:a retrospective cohort study[J]. J Intensive Care Med,2019,34(11/12):924-929.
[3] El-Abbassy I,Mohamed W,El-Hariri HM,et al.Delay in hospital discharge of trauma patients in a University Hospital in Egypt:a prospective observational study[J]. Afr J Emerg Med,2021,11(4):459-463.
[4] Bagshaw SM,Tran DT,Opgenorth D,et al.Assessment of costs of avoidable delays in intensive care unit discharge[J]. JAMA Netw Open,2020,3(8):e2013913.
[5] Edenharter G,Gartner D,Heim M,et al.Delay of transfer from the intensive care unit:a prospective observational analysis on economic effects of delayed in-house transfer[J]. Eur J Med Res,2019,24(1):30.
[6] Diwan M,Mentz G,Romano M,et al.Delayed discharge from the intensive care unit is associated with longer hospital lengths of stay[J]. J Cardiothorac Vasc Anesth,2023,37(2):232-236.
[7] Ofoma UR,Montoya J,Saha D,et al.Associations between hospital occupancy,intensive care unit transfer delay and hospital mortality[J]. J Crit Care,2020,58:48-55.
[8] Rewa OG,Stelfox HT,Ingolfsson A,et al.Indicators of intensive care unit capacity strain:a systematic review[J]. Crit Care,2018,22(1):86.
[9] Tiruvoipati R,Botha J,Fletcher J,et al.Intensive care discharge delay is associated with increased hospital length of stay:a multicentre prospective observational study[J]. PLoS One,2017,12(7):e0181827.
[10] 邓晰明,赵士兵,郑胜永,等. “过度医疗”在重症监护病房中的表现形式及对策分析[J]. 中国中西医结合急救杂志,2021,28(1):105-108.
Deng XM,Zhao SB,Zheng SY,et al.Analysis of manifestations and countermeasures of “over-treatment” in intensive care unit[J]. Chin J TCM WM Crit Care,2021,28(1):105-108.
[11] 陈胤孜,李静,王锡玲. 我国医院卫生资源短期配置情况预测[J]. 中国卫生资源,2021,24(4):453-457,461.
Chen YZ,Li J,Wang XL.Prediction of short term allocation of hospital health resources in China[J]. Chin Health Resour,2021,24(4):453-457,461.
[12] Salimi S,Pandya K,Davis RJ,et al.Impact of intensive care unit discharge delay on liver transplantation outcomes[J]. J Clin Med,2022,11(9):2561.
[13] Poon CM,Wong ELY,Chau PYK,et al.Management decision of hospital surge:assessing seasonal upsurge in inpatient medical bed occupancy rate among public acute hospitals in Hong Kong[J]. QJM,2019,112(1):11-16.
[14] van Sluisveld N,Oerlemans A,Westert G,et al. Barriers and facilitators to improve safety and efficiency of the ICU discharge process:a mixed methods study[J]. BMC Health Serv Res,2017,17(1):251.
[15] Lau VI,Priestap FA,Lam JNH,et al.Factors associated with the increasing rates of discharges directly home from intensive care units-a direct from ICU sent home study[J]. J Intensive Care Med,2018,33(2):121-127.
[16] 杜玫洁,黄素芳,熊杰,等. ICU转科患者家属迁移应激的过渡期护理研究进展[J]. 护理学杂志,2022,37(10):110-112,F0003.
Du MJ,Huang SF,Xiong J,et al.Transitional care of relocation stress in families of patients transferred from ICU:a review[J]. J Nurs Sci,2022,37(10):110-112,F0003.
[17] Sjöstedt V,Bladh A,Chaboyer W,et al.Patient experiences of an intensive care Liaison Nurse support service[J]. Intensive Crit Care Nurs,2022,71:103250.
[18] Everall AC,Guilcher SJT,Cadel L,et al.Patient and caregiver experience with delayed discharge from a hospital setting:a scoping review[J]. Health Expect,2019,22(5):863-873.
[19] Vollam S,Gustafson O,Morgan L,et al.Patient harm and institutional avoidability of out-of-hours discharge from intensive care:an analysis using mixed methods[J]. Crit Care Med,2022,50(7):1083-1092.
[20] Sorensen M,Sercy E,Salottolo K,et al.The effect of discharge destination and primary insurance provider on hospital discharge delays among patients with traumatic brain injury:a multicenter study of 1543 patients[J]. Patient Saf Surg,2020, 14:2.
[21] Kuluski K,Im J,McGeown M. “It's a waiting game” a qualitative study of the experience of carers of patients who require an alternate level of care[J]. BMC Health Serv Res,2017,17(1):1-10.
[22] Safavi KC,Furtado J,Zenteno Langle AC,et al.Non-clinical delays in transfer out of the surgical ICU are associated with increased hospital length of stay and delayed progress of care[J]. J Crit Care,2019,50:126-131.
[23] Johnson DW,Schmidt UH,Bittner EA,et al.Delay of transfer from the intensive care unit:a prospective observational study of incidence,causes,and financial impact[J]. Crit Care,2013,17(4):R128.
[24] Agency for Clinical Innovation. Guideline principles to optimise intensive care capacity[EB/OL]. (2019-10-03)[2023-03-10].https://aci.health.nsw.gov.au/__data/assets/pdf_file/0016/552130/ACI-ICNSW-Exit-guiding-principles.pdf.
[25] Epstein RH,Dexter F,Diez C.The distributions of weekday discharge times at acute care hospitals in the state of Florida were static from 2010 to 2018[J]. J Med Syst,2020,44(2):47.
[26] 陈玲玲,仇永贵,徐安保,等. 基于床位调配管理系统实施下的某三级公立医院急诊绿色通道管理效果分析[J]. 中国医院,2022,26(4):77-79.
Chen LL,Qiu YG,Xu AB,et al.Effect analysis of emergency green channel management in a Grade Ⅲ public hospital based on the implementation of bed allocation management system[J]. Chin Hosp,2022,26(4):77-79.
[27] Zaidi H,Bader-El-Den M,McNicholas J. Using the National Early Warning Score(NEWS/NEWS 2）in different Intensive Care Units(ICUs）to predict the discharge location of patients[J].BMC Public Health,2019,19(1):1-9.
[28] Doğu C,Doğan G,Kayir S,et al.Importance of the National Early Warning Score(NEWS）at the time of discharge from the intensive care unit[J]. Turk J Med Sci,2020,50(5):1203-1209.
[29] Stelfox HT,Brundin-Mather R,Soo A,et al.A multiple baseline trial of an electronic ICU discharge summary tool for improving quality of care[J]. Crit Care Med,2022,50(11):1566-1576.
[30] 杨瑛,朱珠,蒋燕勤,等. 某三级公立医院出入院服务时效和患者满意度现况分析[J]. 中国医院管理,2021,41(1):63-66.
Yang Y,Zhu Z,Jiang YQ,et al.Analysis of the effectiveness of in and out hospital services and patient satisfaction in a tertiary public hospital[J]. Chin Hosp Manag,2021,41(1):63-66.
[31] 季涧琳,陆群峰,杨利灵,等. 过渡期护理的概念分析[J]. 中华护理杂志,2022,57(3):374-379.
Ji JL,Lu QF,Yang LL,et al.Concept analysis of transitional care[J]. Chin J Nurs,2022,57(3):374-379.
[32] 韦秀霞,张亚军,李青荷,等. 心脏外科手术患者ICU过渡期护理清单的设计及应用[J]. 中华护理杂志,2019,54(8):1170-1175.
Wei XX,Zhang YJ,Li QH,et al.Design and application of ICU transitional care checklist[J]. Chin J Nurs,2019,54(8):1170-1175.
[33] 欧梦仙,王军,纪媛媛,等. 安全-支持-合作过渡期护理模式在ICU中的应用进展[J]. 中华护理杂志,2023,58(8):1001-1004.
Ou MX,Wang J,Ji YY,et al.Development of secure,encourage and collaboration transitional nursing model and its application in ICU nursing field[J]. Chin J Nurs,2023,58(8):1001-1004.
[34] Lau VI,Donnelly R,Parvez S,et al.Safety outcomes of direct discharge home from ICUs:an updated systematic review and meta-analysis(direct from ICU sent home study)[J]. Crit Care Med,2023,51(1):127-135.

Research progress on ICU discharge delays without medical causes and intervention strategy

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	HUANG Jie, LAO Yuewen, CHEN Xiangping, ZHANG Yanfei, ZHANG Minyan, JIANG Mei, GONG Xiaoyan. Development and validation of a knowledge，attitude，and practice questionnaire on procedural pain management among ICU nurses [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 820-826.
[2]	YANG Li, XU Xiaobin, WANG Huafen. Application progress of functional near-infrared spectroscopy in critical care nursing [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 836-840.
[3]	PAN Chenxin, ZHANG Yan, LI Xihan, CHEN Jing. Summary of the best evidence for the application of the family participation model in the rehabilitation nursing of ICU patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 870-876.
[4]	ZHANG Ya, XU Yue, WANG Hao, ZHAO Lufeng, WANG Jing. Research progress and decision-making path integration of oral nursing for patients undergoing mechanical ventilation via orotracheal intubation in ICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 892-896.
[5]	WANG Yan, LU Fangyan, LIU Yuan, WANG Fang. Postoperative care of children with progressive familial intrahepatic cholestasis undergoing parental liver transplantation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 714-716.
[6]	LAN Yumeng, ZHONG Juanping, SHI Jing, WANG Yingqiao, WANG Xinglei, DOU Xinman. Research progress on community integration of stroke patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 764-768.
[7]	ZHOU Min, WANG Linjuan, LI Jiajia, YANG Na, WANG Qiaoxia, FU Kunhui, HUANG Quelan, MENG Lingyu. Evidence-based nursing practice for evaluation and insertion of peripheral arterial catheters in children in pediatric intensive care unit [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 546-553.
[8]	YAN Qingtian, LI Minmin, LI Yuxin. Research progress on enteral nutrition management for infants with postoperative chylothorax following congenital heart disease surgery [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 564-568.
[9]	LIU Li, TU Ping, HUANG Siyao, XIONG Yan, XU Jianmei. Risk prediction models of oral mucosal pressure injury in patients with oral endotracheal intubation in ICU：a systematic review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 608-615.
[10]	LIU Li, GAN Xiuni, GAO Yan, YANG Ruiqi. Analysis of the connotation and characteristics of medical staff ’s caring behaviors during family visits in the ICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 623-630.
[11]	ZANG Ruijin, LI Lingling, ZHENG Miao, ZHONG Juanping, NAN Ruiling, WANG Xinglei, DOU Xinman. Advances in the application of pupillometry for pain assessment in critically ill patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(5): 631-635.
[12]	SUN Chunyan, HU Lei. Nursing care of a patient with neurogenic orthostatic hypotension and associated supine hypertension [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 456-458.
[13]	LI Lingling, REN Liyuan, MA Peifen, YAN Hui, WANG Xinglei, SU Xuan, DOU Xinman. Research progress on decision-making dilemmas of surrogate decision makers for thrombolysis in acute ischemic stroke [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 503-507.
[14]	FANG Jiaqi, YU Haiping, LI Ke, LIU Xiaoli, ZHOU Enying. Advances in post-ICU clinic-based rehabilitation interventions for patients with post-intensive care syndrome [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 508-512.
[15]	MO Minling, ZENG Guqing, ZHANG Yajuan, ZHAI Dahong, LI Xiaoshan, ZHU Ying. Risk factors for lower extremity deep vein thrombosis in patients with severe traumatic brain injury after surgery：a scoping review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 373-378.