PMID- 34535244
OWN - NLM
STAT- MEDLINE
DCOM- 20211125
LR  - 20211125
IS  - 1532-6497 (Electronic)
IS  - 1067-991X (Linking)
VI  - 40
IP  - 5
DP  - 2021 Sep-Oct
TI  - Safety Matters: A Meta-analysis of Interhospital Transport Adverse Events in 
      Critically Ill Patients.
PG  - 350-358
LID - S1067-991X(21)00088-2 [pii]
LID - 10.1016/j.amj.2021.04.008 [doi]
AB  - OBJECTIVE: Interhospital transport (IHT) is common among critically ill patients. 
      Our meta-analysis investigated the prevalence and possible factors associated 
      with adverse events (AEs) during IHT. METHODS: Searching PubMed, Embase, and 
      Scopus databases until February 12, 2021, we included studies that a priori 
      defined AEs for adult medical patients. We excluded case reports, non-full-text, 
      and non-English language studies. We performed a random effects meta-analysis and 
      moderator analyses. RESULTS: We identified 554 studies and included 19 studies 
      (14,969 patients) in our final analysis. The mean patients' (standard deviation) 
      age was 60 (13.7). The pooled medical AEs for IHT was 1,059 (11%, 95% confidence 
      interval, 7.5%-16%). The most common AE (n, %) was hypotension (424, 2.8%). 
      Moderator analyses and meta-regressions suggested that conditions (P < .001) such 
      as respiratory failure from coronavirus infection (88%), stroke (19%), and the 
      need for extracorporeal membrane oxygenation (40%) were associated with higher AE 
      prevalence. Transport by nurses (31%) and physicians (11%) was associated with a 
      higher AE prevalence, whereas transport type did not influence AE prevalence. 
      CONCLUSION: Our study suggests the prevalence of AEs of critically ill patients 
      during IHT is low and likely due to patients' disease severity. Further studies 
      should focus on interventions to mitigate AEs to improve patients' outcomes.
CI  - Copyright (c) 2021 Air Medical Journal Associates. Published by Elsevier Inc. All 
      rights reserved.
FAU - Jeyaraju, Maniraj
AU  - Jeyaraju M
AD  - Research Associate Program, Department of Emergency Medicine, University of 
      Maryland School of Medicine, Baltimore, MD.
FAU - Andhavarapu, Sanketh
AU  - Andhavarapu S
AD  - Research Associate Program, Department of Emergency Medicine, University of 
      Maryland School of Medicine, Baltimore, MD.
FAU - Palmer, Jamie
AU  - Palmer J
AD  - Research Associate Program, Department of Emergency Medicine, University of 
      Maryland School of Medicine, Baltimore, MD.
FAU - Bzhilyanskaya, Vera
AU  - Bzhilyanskaya V
AD  - Research Associate Program, Department of Emergency Medicine, University of 
      Maryland School of Medicine, Baltimore, MD.
FAU - Friedman, Eric
AU  - Friedman E
AD  - Research Associate Program, Department of Emergency Medicine, University of 
      Maryland School of Medicine, Baltimore, MD.
FAU - Lurie, Tucker
AU  - Lurie T
AD  - Research Associate Program, Department of Emergency Medicine, University of 
      Maryland School of Medicine, Baltimore, MD.
FAU - Patel, Priya
AU  - Patel P
AD  - Research Associate Program, Department of Emergency Medicine, University of 
      Maryland School of Medicine, Baltimore, MD.
FAU - Raffman, Alison
AU  - Raffman A
AD  - Research Associate Program, Department of Emergency Medicine, University of 
      Maryland School of Medicine, Baltimore, MD.
FAU - Wang, Jennifer
AU  - Wang J
AD  - Research Associate Program, Department of Emergency Medicine, University of 
      Maryland School of Medicine, Baltimore, MD.
FAU - Tran, Quincy K
AU  - Tran QK
AD  - Research Associate Program, Department of Emergency Medicine, University of 
      Maryland School of Medicine, Baltimore, MD; Department of Emergency Medicine, 
      University of Maryland School of Medicine, Baltimore, MD; Program in Trauma, R 
      Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 
      Baltimore, MD. Electronic address: qtran@som.umaryland.edu.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
DEP - 20210524
PL  - United States
TA  - Air Med J
JT  - Air medical journal
JID - 9312325
MH  - Adult
MH  - Critical Illness
MH  - *Extracorporeal Membrane Oxygenation
MH  - Humans
MH  - *Respiratory Insufficiency
EDAT- 2021/09/19 06:00
MHDA- 2021/11/26 06:00
CRDT- 2021/09/18 05:31
PHST- 2021/03/12 00:00 [received]
PHST- 2021/04/16 00:00 [accepted]
PHST- 2021/09/18 05:31 [entrez]
PHST- 2021/09/19 06:00 [pubmed]
PHST- 2021/11/26 06:00 [medline]
AID - S1067-991X(21)00088-2 [pii]
AID - 10.1016/j.amj.2021.04.008 [doi]
PST - ppublish
SO  - Air Med J. 2021 Sep-Oct;40(5):350-358. doi: 10.1016/j.amj.2021.04.008. Epub 2021 
      May 24.