PMID- 37719359
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230921
IS  - 0972-5229 (Print)
IS  - 1998-359X (Electronic)
IS  - 0972-5229 (Linking)
VI  - 27
IP  - 9
DP  - 2023 Sep
TI  - Adverse Events during Intrahospital Transport of Critically Ill Patients: A 
      Multicenter, Prospective, Observational Study (I-TOUCH Study).
PG  - 635-641
LID - 10.5005/jp-journals-10071-24530 [doi]
AB  - BACKGROUND: Critically ill patients are frequently transported to various 
      locations within the hospital for diagnostic and therapeutic purposes, which 
      increases the risk of adverse events (AEs). This multicenter prospective 
      observational study was undertaken to determine the incidence of AEs related to 
      intrahospital transport, their severity, and their effects on patient outcomes. 
      PATIENTS AND METHODS: We included consecutive unstable critically ill patients 
      requiring intrahospital transport, across 15 Indian tertiary care centers over 5 
      months (October 11, 2022-February 20, 2023). Apart from the demographics and 
      severity of illness, data related to transport itself, such as indications and 
      destination, incidence of AEs, their category and treatment required, and patient 
      outcomes, were recorded in a standard form. RESULTS: Eight hundred and 
      ninety-three patients were transported on 1065 occasions out of the intensive 
      care unit (ICU). The mean (SD) acute physiology and chronic health evaluation II 
      score of the patients was 15.38 (+/-7.35). One hundred and two AEs occurred, 
      wherein cardiovascular instability was the most common occurrence (31, 30.4%). 
      Two patients had cardiac arrest immediately after transport. Acute physiology and 
      chronic health evaluation II [odds ratio (OR): 1.02, 95% confidence interval (CI) 
      - 1.00-1.05, p = 0.04], emergent transport (OR: 5.11, 95% CI - 3.32-7.88, p = 
      0.00), and team composition (OR: 5.34, 95% CI - 1.63-17.5, p = 0.00) during 
      transport were found to be independent predictors of AEs. CONCLUSION: We found a 
      high incidence of AEs during intrahospital transport of critically ill patients. 
      These events were more common during emergent transports and when the patients 
      were transported by doctors. Transport by itself was not related to ICU 
      mortality. We feel that stabilization of the patients before transport and 
      adherence to a standardized protocol may help in minimizing the AEs, thereby 
      enhancing patient safety. HOW TO CITE THIS ARTICLE: Zirpe KG, Tiwari AM, Kulkarni 
      AP, Govil D, Dixit SB, Munjal M, et al. Adverse Events during Intrahospital 
      Transport of Critically Ill Patients: A Multicenter, Prospective, Observational 
      Study (I-TOUCH Study). Indian J Crit Care Med 2023;27(9):635-641.
CI  - Copyright (c) 2023; The Author(s).
FAU - Zirpe, Kapil G
AU  - Zirpe KG
AUID- ORCID: 0000-0002-8140-727X
AD  - Neuro-intensive Care Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
FAU - Tiwari, Anand M
AU  - Tiwari AM
AUID- ORCID: 0000-0002-9791-8365
AD  - Neuro-intensive Care Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
FAU - Kulkarni, Atul P
AU  - Kulkarni AP
AUID- ORCID: 0000-0002-5172-7619
AD  - Anaesthesia and Intensive Care Unit, TATA Memorial Hospital, Mumbai, Maharashtra 
      India.
FAU - Govil, Deepak
AU  - Govil D
AUID- ORCID: 0000-0002-462-1614
AD  - Critical Care and Anaesthesiology Unit, Medanta - The Medicity, Gurugram, 
      Haryana, India.
FAU - Dixit, Subhal B
AU  - Dixit SB
AUID- ORCID: 0000-6002-0807
AD  - Intensive Care Unit, Sanjeevan Hospital, Pune, Maharashtra, India.
FAU - Munjal, Manish
AU  - Munjal M
AUID- ORCID: 0000-0003-1435-753X
AD  - Intensive Care Unit, Manglamplus Medicity Hospital, Jaipur, Rajasthan, India.
FAU - Sinha, Sharmili
AU  - Sinha S
AUID- ORCID: 0000-0001-5242-9405
AD  - Intensive Care Unit, Apollo Hospitals, Bhubaneswar, Odisha, India.
FAU - Samavedam, Srinivas
AU  - Samavedam S
AUID- ORCID: 0000-0001-6737-8663
AD  - Critical Care Unit, Critical Care Institution, Virinchi Hospital, Hyderabad, 
      Telangana, India.
FAU - Singh, Yogendra Pal
AU  - Singh YP
AUID- ORCID: 0000-0002-5026-9978
AD  - Critical Care Unit, Max Super Speciality Hospital, Patparganj, Delhi, India.
FAU - Kuragayala, Swarna Deepak
AU  - Kuragayala SD
AUID- ORCID: 0000-00016817307X
AD  - Critical Care Unit, Apollo Health City, Jubilee Hills, Hyderabad, Telangana, 
      India.
FAU - Chandankhede, Shweta Ram
AU  - Chandankhede SR
AUID- ORCID: 0000-0002-6684-1406
AD  - Intensive Care Unit, Care Hospital, Banjara hills, Hyderabad, Telangana, India.
FAU - Patil, Vishwanath
AU  - Patil V
AUID- ORCID: 0000-0002-0103-2210
AD  - Critical Care Unit, Bharati Vidyapeeth Hospital, Dhanakawadi, Pune, Maharashtra, 
      India.
FAU - Agarwala, Bijay
AU  - Agarwala B
AUID- ORCID: 0009-0008-3421-0977
AD  - Intensive Care Unit, Apollo Hospitals, Guwahati, Assam, India.
FAU - Jain, Saurabh
AU  - Jain S
AUID- ORCID: 0009-0007-5390-3982
AD  - Critical Care Unit, Max Super Speciality Hospital, Patparganj, Delhi, India.
FAU - Pattajoshi, Swagat
AU  - Pattajoshi S
AUID- ORCID: 0009-0003-1644-2735
AD  - Intensive Care Unit, Medanta Medicity, Delhi, India.
FAU - Padyana, Mahesha
AU  - Padyana M
AUID- ORCID: 0000-0001-9521-6979
AD  - Critical Care Unit, Manipal Hospitals, Bengaluru, Karnataka, India.
FAU - Kumar, Anil
AU  - Kumar A
AUID- ORCID: 0009-0003-2937-6271
AD  - Critical Care Unit, Santosh Medical College and Hospital, Ghaziabad, Uttar 
      Pradesh, India.
FAU - Joshi, Ziyokav
AU  - Joshi Z
AUID- ORCID: 0000-0001-9911-2843
AD  - Critical Care Unit, Tagore Heart Care Center, Jalandhar, Punjab, India.
FAU - Sircar, Mrinal
AU  - Sircar M
AUID- ORCID: 0000-0002-2199-3318
AD  - Critical Care Unit, Fortis Hospital, Noida, Uttar Pradesh, India.
FAU - Khunteta, Sudhir
AU  - Khunteta S
AUID- ORCID: 0000-0001-8768-9178
AD  - Intensive Care Unit, Shubh Hospital, Jaipur, Rajasthan, India.
FAU - Pande, Rajesh
AU  - Pande R
AUID- ORCID: 0000-0002-0149-727X
AD  - Critical Care Unit, BLK-MAX Super Speciality Hospital, New Delhi, India.
FAU - Mishra, Rajesh
AU  - Mishra R
AUID- ORCID: 0000-0001-6305-5998
AD  - Critical Care, Shaibya Comprehensive Care Clinic, Ahmedabad, Gujarat, India.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Crit Care Med
JT  - Indian journal of critical care medicine : peer-reviewed, official publication of 
      Indian Society of Critical Care Medicine
JID - 101208863
PMC - PMC10504651
OTO - NOTNLM
OT  - Adverse events
OT  - Critically ill
OT  - Intrahospital transport
OT  - Patient safety
COIS- Source of support: Nil Conflict of interest: Dr Kapil G Zirpe, Dr Atul P 
      Kulkarni, and Dr Deepak Govil are associated as the Editorial board members of 
      this journal and this manuscript was subjected to this journal's standard review 
      procedures, with this peer review handled independently of these Editorial board 
      members and their research group.
EDAT- 2023/09/18 06:41
MHDA- 2023/09/18 06:42
PMCR- 2023/09/01
CRDT- 2023/09/18 04:20
PHST- 2023/07/29 00:00 [received]
PHST- 2023/08/12 00:00 [accepted]
PHST- 2023/09/18 06:42 [medline]
PHST- 2023/09/18 06:41 [pubmed]
PHST- 2023/09/18 04:20 [entrez]
PHST- 2023/09/01 00:00 [pmc-release]
AID - 10.5005/jp-journals-10071-24530 [doi]
PST - ppublish
SO  - Indian J Crit Care Med. 2023 Sep;27(9):635-641. doi: 
      10.5005/jp-journals-10071-24530.