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TISS and mortality after discharge from intensive care

Lookup NU author(s): Dr Anna Batchelor, Dr Alistair Gascoigne, Dr Simon Baudouin

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Abstract

Objective: To examine the effect of high levels of pre-intensive care unit (ICU) discharge care, as assessed by the Therapeutic Intervention Scoring System (TISS), on subsequent hospital mortality. Design: A 1-year prospective, observational study. Setting: The ICU and wards of a university teaching hospital with no high dependency facility (HDU). Patients: A total of 283 patients were discharged to hospital wards between July 1997 and June 1998. Results: 11% of all ICU discharges subsequently died in hospital. Patients discharged with a TISS of 20 or greater had a 21.4% mortality compared to 3.7% for those with a TISS of less than 10. Increasing age, Acute Physiology Score (APS) on admission and male sex were also significantly associated with post-discharge death. Conclusions: In a hospital without HDU facilities, patients who are receiving HDU levels of care on discharge from the ICU have a high in-hospital mortality.

Publication metadata

Author(s): Smith L, Orts CM, O'Neil I, Batchelor AM, Gascoigne AD, Baudouin SV

Publication type: Article

Publication status: Published

Journal: Intensive Care Medicine

Year: 1999

Volume: 25

Issue: 10

Pages: 1061-1065

Print publication date: 01/01/1999

ISSN (print): 0342-4642

ISSN (electronic): 1432-1238

Publisher: Springer

URL: http://dx.doi.org/10.1007/s001340051012

DOI: 10.1007/s001340051012

PubMed id: 10551959

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