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TISS and mortality after discharge from intensive care

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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.

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Received: 7 April 1999 Final revision received: 1 July 1999 Accepted: 9 August 1999

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Smith, L., Orts, C., O'Neil, I. et al. TISS and mortality after discharge from intensive care. Intensive Care Med 25, 1061–1065 (1999). https://doi.org/10.1007/s001340051012

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  • DOI: https://doi.org/10.1007/s001340051012

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