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Cardiac arrests, urgent ICU transfers or patient deaths were also associated with delayed discharge from the hospital for the other patients on the same unit. “This should serve as a wake-up call for hospital-based physicians,” said study author Matthew Churpek, MD, MPH, PhD, assistant professor of medicine at the University of Chicago. “Our data suggests that after caring for a patient who becomes critically ill on the hospital wards, we should routinely check to see how the other patients on the unit are doing,” Churpek said. “Following these high-intensity events, our to-do list should include a thorough assessment of the other patients on the unit, to make sure none of them are at risk of slipping through the cracks.” Luckily, such events were relatively rare. Nearly 84,000 adult patients were admitted to non-ICU beds at the University of Chicago Medicine from 2009 to 2013. About five percent of those patients were subsequently transferred to an intensive-care unit (4,107) or experienced an in-hospital cardiac arrest (179). Patients who had a cardiac arrest or required ICU transfer tended to be a few years older and male. They had been in the hospital, on average, for 13 days, four times longer than patients who did not have a critical-illness event. “We suspected this phenomenon based on our own anecdotal experience,” said co-author Samuel Volchenboum, MD, PhD, associate professor of pediatrics at the University of Chicago and director of the University’s Center for Research Informatics. “But until we had access to a large, well-curated research-data warehouse, we couldn’t perform a study like this.” “Very few academic centers have access to the kinds of high-quality data needed to perform this type of investigation,” he added.
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