Outcomes of interfacility critical care adult patient transport: a systematic review

摘要: We aimed to determine the adverse events and important prognostic factors associated with interfacility transport of intubated mechanically ventilated adult patients. performed a systematic review MEDLINE, CENTRAL, EMBASE, CINAHL, HEALTHSTAR, Web Science (from inception until 10 January 2005) for all clinical studies describing incidence predictors in patients undergoing transport. The bibliographies selected articles were also examined. Five (245 patients) met inclusion criteria. All case-series two prospective design. Due paucity significant heterogeneity study population, outcome events, results, we synthesized data qualitative manner. Pre-transport severity illness was reported only one study. most common indication need investigations and/or specialist care (three studies, 220 patients). Transport modalities included air (fixed or rotor wing; 66% ground (31%) ambulance, commercial aircraft (3%). teams physician three (220 Death during transfer rare (n = 1). No other therapeutic interventions reported. One 19% (28/145) respiratory alkalosis on arrival another documented 30% overall intensive unit mortality, while no outcomes after studies. Insufficient exist draw firm conclusions regarding morbidity, risk Further is required define risks benefits this patient population. Such information planning allocation resources related transporting critically ill adults.