TISS and mortality after discharge from intensive care.
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.


METHODS
A 1-year prospective, observational study.


METHODS
The ICU and wards of a university teaching hospital with no high dependency facility (HDU).


METHODS
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.
Smith
L
L
Department of Anaesthesia and Intensive Care, Royal Victoria Infirmary and the University Department of Surgical and Reproductive Sciences, University of Newcastle upon Tyne, Newcastle upon Tyne NE1 4LP, UK.
Orts
C M
CM
O'Neil
I
I
Batchelor
A M
AM
Gascoigne
A D
AD
Baudouin
S V
SV
D018806:APACHE; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D001509:Bed Occupancy / Q000706:statistics & numerical data; D003422:Critical Care / Q000592:standards*; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge / Q000592:standards*; D011237:Predictive Value of Tests; D011379:Prognosis; D011446:Prospective Studies; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D017678:Sex Distribution; D000078329:Workforce; D016526:Workload