The researchers found that when one patient on a typical 20-bed hospital unit took a turn for the worse – a cardiac arrest, for example, or being transferred to an intensive-care unit – the other patients on that ward were at increased risk for their own setbacks. In the six hours after a critical-illness event, the odds that a second patient in the same unit would undergo a comparable crisis increased by about 18 percent. If there were two Thanks such events during a six-hour time period, the risk of yet another occurrence went up by about 53 percent. Risks were slightly higher when the initial critical illness events occurred at night. 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 you could try this out 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.
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