Abstract
Appropriate repatriation of patients from specialist ICUs back to a referring unit is essential to maintain access to specialist services. Currently, this represents a small proportion of interhospital critical care transfers in the UK though trends towards increased regionalisation of specialist services is a potential driver for increases in such transfers.
Highlights
Appropriate repatriation of patients from specialist ICUs back to a referring unit is essential to maintain access to specialist services
To assess mortality and discharge destination of patients following transfer from Papworth Cardiothoracic Intensive Care Unit to referring hospitals. This includes patients receiving cardiothoracic surgery and those referred for Extracorporeal Membrane Oxygenation (ECMO)
169 patients were transferred from Papworth ICU to a general ICU during the study period. 46 (27.2%) were originally referred for ECMO, 123 (72.8%) in the non-ECMO group were predominantly elective & emergency cardiothoracic surgery patients
Summary
Appropriate repatriation of patients from specialist ICUs back to a referring unit is essential to maintain access to specialist services. This represents a small proportion of interhospital critical care transfers in the UK though trends towards increased regionalisation of specialist services is a potential driver for increases in such transfers
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