Basmaji John, Lau Vincent, Lam Joyce, Priestap Fran, Ball Ian M
Department of Medicine, Western University, London, ON, Canada.
J Intensive Care Soc. 2019 May;20(2):165-170. doi: 10.1177/1751143718794123. Epub 2018 Sep 20.
To perform a narrative review of the literature regarding the discharge of patients directly to home (DDH) from the intensive care unit, and to identify patient characteristics and clinical outcomes associated with this practice.
We searched MEDLINE and EMBASE from 1946 to present. We also manually searched the references of relevant articles. A two-step review process with three independent reviewers was used to identify relevant articles based on predetermined inclusion/exclusion criteria.
Four studies were included in the final review. Two studies were retrospective and two studies were prospective that shared data from the same patient cohort. All were single center studies. Two of the four studies outlined clinical outcomes associated with DDH.
This study highlights the relative dearth in the literature regarding the increasingly common practice of DDH, underscores the importance of further studies in this area, and identifies future important foci of research.
对有关重症监护病房患者直接出院回家（DDH）的文献进行叙述性综述，并确定与这种做法相关的患者特征和临床结果。
我们检索了1946年至今的MEDLINE和EMBASE数据库。我们还手动检索了相关文章的参考文献。采用由三名独立评审员进行的两步评审过程，根据预先确定的纳入/排除标准识别相关文章。
最终综述纳入了四项研究。两项研究为回顾性研究，两项研究为前瞻性研究，共享来自同一患者队列的数据。所有研究均为单中心研究。四项研究中的两项概述了与DDH相关的临床结果。
本研究凸显了关于日益普遍的DDH做法的文献相对匮乏，强调了该领域进一步研究的重要性，并确定了未来重要的研究重点。
