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Related Concept Videos

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Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Updated: Dec 1, 2025

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Routine critical care step-down programmes: Systematic review and meta-analysis.

John Tanner1, Jocelyn Cornish2

  • 1Clinical Response Team, Guys' & St Thomas' NHS Foundation Trust, Westminster Bridge, London, UK.

Nursing in Critical Care
|November 7, 2020
PubMed
Summary
This summary is machine-generated.

Routine critical care stepdown programmes (CCSDPs) do not significantly reduce readmission or mortality. Evidence does not support widespread implementation without higher quality data.

Keywords:
critical carecritical care nursingfollow-up services after ICU dischargeoutreach services

Related Experiment Videos

Last Updated: Dec 1, 2025

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

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Area of Science:

  • Critical care medicine
  • Patient safety
  • Health services research

Background:

  • Patients discharged from critical care face risks of deterioration, readmission, and death.
  • Routine Critical Care Stepdown Programmes (CCSDPs) involve multidisciplinary teams reviewing patients on general wards post-critical care.

Purpose of the Study:

  • To determine if routine CCSDPs reduce readmission and/or mortality in patients discharged from critical care.

Main Methods:

  • Systematic review and meta-analysis of quantitative studies.
  • Searched six databases and grey literature; included studies on routine CCSDPs by Outreach nurses.
  • Assessed study quality using the Cochrane ROBINS-I tool.

Main Results:

  • Pooled data from 6 studies showed a non-significant reduction in overall critical care readmission (RR 0.85).
  • A significant increase in readmission within 72 hours was observed (RR 1.49).
  • No significant reduction in mortality post-discharge was found (RR 0.90).

Conclusions:

  • The review cannot definitively conclude if routine CCSDPs reduce critical care readmission or mortality.
  • Current evidence does not warrant a change in policy but does not support routine CCSDPs without high-quality evidence.