Search bioRxiv⌕ Search
Home/Archive/bioRxiv

bioRxiv · 10.1101/813279

Impact of intensive care unit admission during handover on mortality: a propensity matched cohort study

Midega, T. D.·Filho, N. C. V. L.·Nassar, A. P.·Alencar, R. M.·Neto, A. C.·Ferraz, L. R.·Correa, T. D.
View original source ↗Export metadata ↓

Abstract

IntroductionHandover is a process of transferring information, responsibility and authority for providing care of critically ill patients from a departing intensivist to an oncoming intensivist. The effect of i admission during a medical handover on clinical outcomes is unknown. ObjectivesOur purpose was to evaluate the impact of ICU admission during a medical handover on clinical outcomes. MethodsPost hoc analysis of a cohort study addressing the effect of ICU admissions during the handover on outcomes. This retrospective, single center, propensity matched cohort study was conducted in a 41-bed open general ICU located in a private tertiary care hospital in Sao Paulo, Brazil. Based on time of ICU admission, patients were categorized into two cohorts: handover group (ICU admission between 6:30 am to 7:30 or 6:30 pm to 7:30 pm) or control group (admission between 7:31 am to 6:29 pm or 7:31 pm to 6:29 am). Patients in the handover group were propensity matched to patients in the control group at 1:2 ratio. Our primary outcome was hospital mortality. ResultsBetween June 1, 2013 and May 31, 2015, 6,650 adult patients were admitted to the ICU. Following exclusion of ineligible participants, 5,779 patients [389 (6.7%) in handover group and 5390 (93.3%) in control group] were eligible for propensity score matching, of whom 1,166 were successfully matched [389 (33.4%) handover group and 777 (66.6%) in control group]. Before matching, hospital mortality was 14.1% (55/389 patients) in handover group compared to 11.7% (628/5,390) in control group (p=0.142). After propensity-score matching, ICU admission during handover was not associated with increased risk of ICU (OR, 1.40; 95% CI, 0.92 to 2.11; p=0.11) and hospital (OR, 1.23; 95%CI, 0.85 to 1.75; p=0.26) mortality. ICU and hospital length of stay did not differ between the groups. ConclusionIn this propensity-matched single center cohort study, ICU admission during medical handover did not affect clinical outcomes.

Source connections

Explore related subjects

scientific communication and educationPreprint

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Midega, T. D., Filho, N. C. V. L., Nassar, A. P., Alencar, R. M., Neto, A. C., Ferraz, L. R., Correa, T. D.. 2019-10-21. Impact of intensive care unit admission during handover on mortality: a propensity matched cohort study. https://doi.org/10.1101/813279

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related preprints

bioRxiv2026

Evaluating Large Language Models as Tools to Navigate Researchers in Rapidly Evolving Research Landscapes: A Case Study in Cancer Drug Response Prediction

Large Language Models (LLMs) have emerged as promising tools for assisting researchers in automating and accelerating the synthesis of literature reviews. However, their reliability is a significant concern due to issues like factual inaccuracies and hallucinations. The key question is whether LLMs can reliably provide comprehensive, up-to-date overviews and analyses. This study evaluates the performance of three leading LLMs (OpenAI's ChatGPT, Google's Gemini, and DeepSeek) on the complex task of generating a comprehensive survey paper on deep learning for cancer Drug Response Prediction (DRP). By testing both standard and Deep Research (DR) / Deep Think (DT) modes of LLMs with prompts of varying detail, this paper assesses key academic dimensions, including reference management, content quality, and analytical depth. Key findings reveal that while DR modes of LLMs significantly improve reliability by eliminating hallucinations, performance variations exist across models and prompts. A trade-off between reference quantity and integration quality was observed, and even the best-performing models lacked the analytical depth of human experts, often requiring extensive human supervision. The study concludes that LLMs currently serve as powerful assistive tools but still cannot replace the critical validation and synthesis provided by human researchers. Choosing the best LLM to use depends on the task in hand, while several strategies can be implemented to improve the produced output.

scientific communication and education↗
bioRxiv2019

Plagiarism in Brazil: A perspective of 25,000 PhD holders across the sciences

When it comes to ownership of ideas in science, Robert K. Merton (1957) observed in Priorities in Scientific Discovery: A Chapter in the Sociology of Science that "what is true of physics, chemistry, astronomy, medicine and mathematics is true also of all the other scientific disciplines, not excluding the social and psychological sciences". However, consensus over related issues, such as what constitutes plagiarism in these fields cannot be taken for granted. We conducted a comprehensive study on plagiarism views among PhD holders registered in the database of the Brazilian National Council for Scientific and Technological Development (CNPq). We collected 25,157 valid responses encompassing views and attitudes toward plagiarism from a probability sample of PhD holders across the fields, including biologists, physicists, mathematicians, and engineers as well as linguists, philosophers and anthropologists. The results suggest that core principles about plagiarism are shared among this multidisciplinary community and that they corroborate Mertons observations. Before this study, we could only speculate that this is the case. With these data from a probability sample of Brazilian academia (PhD holders), this study offers insight into the way plagiarism is perceived across the sciences, including the literature and arts, and sheds light on the problem in the context of international collaborative research networks. The data focus on a young research system in Latin America, but, given the cultural similarities that bind most Latin-American nations, these results may be relevant to other PhD populations in the region and should provide a comparison with studies from other emerging, non-Anglophone regions.

scientific communication and education↗
bioRxiv2019

Turn of Events: Academic events as a platform for preregistration

Prereg posters are conference posters that present planned scientific projects. We provide preliminary evidence for their value in receiving constructive feedback, promoting open science, and supporting early career researchers.View Full Text

scientific communication and education↗