Table 4Clinical evidence summary: Neurological Care Unit

OutcomesNo of Participants (studies) Follow upQuality of the evidence (GRADE)Relative effect (95% CI)Anticipated absolute effects
Risk with Normal handoverRisk difference with structured handover (95% CI)
ICU Readmission

261

(1 study)

⊕⊝⊝⊝

VERY LOWa,b

due to risk of bias, imprecision

RR 1.24 (0.34 to 4.52)Moderate
31 per 1000

7 more per 1000

(from 20 fewer to 109 more)

Rapid Response Team Call at 6 Months

261

(1 study)

⊕⊝⊝⊝

VERY LOWa,b

due to risk of bias, imprecision

RR 1.98 (0.37 to 10.65)Moderate
15 per 1000

15 more per 1000

(from 9 fewer to 145 more)

a

Downgraded by 1 increment if the majority of the evidence was at high risk of bias, and downgraded by 2 increments if the majority of the evidence was at very high risk of bias.

b

Downgraded by 1 increment if the confidence interval crossed one MID or by 2 increments if the confidence interval crossed both MIDs.

From: Chapter 32, Structured patient handovers

Cover of Emergency and acute medical care in over 16s: service delivery and organisation
Emergency and acute medical care in over 16s: service delivery and organisation.
NICE Guideline, No. 94.
National Guideline Centre (UK).
Copyright © NICE 2018.

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