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Comment & Response
December 2018

Discharge Home From Critical Care: Comparing Different Health Care Systems

Author Affiliations
  • 1General Intensive Care Unit, St George’s University Hospitals NHS Foundation Trust, London, England
  • 2General Intensive Care Unit, Broomfield Hospital, Mid Essex Hospital Services NHS Trust, Chelmsford, England
JAMA Intern Med. 2018;178(12):1729. doi:10.1001/jamainternmed.2018.6533

To the Editor We commend Stelfox and colleagues1 for their excellent work in evaluating the practice of directly discharging patients home from critical care. The authors clearly identified local practice and service structure as factors in ensuring safety in this less-than-ideal practice.

In this context, we would like to present results from the UK National Health Service, which provides a different perspective on the work of the authors. The UK National Health Service is in the middle of significant bed pressures, a problem exacerbated by fewer hospital and critical care bed availability when compared with the rest of the developed world.2

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