• Steve Evans, Jai Darvall, Alexandra Gorelik, and Rinaldo Bellomo.
• Intensive Care Unit, Royal Melbourne Hospital, Grattan St, Parkville, Melbourne, Victoria, Australia. Electronic address: steve.evans3@nhs.net.
• J Crit Care. 2018 Jun 1; 45: 110-113.

PurposeTo examine the effect of order in which patients are seen on an Intensive Care Unit (ICU) ward round on ICU length of stay (LOS), mortality and duration of mechanical ventilation.Materials And MethodsRetrospective observational study in a tertiary metropolitan ICU over a 12month period. All patients who occupied the first and last three bed spaces of the ICU ward round, without having moved bed spaces during admission, were included. Separate analyses were performed for the absolute first and last patients.Results681 patients were included. There was no difference in the primary outcome, ICU LOS [median (IQR) 50 (23-102) hours for the first three patients seen vs. 51 (25-110) hours for the last three patients, p=0.594]. No differences were found in any secondary outcomes (hospital LOS, ICU mortality or duration of mechanical ventilation).ConclusionsThe order in which patients were seen on an ICU ward did not affect ICU LOS nor related outcomes.Copyright © 2018 Elsevier Inc. All rights reserved.

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