Characteristics and outcomes of critically-ill medical patients admitted to a tertiary medical center with restricted ICU bed capacity

Sagy, Iftach; Fuchs, Lior; Mizrakli, Yuval; Codish, Shlomi; Politi, Liran; Fink, Lior; Novack, Victor

doi:10.1016/j.jcrc.2017.09.177

Cited by 7 publications

(3 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The length of hospital stay was similar to that reported in a recent study (21) . Comparing the means of hospitalization time in relation to the age group, it was observed that they were very similar and with no statistically significant difference.…”

Section: Discussionsupporting

confidence: 88%

Level of acuity, severity and intensity of care of adults and older adults admitted to the Intensive Care Unit

Ferretti‐Rebustini

Bispo²,

Alves

et al. 2019

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective: To characterize the level of acuity, severity and intensity of care of adults and older adults admitted to Intensive Care Units and to identify the predictors of severity with their respective predictive capacity according to the age group. Method: A retrospective cohort based on the analysis of medical records of individuals admitted to eight adult intensive care units in the city of São Paulo. The clinical characteristics at admission in relation to severity profile and intensity of care were analyzed through association and correlation tests. The predictors were identified by linear regression and the predictive capacity through the ROC curve. Results: Of the 781 cases (41.1% from older adults), 56.2% were males with a mean age of 54.1 ± 17.3 years. The burden of the disease, the organic dysfunction and the number of devices were the predictors associated with greater severity among adults and older adults, in which the organic dysfunction had the highest predictive capacity (80%) in both groups. Conclusion: Adults and older adults presented a similar profile of severity and intensity of care in admission to the Intensive Care Unit. Organic dysfunction was the factor with the best ability to predict severity in adults and older adults.

show abstract

Section: Discussionsupporting

confidence: 88%

Level of acuity, severity and intensity of care of adults and older adults admitted to the Intensive Care Unit

Ferretti‐Rebustini

Bispo²,

Alves

et al. 2019

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…[25] This observation generally implies that the mortality rate of admitted ICU cases in Africa is higher than reported in developed countries. In Tanzania, [26] a mortality rate of 41.4% was reported when compared to 32.4% in Israel [27] and 18.4% in Singapore. [28] This discrepancy might be due to delayed presentation of patients, differences in the level of ICU care, availability of medical supplies and skilled staff, lack of an emergency medical care system (EMS), inadequate well-equipped integrated monitors, unavailability of medications and the high cost of ICU care in low and middle-income countries.…”

Section: Discussionmentioning

confidence: 94%

Indications and Outcomes of Medical Intensive Care Admissions in a Nigerian Tertiary Hospital

Akinjola,

Olateju,

Idowu

et al. 2023

Ann Health Res

View full text Add to dashboard Cite

Background: The demand for intensive care is rising in many developing countries with specialties requiring specialized intensive care services. Medical conditions constitute a substantial proportion of demands for intensive care. Objectives: To determine the patients’ characteristics and outcomes of medical indications for intensive care unit (ICU) admissions in a Nigerian tertiary hospital. Methods: A retrospective descriptive study was conducted at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Southwest Nigeria. The data of all patients aged 16 years and above managed from 2010 to 2019 were extracted from the general ICU admissions book. The age, sex, indication for admission, need for mechanical ventilation, length of stay in the ICU and outcome of care were retrieved for analysis. Results: There were 255 patients with medical conditions, constituting 12.6% of all (3,213) ICU admissions during the study period. The male-to-female ratio was 1.3:1.0 and the age range was 16 to 89 years. The most common indication for admission was neurological illnesses (56.7%). Stroke accounted for 40.4% of all medical ICU admissions. The mean length of ICU stay was 4.9±5.95 days. A larger proportion of patients (75.0%) who had mechanical ventilation died compared to 25.0% who survived (p = 0.001). Conclusion: Neurological disorders, especially stroke, were the most common indications for ICU admission. Many medical conditions had high mortality rates and outcomes were notably poor for mechanically ventilated patients.

show abstract

“…In low ICU resource environments, a so‐called ‘closed door policy’ for ICU admissions is frequently used, where an ICU physician prioritises ICU bed allocation based on the cases present in the medical centre at any given time. Previous studies conducted in ICU restricted environments have demonstrated that both short‐ and long‐term survival rates were associated with ICU admission 14,15 . As admission to an ICU may not always be required as part of the routine treatment of DKA, the aim of the current study is to analyse outcomes of DKA patients admitted to a tertiary medical centre with limited ICU capacity.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of diabetic ketoacidosis in a tertiary centre with restricted intensive care unit bed capacity

Sagy

Zimhony-Nissim

Brandstaetter

et al. 2021

Internal Medicine Journal

Self Cite

View full text Add to dashboard Cite

Background Diabetic ketoacidosis (DKA) is an acute metabolic condition, sometimes requiring admission to an intensive care unit (ICU). Aims To investigate the outcomes of DKA patients admitted to a hospital with restricted ICU capacity. Methods We included all DKA patients above age 18 who were admitted to a tertiary hospital during 2004–2017. We conducted multivariate logistic regression analysis adjusted for ICU bed availability to analyse parameters associated with ICU admission, and a composite outcome of mortality, DKA recurrence and mechanical ventilation. Results Among 382 DKA patients in our cohort, 94 (24.6%) were admitted to the ICU. The in‐hospital mortality was 4.7%. Low bicarbonate (<10 mmoL/L) and pH (<7) levels at presentation were associated with ICU admission (P < 0.001 for both). In multivariate models availability of beds in the ICU was not associated with ICU admission, mortality or DKA recurrence of any type. Conclusion In a setting of limited ICU capacity, DKA treatment does not necessarily require admission to the ICU. When the rising rates of diabetes mellitus and the associated elevated rates of DKA are taken into account, our results highlight the importance of including step‐down units when devising local protocols for care of these patients.

show abstract

Characteristics and outcomes of critically-ill medical patients admitted to a tertiary medical center with restricted ICU bed capacity

Cited by 7 publications

References 37 publications

Level of acuity, severity and intensity of care of adults and older adults admitted to the Intensive Care Unit

Level of acuity, severity and intensity of care of adults and older adults admitted to the Intensive Care Unit

Indications and Outcomes of Medical Intensive Care Admissions in a Nigerian Tertiary Hospital

Outcomes of diabetic ketoacidosis in a tertiary centre with restricted intensive care unit bed capacity

Contact Info

Product

Resources

About