Timing of intensive care unit admission in relation to ICU outcome

Rapoport, John; Teres, Daniel; Lemeshow, Stanley; Harris, D. M.

doi:10.1097/00003246-199011000-00009

Cited by 72 publications

(41 citation statements)

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“…A number of factors may have interfered in the assessment of APACHE II, such as the type of assistance to patient before hospital admission 30 and delayed transfer to Intensive Care 31 . Particularly in developing countries, those factors are not to be underestimated.…”

Section: Terzi Et Al Severe Heart Failure At Intensive Therapy Unit -mentioning

confidence: 99%

Insuficiência cardíaca grave em unidade de terapia intensiva: existe um índice prognóstico ideal?

Terzi

Lage

Dragosavac

et al. 2006

Arq. Bras. Cardiol.

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Section: Terzi Et Al Severe Heart Failure At Intensive Therapy Unit -mentioning

confidence: 99%

Insuficiência cardíaca grave em unidade de terapia intensiva: existe um índice prognóstico ideal?

Terzi

Lage

Dragosavac

et al. 2006

Arq. Bras. Cardiol.

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“…doi:10.1016/j.resuscitation.2011.03.019 mortality rates. [13][14][15][16] Based on the importance of timely responses, hospital events, such as CA, unanticipated ICU admissions and RRT calls with documented calling criteria for which there was no activation of a RRT constitute afferent limb failure (ALF) and are thus a potential performance measure.…”

Section: Introductionmentioning

confidence: 99%

Documenting Rapid Response System afferent limb failure and associated patient outcomes

2011

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“…One group of authors (12) concluded that mortality is higher in patients admitted to the ICU a few days after being admitted to the hospital or being transferred from other hospitals than in those admitted directly to the ICU. This difference was attributed to the different characteristics of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…(5) It has been suggested that mortality is directly proportional to the length of stay in the ICU and in the hospital. (5) Rapoport et al (12) found the mortality of patients admitted to the ICU after cardiac arrest to be 59%. Because our hospital is a large regional hospital, 17 patients had been referred from surrounding hospitals.…”

Section: Discussionmentioning

confidence: 99%

Mortalidade e fatores associados em uma UTI de cirurgia torácica

Şentürk

Sen

et al. 2011

J. bras. pneumol.

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Objective: To assess mortality and identify mortality risk factors in patients admitted to a thoracic surgery ICU. Methods: We retrospectively evaluated 141 patients admitted to the thoracic surgery ICU of the Denizli State Hospital, located in the city of Denizli, Turkey, between January of 2006 and August of 2008. We collected data regarding gender, age, reason for admission, invasive interventions and operations, invasive mechanical ventilation, infections, and length of ICU stay. Results: Of the 141 patients, 103 (73.0%) were male, and 38 (23.0%) were female. The mean age was 52.1 years (range, 12-92 years), and the mortality rate was 16.3%. The most common reason for admission was trauma. Mortality was found to correlate with advanced age (p < 0.05), requiring invasive mechanical ventilation (OR = 42.375; p < 0.05), prolonged ICU stay (p < 0.05), and specific reasons for admission-trauma, gunshot wound, stab wound, and malignancy (p < 0.05 for all). Conclusions: Among patients in a thoracic surgery ICU, the rates of morbidity and mortality are high. Increased awareness of mortality risk factors can improve the effectiveness of treatment, which should reduce the rates of morbidity and mortality, thereby providing time savings and minimizing costs. Keywords:Intensive care units; Thoracic surgery/mortality; Hospital mortality; Risk factors. ResumoObjetivo: Determinar a mortalidade e identificar fatores de riscos associados em pacientes em uma UTI de cirurgia torácica. Métodos: Foram avaliados retrospectivamente 141 pacientes admitidos na UTI de cirurgia torácica do Hospital Estadual de Denizli, localizado na cidade de Denizli, Turquia, entre janeiro de 2006 e agosto de 2008. Foram coletados dados sobre gênero, idade, causa de admissão, intervenções invasivas e operações, status de ventilação mecânica invasiva, infecções e tempo de permanência na UTI. Resultados: Dos 141 pacientes, 103 (73,0%) eram do sexo masculino e 38 (23,0%) do sexo feminino. A média de idade foi de 52,1 anos (variação: 12-92 anos), e a taxa de mortalidade foi de 16,3%. A causa de admissão mais frequente foi trauma. A mortalidade correlacionou-se com idade avançada (p < 0,05), uso de ventilação mecânica invasiva (OR = 42,375; p < 0,05), longa permanência na UTI (p < 0,05) e causas de admissão específicas -trauma, injúria por arma de fogo, injúria por arma branca e malignidade (p < 0,05 para todos). Conclusões: Os pacientes em uma UTI de cirurgia torácica têm alta morbidade e mortalidade. Um conhecimento maior dos fatores de risco de mortalidade pode melhorar a eficiência do tratamento, resultando em diminuição da morbidade e mortalidade, o que gerará economia de tempo e reduzirá os custos financeiros.

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Timing of intensive care unit admission in relation to ICU outcome

Cited by 72 publications

References 0 publications

Insuficiência cardíaca grave em unidade de terapia intensiva: existe um índice prognóstico ideal?

Insuficiência cardíaca grave em unidade de terapia intensiva: existe um índice prognóstico ideal?

Documenting Rapid Response System afferent limb failure and associated patient outcomes

Mortalidade e fatores associados em uma UTI de cirurgia torácica

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