Laboratory data on ICU admission.

Influence of ICU-bed availability on ICU admission decisions

BACKGROUND The potential influence of bed availability on triage to intensive care unit (ICU) admission is among the factors that may influence the ideal ratio of ICU beds to population: thus, high bed availability (HBA) may result in the admission of patients too well or too sick to benefit, whereas bed scarcity may result in refusal of patients likely to benefit from ICU admission. METHODS ...

Refusal to ICU admission based on futility

Methods Observational study in the time interval from July 2013 to December 2014 (18 months). We prospectively registered all patients refused to admission in our unit, then we analyze the clinical refusal report used in our hospital. From these reports we extracted several variables: demographical (age, sex), origin (emergency room, hospital), clinical (comorbidity), functional situation (base...

Can ICU admission be predicted?

Association Among ICU Congestion, ICU Admission Decision, and Patient Outcomes.

OBJECTIVES To employ automated bed data to examine whether ICU occupancy influences ICU admission decisions and patient outcomes. DESIGN Retrospective study using an instrumental variable to remove biases from unobserved differences in illness severity for patients admitted to ICU. SETTING Fifteen hospitals in an integrated healthcare delivery system in California. PATIENTS Seventy thousa...

After hours admission to icu - impact on mortality

Objectives We aim to explore differences in mortality between patients admitted during working hours (8am-5pm on weekdays and 8am-11am on weekends) compared to those admitted after hours. Methods This is a retrospective cohort study of admissions to a medical ICU in a tertiary teaching hospital between 2010-2014. All patients with known APACHE II scores were analysed. Primary outcome measure wa...