1. Hospital mortality of adults admitted to Intensive Care Units in hospitals with and without Intermediate Care Units: a multicentre European cohort study
- Author
-
Maurizia Capuzzo, Carlo Alberto Volta, Tania Tassinati, Rui Paulo Moreno, Andreas Valentin, Bertrand Guidet, Gaetano Iapichino, Claude Martin, Thomas Perneger, Christophe Combescure, Antoine Poncet, Andrew Rhodes, and on behalf of the Working Group on Health Economics of the European Society of Intensive Care Medicine, Rita Melotti, Università degli Studi di Ferrara = University of Ferrara (UniFE), Centro Hospitalar de Lisboa Central E.P.E, Hospital Rudolfstiftung [Vienna], CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), ESIM - Déterminants Sociaux de la Santé et du Recours aux Soins (DS3), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Università degli Studi di Milano = University of Milan (UNIMI), Service Anesthésie et Réanimation [Hôpital Nord - APHM], Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital Nord [CHU - APHM], Geneva University Hospital (HUG), St George's Hospital NHS Healthcare Trust, Service de Réanimation Médicale [CHU Saint-Antoine], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU), HAL UPMC, Gestionnaire, Capuzzo, Maurizia, Carlo Alberto Volta, Tassinati, Tania, Rui Paulo Moreno, Valentin, Andrea, Guidet, Bertrand, Iapichino, Gaetano, Martin, Claude, Perneger, Thoma, Combescure, Christophe, Poncet, Antoine, Rhodes, Andrew, (, on behalf of the Working Group on Health Economics of the European Society of Intensive Care Medicine, Melotti, Rita, Università degli Studi di Ferrara (UniFE), Hospital Rudolfstiftung, and Università degli Studi di Milano [Milano] (UNIMI)
- Subjects
Male ,medicine.medical_specialty ,health care facilities, manpower, and services ,Critical Care and Intensive Care Medicine ,Intermediate Care Facility ,Cohort Studies ,Patient Admission ,Critical care nursing ,Intensive care ,medicine ,Humans ,Hospital Mortality ,Mortality ,Simplified Acute Physiology Score ,Aged ,Aged, 80 and over ,[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology ,business.industry ,Research ,Intensive Care ,Odds ratio ,Middle Aged ,Hospitals ,3. Good health ,Europe ,Intensive Care Units ,SAPS II ,Emergency medicine ,Female ,Observational study ,Intermediate Care Facilities ,business ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology ,Cohort study - Abstract
Introduction The aim of the study was to assess whether adults admitted to hospitals with both Intensive Care Units (ICU) and Intermediate Care Units (IMCU) have lower in-hospital mortality than those admitted to ICUs without an IMCU. Methods An observational multinational cohort study performed on patients admitted to participating ICUs during a four-week period. IMCU was defined as any physically and administratively independent unit open 24 hours a day, seven days a week providing a level of care lower than an ICU but higher than a ward. Characteristics of hospitals, ICUs and patients admitted to study ICUs were recorded. The main outcome was all-cause in-hospital mortality until hospital discharge (censored at 90 days). Results One hundred and sixty-seven ICUs from 17 European countries enrolled 5,834 patients. Overall, 1,113 (19.1%) patients died in the ICU and 1,397 died in hospital, with a total of 1,397 (23.9%) deaths. The illness severity was higher for patients in ICUs with an IMCU (median Simplified Acute Physiology Score (SAPS) II: 37) than for patients in ICUs without an IMCU (median SAPS II: 29, P
- Published
- 2014
- Full Text
- View/download PDF