Indian J Crit Care Med. 2017 Apr;21(4):213-217. doi: 10.4103/ijccm.IJCCM_7_17.
Influence of Admission Source on the Outcome of Patients in an Intensive Care Unit.
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
Anirban Hom Choudhuri, Mitali Chakravarty, Rajeev Uppal
Affiliations
Affiliations
- Department of Anaesthesiology and Intensive Care, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, India.
PMID: 28515605
PMCID: PMC5416788 DOI: 10.4103/ijccm.IJCCM_7_17
Abstract
AIM OF THE STUDY: The admission in the Intensive Care Unit (ICU) occurs from various sources, and the outcome depends on a complex interplay of various factors. This observational study was undertaken to describe the epidemiology and compare the differences among patients admitted in a tertiary care ICU directly from the emergency room, wards, and ICUs of other hospitals.
MATERIALS AND METHODS: A retrospective study was conducted on 153 consecutive patients admitted from various sources in a tertiary care ICU between July 2014 and December 2015. The primary endpoint of the study was the influence of the admission source on ICU mortality. The secondary endpoints were the comparison of the duration of mechanical ventilation, length of ICU stay, and the ICU complication rates between the groups.
RESULTS: Out of the 153 patients enrolled, the mortality of patients admitted from the ICUs of other hospital were significantly higher than the patients admitted directly from the emergency room or wards/operating rooms (60.5% vs. 48.2% vs. 31.9%;
CONCLUSION: The study demonstrated a higher risk of ICU mortality among patients shifted from the ICUs of other hospitals and identified the independent predictors of mortality.
Keywords: ICU admission score; Intensive Care Unit admission source; outcome
Conflict of interest statement
There are no conflicts of interest.
References
- Crit Care Med. 1995 Oct;23(10):1660-6 - PubMed
- N Engl J Med. 1986 Feb 27;314(9):552-7 - PubMed
- BMJ. 1997 May 17;314(7092):1455-6 - PubMed
- J Trauma. 1992 Oct;33(4):582-5 - PubMed
- Crit Care Med. 2003 Jul;31(7):1981-6 - PubMed
- Crit Care Med. 1989 May;17(5):418-22 - PubMed
- Med J Aust. 2001 Feb 5;174(3):122-5 - PubMed
- Intensive Care Med. 1995 Oct;21(10):784-9 - PubMed
- Crit Care Resusc. 2008 Jun;10(2):97-105 - PubMed
- Med Care. 1996 Apr;34(4):295-309 - PubMed
- JAMA. 1989 Jul 7;262(1):70-3 - PubMed
- Crit Care Med. 2005 Apr;33(4):705-10 - PubMed
- Ann Intern Med. 2003 Jun 3;138(11):882-90 - PubMed
- Crit Care Med. 1995 Sep;23(9):1588-95 - PubMed
- Crit Care Med. 2007 Jun;35(6):1470-6 - PubMed
- Crit Care Med. 1987 Aug;15(8):761-3 - PubMed
- J Crit Care. 2007 Dec;22(4):290-5 - PubMed
- Pediatr Crit Care Med. 2008 Jan;9(1):20-5 - PubMed
- JAMA. 1990 Nov 14;264(18):2389-94 - PubMed
Publication Types