Key result
A closed intensive care unit significantly reduced prospective ICU length of stay (6.1 vs 12.6 days, p<0.0001) compared to an open ICU, which was a predictor of higher mortality (OR 1.5, p<0.04).
Why the study?
Does a closed ICU organization improve resource utilization and mortality in MICU patients compared to an open ICU?
Observational
No
Does a closed ICU organization improve resource utilization and mortality in MICU patients compared to an open ICU?
Absolute Event Rate: 6.1% vs 12.6%
p-value: p=<0.0001
A closed MICU model improves resource utilization by reducing ICU and hospital length of stay and mechanical ventilation duration, and is associated with lower mortality compared to an open model.
No takes yet. Share an insight, caveat, or question.
May support closed ICU models for shorter stays; hypothesis-generating for mortality benefit, requiring RCTs before practice change.
Multz et al. (1998) conducted an observational in Intensive care unit admissions. Closed ICU vs. Open ICU was evaluated on ICU length of stay (prospective) (p=<0.0001). A closed intensive care unit significantly reduced prospective ICU length of stay (6.1 vs 12.6 days, p<0.0001) compared to an open ICU, which was a predictor of higher mortality (OR 1.5, p<0.04).
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