What does this research mean for the field?

Nearly 20% of intensive care unit admissions are for patients with a low severity of illness who rarely require ICU-specific interventions, and the rates of these low-severity admissions vary widely across hospitals. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

May 25, 1998Archives of Internal Medicine

Use of Intensive Care Units for Patients With Low Severity of Illness

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Population

104,487 consecutive eligible patients admitted to medical, surgical, neurological, or mixed medical-surgical…

Design

Cohort

Follow-up

in-hospital

Authors

GRGary E. RosenthalDartmouth College CSCarl SirioOspedali Riuniti di Ancona LSLaura B. ShepardsonCleveland Clinic

Discussion

Member takes

Implication

Low-severity ICU admissions are common with wide hospital variation; leaves open whether standardized criteria could safely reduce low-value care.

Structured PICO

Population

104,487 consecutive eligible patients admitted to medical, surgical, neurological, or mixed medical-surgical ICUs across 28 hospitals in a large metropolitan region between March 1991 and March 1995.

Outcome

Predicted risk of in-hospital death and use of 19 specific interventions typically delivered in ICUs

A significant proportion of ICU admissions are for low-severity patients who rarely receive ICU-specific interventions, highlighting substantial variation in admission practices across hospitals.

Cite This Study

Rosenthal et al. (1998) studied this question.

synapsesocial.com/papers/6a1276a4ea48cb855a34e587 https://doi.org/10.1001/archinte.158.10.1144

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Implication

Low-severity ICU admissions are common with wide hospital variation; leaves open whether standardized criteria could safely reduce low-value care.

Use of Intensive Care Units for Patients With Low Severity of Illness

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Use of Intensive Care Units for Patients With Low Severity of Illness

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider