Key result
High ICU congestion (>90% occupancy) was associated with a 9% lower likelihood of ICU admission, while initial ICU admission was associated with a 32% lower likelihood of hospital readmission.
Why the study?
Does high ICU congestion influence ICU admission decisions and subsequent patient outcomes for patients admitted via the emergency department?
Observational (n=70,133)
Yes
Does high ICU congestion influence ICU admission decisions and subsequent patient outcomes for patients admitted via the emergency department?
High ICU congestion reduces the likelihood of ICU admission for eligible patients, which is associated with worse patient outcomes including increased hospital readmissions and longer length of stay.
High ICU congestion may reduce admissions and raise readmission risk; leaves open whether capacity interventions improve outcomes.
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Kim et al. (2016) conducted an observational in Patients admitted via emergency departments to a medical service (n=70,133). High ICU congestion (>90% beds occupied) vs. Lower ICU congestion was evaluated on ICU admission decisions and patient outcomes (hospital readmission, length of stay, transfer to ICU). High ICU congestion (>90% occupancy) was associated with a 9% lower likelihood of ICU admission, while initial ICU admission was associated with a 32% lower likelihood of hospital readmission.
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