Key result
Escalation to the ICU within 24 hours of hospital admission was associated with significantly increased 1-year mortality in surgical patients, but not in medical patients.
Why the study?
Delayed ICU admissions are associated with increased mortality, but whether indirect ICU admissions within 24 hours of hospital admission are associated with increased mortality required evaluation.
Does escalation to the ICU within 24 hours of hospital admission increase mortality in a mixed medical-surgical population?
Population
3,862 mixed medical and surgical ICU admissions at a tertiary VA Hospital System
Comparison
Indirect admission within 24 hours vs direct ICU admission
Design
Retrospective cohort study
Follow-up
1-year
Authors
Loading...
Early ICU escalation signals higher 1-year mortality in surgical patients; observational findings leave causality and intervention effects open for prospective study.
Cohort (n=3,862)
No
Does escalation to the ICU within 24 hours of hospital admission increase mortality in a mixed medical-surgical population?
Escalation to the ICU within 24 hours of ward admission is associated with increased 1-year mortality in surgical patients, but not in medical patients.
Leong et al. (2020) conducted a cohort in Mixed medical-surgical ICU admissions (n=3,862). Escalation to the ICU within 24 hours of hospital admission vs. Direct admission to the ICU was evaluated on 1-year mortality. Escalation to the ICU within 24 hours of hospital admission was associated with significantly increased 1-year mortality in surgical patients, but not in medical patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: