What question did this study set out to answer?

To assess and compare the incidence of unintended medical harm and subsequent mortality between critically ill surgical and medical intensive care patients.

September 27, 2018The Permanente Journal

Different Harm and Mortality in Critically Ill Medical vs Surgical Patients: Retrospective Analysis of Variation in Adverse Events in Different Intensive Care Units

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Authors

KPKo Un ParkBrigham and Women's Hospital MEMichael S. EichenhornHenry Ford Hospital BDBruno DiGiovineTrinity Health

Discussion

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Implication

Retrospective cohort study reveals higher adverse event rates but lower mortality in surgical intensive care patients, suggesting distinct underlying risk profiles.

Key Points

To assess and compare the incidence of unintended medical harm and subsequent mortality between critically ill surgical and medical intensive care patients.
Retrospective analysis of 3 years of administrative data from an urban tertiary care center's harm reduction campaign covering 19,844 patients with at least 1 intensive care unit day.
Categorized patients as surgical if they underwent at least 1 operating room procedure (n = 7,483) versus nonsurgical medical admissions.
Applied univariate comparisons and multivariable logistic regression modeling for risk adjustment to evaluate predictors of harm and in-hospital death.
Surgical patients had significantly higher harm rates than nonsurgical patients (39.1% [n = 2,923] vs 22.6% [n = 2,798]; OR = 2.2, p < 0.001; adjusted OR = 2.1, p < 0.001).
Overall mortality was 7.8% (n = 1,554), with surgical patients exhibiting lower mortality than nonsurgical patients (6.2% vs 8.8%, p < 0.001; adjusted OR = 0.45 vs other harmed patients OR = 3.8, p < 0.001).

Cite This Study

Park et al. (2018) studied this question.

synapsesocial.com/papers/6a1eccb0bf2a5d44faaf5649 https://doi.org/10.7812/tpp/16-189

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Implication

Retrospective cohort study reveals higher adverse event rates but lower mortality in surgical intensive care patients, suggesting distinct underlying risk profiles.

Different Harm and Mortality in Critically Ill Medical vs Surgical Patients: Retrospective Analysis of Variation in Adverse Events in Different Intensive Care Units

Discussion

Member takes

Implication

Key Points

Cite This Study

Different Harm and Mortality in Critically Ill Medical vs Surgical Patients: Retrospective Analysis of Variation in Adverse Events in Different Intensive Care Units

Discussion

Member takes

Implication

Key Points

Cite This Study

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