Resource use in the ICU: short‐ vs. long‐term patients*

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Population

5,481 patients admitted to a medical-surgical university ICU between January 1, 1998 and December 31, 1999

Comparison

Long-term ICU stay (>7 days, group L) vs Short-term ICU stay (≤7 days, group S)

Design

Cohort

Follow-up

until hospital discharge

Authors

Discussion

Prolonged ICU stays drive most resource consumption; hypothesis-generating for targeted efficiency interventions in this subgroup.

Population

5,481 patients admitted to a medical-surgical university ICU between January 1, 1998 and December 31, 1999

Intervention

Long-term ICU stay (>7 days, group L)

Comparator

Short-term ICU stay (≤7 days, group S)

Outcome

Resource use estimated using TISS-28, number of nursing shifts, use of mechanical ventilation, and use of renal replacement therapy

A small minority of ICU patients (11%) staying longer than 7 days consume a highly disproportionate share (>50%) of critical care resources.

Stricker et al. (2003) studied this question.

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