What is the clinical evidence from this study?

Study design: Observational. Population: Surgical ICU admission (n=6098). Intervention: Acute care emergency surgery vs. General surgery and other surgical services. Primary outcome: ICU length of stay (p=< 0.01).

December 12, 2013Critical Care Medicine

Increased ICU Resource Needs for an Academic Emergency General Surgery Service*

Q: What are the key findings of this study?

Acute care emergency surgery patients required significantly longer ICU lengths of stay (13.5 vs 8.7 days) and higher ventilator usage (73.4% vs 64.9%) than general surgery patients (all p<0.01).

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Key result

Acute care emergency surgery patients required significantly longer ICU lengths of stay (13.5 vs 8.7 days) and higher ventilator usage (73.4% vs 64.9%) than general surgery patients (all p<0.01).

Why the study?

Does admission to an acute care emergency surgery service increase ICU resource utilization compared to other surgical services in adult surgical ICU patients?

Population

6,098 patients over age 18 admitted to an academic, tertiary care, nontrauma surgical ICU between March 2004…

Comparison

Admission to acute care emergency surgery service vs Admission to other surgical services including…

Design

Cohort

Follow-up

ICU stay

Authors

MLMatthew Lissauer SGSamuel M. Galvagno PRPeter Rock

Discussion

Member takes

Overview

Emergency general surgery patients were associated with greater ICU resource use; leaves open optimal staffing and service models for this population.

Study Design

Type

Observational (n=6,098)

Multicenter

Structured PICO

Does admission to an acute care emergency surgery service increase ICU resource utilization compared to other surgical services in adult surgical ICU patients?

Population

6,098 patients over age 18 admitted to a surgical ICU between 2004 and 2012, comparing acute care emergency surgery to other surgical services.

Exposure

Admission to acute care emergency surgery service (n=1,053)

Comparator

Admission to other surgical services including general surgery (n=1,964), transplant surgery (n=1,491), facial surgery/otolaryngology (n=995), and neurosurgery (n=595)

Outcome

ICU utilization including length of stay, ventilator usage, and continuous renal replacement therapy usage

Main Result

Absolute Event Rate: 13.5% vs 8.7%

p-value: p=< 0.01

Emergency general surgery patients represent a distinct population with significantly higher ICU resource needs, including longer lengths of stay and increased requirements for mechanical ventilation and renal replacement therapy.

Cite This Study

Lissauer et al. (2013) conducted an observational in Surgical ICU admission (n=6,098). Acute care emergency surgery vs. General surgery and other surgical services was evaluated on ICU length of stay (p=< 0.01). Acute care emergency surgery patients required significantly longer ICU lengths of stay (13.5 vs 8.7 days) and higher ventilator usage (73.4% vs 64.9%) than general surgery patients (all p<0.01).

synapsesocial.com/papers/6aa043c9dde4698e7ca2f59e https://doi.org/10.1097/ccm.0000000000000099

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December 12, 2013Critical Care Medicine

Increased ICU Resource Needs for an Academic Emergency General Surgery Service*

View Full Paper

Ask AI

Bookmark

Key result

Acute care emergency surgery patients required significantly longer ICU lengths of stay (13.5 vs 8.7 days) and higher ventilator usage (73.4% vs 64.9%) than general surgery patients (all p<0.01).

Why the study?

Does admission to an acute care emergency surgery service increase ICU resource utilization compared to other surgical services in adult surgical ICU patients?

Population

6,098 patients over age 18 admitted to an academic, tertiary care, nontrauma surgical ICU between March 2004…

Comparison

Admission to acute care emergency surgery service vs Admission to other surgical services including…

Design

Cohort

Follow-up

ICU stay

Authors

MLMatthew Lissauer SGSamuel M. Galvagno PRPeter Rock

Discussion

Member takes

Overview

Emergency general surgery patients were associated with greater ICU resource use; leaves open optimal staffing and service models for this population.

Study Design

Type

Observational (n=6,098)

Multicenter

Structured PICO

Does admission to an acute care emergency surgery service increase ICU resource utilization compared to other surgical services in adult surgical ICU patients?

Population

6,098 patients over age 18 admitted to a surgical ICU between 2004 and 2012, comparing acute care emergency surgery to other surgical services.

Exposure

Admission to acute care emergency surgery service (n=1,053)

Comparator

Admission to other surgical services including general surgery (n=1,964), transplant surgery (n=1,491), facial surgery/otolaryngology (n=995), and neurosurgery (n=595)

Outcome

ICU utilization including length of stay, ventilator usage, and continuous renal replacement therapy usage

Main Result

Absolute Event Rate: 13.5% vs 8.7%

p-value: p=< 0.01

Cite This Study

synapsesocial.com/papers/6aa043c9dde4698e7ca2f59e https://doi.org/10.1097/ccm.0000000000000099

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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