Key result
Chronic multimorbidity and noncardiovascular disease are strongly linked to worse in-hospital outcomes in ICCU patients.
Why the study?
Few studies from developed countries have quantitatively characterized the clinical characteristics and outcomes of patients receiving contemporary intensive cardiac care, and such data were lacking for a Chinese ICCU population.
Observational (n=2,337)
No
In a Chinese ICCU population, noncardiovascular diseases and complex chronic illnesses are prevalent and strongly associated with adverse in-hospital outcomes, suggesting a need to adapt ICCU organization and staffing.
BACKGROUND: Few studies from developed countries have quantitatively characterized the clinical characteristics and outcomes of patients receiving contemporary intensive cardiac care. We sought to investigate these data in patients admitted to a Chinese intensive cardiac care unit (ICCU). METHODS: We conducted a retrospective study using data from 2,337 consecutive admissions to the ICCU at a large centre in China from June 2016 to May 2017. Data were captured after systematic inspection of individual medical records regarding current demographics, primary diagnosis, comorbidities, illnesses severity, and in-hospital outcomes. RESULTS: = 177). Multivariate logistic regression analysis showed that the complexity of chronic illnesses and incident ANCIs were strong independent determinants for in-hospital outcomes. CONCLUSIONS: Remarkable patient diversity and breadth of critical illnesses were observed in a Chinese ICCU population. Particularly, noncardiovascular diseases were prevalent and associated with adverse outcomes. Reformation of organization and staffing practices may be considered to adapt to the changed landscape.
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Chen et al. (2021) conducted an observational in Critical cardiac illness (n=2,337). Complexity of chronic illnesses and incident noncardiovascular diseases was evaluated on In-hospital outcomes. Complexity of chronic illnesses and incident noncardiovascular diseases were strong independent determinants for adverse in-hospital outcomes in a Chinese intensive cardiac care unit.
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