Admissions of critically ill patients to the ED intensive care unit

The American Journal of Emergency Medicine
Mehmet Ali AslanerMehmet Mahir Özmen

Abstract

Many emergency departments (EDs) have established units capable of providing critical care because of increasing need for critical care, called as ED intensive care unit (EDICU). However, prolonged critical care leads to crowding, resulting in poor quality of care and high mortality rates. We aimed to determine which type of critically ill patients play a main role for crowding in the EDICU, and how to manage these patients. Patients aged older than 18 years who presented to the ED and presented for consultation to the ICU were eligible for inclusion in this study. Patients were classified into 4 priority groups by the Society of Critical Care Medicine. Four hundred medical patients were enrolled in the study. Sixty-one patients were not admitted to hospital (15.2% of all patients) and were treated in the EDICU. These patients were older (mean age, 66.6 years) and had a higher percentage belonging to the priority 3 group (82.0%-unstable with reduced likelihood of recovery due to chronic illness) in comparison with other ICUs patients (mean age, 60.4 years and 11.9%, respectively) (P < .05). In priority 3 patients, the length of stay was median 120 hours, and also, length of invasive mechanical ventilations duration was median 1...Continue Reading

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Citations

Oct 22, 2016·The American Journal of Emergency Medicine·Mehmet Ali AslanerSerkan Emre Eroğlu
Dec 6, 2018·Revista da Associação Médica Brasileira·Maria Aparecida ScottiniJosé Eduardo de Siqueira
Mar 14, 2020·Journal of the Chinese Medical Association : JCMA·Che YangDavid Hung-Tsang Yen
Nov 5, 2020·Journal of the American College of Emergency Physicians Open·Samantha S StricklerJohn M Oropello
Sep 26, 2020·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Julia CrillyAndrea P Marshall

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