Cost-effective use of microcomputers for quality assurance and resource utilization in the surgical intensive care unit

Critical Care Medicine
F F MuakkassaA A Meyer

Abstract

Need for organ system support, severity of illness, and the risk of life-threatening complications are major factors in determining the need for ICU care and directly affect ICU costs. Using a microcomputer and a relational database program, an ICU database was developed to study ICU utilization. The following information was collected for each ICU patient on admission, then daily, and on ICU discharge: demographic data, procedures, monitors used, laboratory tests, complications, outcome, and Acute Physiology and Chronic Health Evaluation (APACHE II) score as a measure of acuity. In our study, this information was used as a first step in an attempt to define categories of patients who might benefit most from intensive care and those who would not. From September 1, 1987 to March 1, 1989, 1,062 patients were admitted to the surgical ICU (SICU). Otorhinolaryngology (ENT) patients with major head and neck resections, routinely admitted to the SICU, were compared with those from other surgical services. The ENT patients had the lowest mean admission APACHE II (6.8 +/- 0.4 vs. 11.4 +/- 0.3), lowest mean daily APACHE II (7.8 +/- 0.4 vs. 13.2 +/- 0.1), lowest percent of ventilated patients (7.6% vs. 39.4%) and ventilator days (18.9% v...Continue Reading

Citations

Mar 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J A Vestrup
Mar 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·R J Byrick, G M Caskennette
Sep 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C J EagleD Pagenkopf
Dec 23, 2011·Journal of Maxillofacial and Oral Surgery·Seema Alice MathewVinod Narayanan

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