Description of various types of intensive and intermediate care units in France. French Multicentric Group of ICU Research

Intensive Care Medicine

Abstract

The types of intensive care are multiple. The aim of this multicentric study was to describe activity of different ICUs using the same methods. 38 ICU were chosen by cooption, not randomization. Collected data concerned input (age, previous health status (HS), Simplified Acute Physiology Score or SAPS, Intensive Care Group (ICG), processes (TISS points), percentage of ventilated patients and pulmonary arterial lines and outcome (ICU death rate). The 3 ICG were: M = medical: all the none surgical patients; S = surgical patients operated in emergency setting during the week preceding or following ICU admission; E = surgical patients whose admission to ICU was scheduled at least 24 h before because of elective surgery. 3,687 patients were studied, classified as follows: M = 2175; S = 885; E = 627. The first part of the results concerned the differences between the three ICG: inputs, processes and outcome were very different in the three groups M, S, E, particularly in the E (elective) group, where therapeutic level was higher for low SAPS and mortality lower for high SAPS. The second part of the results concerns the differences between the ICUs. Intermediate units had older, less severe, and mainly medical patients. Surgical patie...Continue Reading

References

Oct 1, 1985·Critical Care Medicine·W A KnausJ E Zimmerman
Sep 18, 1982·Lancet·W A KnausJ E Zimmerman
Sep 24, 1983·Lancet·J R Le GallA Alperovitch
Nov 1, 1984·Critical Care Medicine·J R Le GallD Villers
Jan 1, 1983·Critical Care Medicine·A R Keene, D J Cullen

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