Does intermediate care improve patient outcomes or reduce costs?

Critical Care : the Official Journal of the Critical Care Forum
Jean-Louis Vincent, Gordon D Rubenfeld

Abstract

ICUs are an essential but expensive part of all modern hospitals. With increasingly limited healthcare funding, methods to reduce expenditure without negatively influencing patient outcomes are, therefore, of interest. One possible solution has been the development of 'intermediate care units', which provide more intensive monitoring and patient management with higher nurse:patient ratios than the general ward but less than is offered in the ICU. However, although such units have been introduced in many hospitals, there is relatively little published, especially prospective, evidence to support the benefits of this approach on costs or patient outcomes. We review the available data and suggest that, where possible, a larger unit with combined intermediate care and intensive care beds in one location may be preferable in terms of greater flexibility and efficiency.

References

May 30, 1998·Archives of Internal Medicine·G E RosenthalG S Cooper
Feb 8, 2000·Intensive Care Medicine·J L Vincent, H Burchardi
May 25, 2001·Critical Care Medicine·A L RosenbergC M Watts
Mar 31, 2004·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Yaseen ArabiAbdullah Al Shimemeri
Jun 9, 2005·Respiratory Medicine·Guido BertoliniUNKNOWN Aipo (Associazione Italiana Pneumologi Ospedalieri) Group
Nov 24, 2006·Internal and Emergency Medicine·Anette Hylen RanhoffMarco Trabucchi
Apr 4, 2008·British Journal of Anaesthesia·A J CampbellB H Cuthbertson
May 17, 2008·Critical Care : the Official Journal of the Critical Care Forum·Barbara C J SolbergGraham Ramsay
May 22, 2008·Annals of the Royal College of Surgeons of England·Mary TeliMichael H Lewis
Aug 18, 2009·Journal of Critical Care·Jack E Zimmerman, Andrew A Kramer
Dec 3, 2009·JAMA : the Journal of the American Medical Association·Jean-Louis VincentUNKNOWN EPIC II Group of Investigators
Jun 10, 2010·JAMA : the Journal of the American Medical Association·Jeremy M KahnTheodore J Iwashyna
Jun 3, 2011·Critical Care Nurse·Kathleen M Stacy
Apr 6, 2012·Intensive Care Medicine·Mrudula H KanhereGuy J Maddern
May 9, 2012·Critical Care Medicine·Hayley B GershengornHannah Wunsch
Feb 1, 2013·The New England Journal of Medicine·Lena M ChenTimothy P Hofer
Aug 28, 2014·American Journal of Respiratory and Critical Care Medicine·Meghan Prin, Hannah Wunsch
Dec 6, 2014·Critical Care Medicine·Yasser SakrUNKNOWN Extended Prevalence of Infection in Intensive Care Study Investigators
Feb 11, 2015·Critical Care : the Official Journal of the Critical Care Forum·Maurizia CapuzzoUNKNOWN Working Group on Health Economics of the European Society of Intensive Care Medicine

❮ Previous
Next ❯

Citations

Sep 16, 2015·American Journal of Respiratory and Critical Care Medicine·Michael W SjodingColin R Cooke
Oct 24, 2015·Intensive Care Medicine·Antoni TorresJan Bakker
Jul 12, 2016·Best Practice & Research. Clinical Anaesthesiology·Berthold BeinJan-Thorsten Gräsner
Apr 30, 2017·Postgraduate Medical Journal·Ali A AlsaadMichael J Maniaci
Feb 1, 2018·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·U HamsenW Schwenk
Jan 25, 2019·Anesthesia and Analgesia·Nicholas MendisUNKNOWN Canadian Perioperative Anesthesia Clinical Trials Group (PACT)
Mar 30, 2020·Hospital Pediatrics·Daryl R ChengCarolyn E Beck
Jan 11, 2020·Critical Care Medicine·Jason PhuaUNKNOWN Asian Analysis of Bed Capacity in Critical Care (ABC) Study Investigators, and the Asian Critical Care Clinical Trials Group
May 25, 2016·European Journal of Anaesthesiology·Pagona Koukiasa, Antonio M Esquinas
Sep 25, 2018·Critical Care Research and Practice·Peter M ReardonKwadwo Kyeremanteng
Nov 23, 2019·BMC Medical Informatics and Decision Making·Alexander LassnigJoerg Schroettner
Aug 5, 2017·Critical Care Research and Practice·Joost D J PlateFalco Hietbrink
Dec 14, 2017·Anais Da Academia Brasileira De Ciências·Audrey M Dos ReisLuis Fernando Moreira
Aug 29, 2018·Critical Care Research and Practice·Joost D J PlateFalco Hietbrink
Jun 20, 2019·Minerva anestesiologica·Francesca InnocentiRiccardo Pini
Jul 17, 2020·Critical Care Explorations·Suparerk LekwijitGabriel J Escobar
Jan 6, 2016·Critical Care : the Official Journal of the Critical Care Forum·Jean-Louis Vincent, Jacques Creteur
Oct 23, 2019·Journal of Intensive Care Medicine·Rebeccah M BruscaDavid N Hager
Aug 11, 2020·The Journal of Trauma and Acute Care Surgery·Lacey N LaGroneJoseph Cuschieri
Dec 29, 2020·The American Journal of Hospice & Palliative Care·Alexander RimarRachael L Spooner
Mar 6, 2021·Trauma Surgery & Acute Care Open·Stephen E RanneyAjai K Malhotra
Sep 2, 2021·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Joao Gabriel Rosa RamosPaulo Benigno Pena Batista
Apr 23, 2021·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Gabriela Ruiz ColónLisa Shieh

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Critical Care Medicine
Theodore J IwashynaJeremy M Kahn
Journal of Clinical Monitoring and Computing
Abele DonatiPaolo Pelaia
BMJ : British Medical Journal
P A CupplesN D Storey
© 2021 Meta ULC. All rights reserved