Inadequate ICU-admissions : A 12-month prospective cohort study at a German University Hospital

Medizinische Klinik, Intensivmedizin und Notfallmedizin
K BangertS Kluge

Abstract

Intensive care medicine (ICM) is increasingly utilized by a growing number of critically ill patients worldwide. The reasons for this are an increasingly ageing and multimorbid population and technological improvements in ICM. Inappropriate patient admissions to the intensive care unit (ICU) can be a threat to rational resource allocation and to patient autonomy. In this study, the incidence, characteristics, and resource utilization of patients inappropriately admitted to ICUs are studied. This prospective study included all consecutive patients admitted from 01 September 2012 to 31 August 2013 to the Department of Intensive Care Medicine of a German university hospital comprised of 10 ICUs and 120 beds. Inappropriate admission was defined according to category 4B of the recommendations of the Society of Critical Care Medicine (SCCM; "futility of ICU treatment" or "ICU declined by patient") and was determined in each suspected case by structured group discussions between the study team and all involved care givers including the referring team. In all, 66 of 6452 ICU admissions (1 %) were suspected to have been inappropriate on retrospective evaluation the day after admission. In 50 patients (0.8 %), an interdisciplinary consen...Continue Reading

References

Jun 28, 2007·Critical Care : the Official Journal of the Critical Care Forum·Onnen MoererHilmar Burchardi
Jan 20, 2011·Critical Care : the Official Journal of the Critical Care Forum·Lucienne T Q CardosoAna M Bonametti
Feb 22, 2012·American Journal of Respiratory and Critical Care Medicine·René RobertUNKNOWN Association des Réanimateurs du Centre Ouest Group
Mar 1, 2012·Deutsche medizinische Wochenschrift·M SchöffnerS Sahm
Dec 12, 2012·The New England Journal of Medicine·John F McConville, John P Kress
Aug 9, 2013·Intensive Care Medicine·Charles L SprungRobert D Truog
Oct 2, 2014·Medizinische Klinik, Intensivmedizin und Notfallmedizin·A NierhausS Kluge
Jun 27, 2015·Deutsche medizinische Wochenschrift·Antonius ReifferscheidJürgen Wasem

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Citations

Jan 28, 2016·Medizinische Klinik, Intensivmedizin und Notfallmedizin·G Duttge
Jun 18, 2017·Medizinische Klinik, Intensivmedizin und Notfallmedizin·T MaierhoferW H Hartl

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