Influence of Admission Source on the Outcome of Patients in an Intensive Care Unit

Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
Anirban Hom ChoudhuriRajeev Uppal

Abstract

The admission in the Intensive Care Unit (ICU) occurs from various sources, and the outcome depends on a complex interplay of various factors. This observational study was undertaken to describe the epidemiology and compare the differences among patients admitted in a tertiary care ICU directly from the emergency room, wards, and ICUs of other hospitals. A retrospective study was conducted on 153 consecutive patients admitted from various sources in a tertiary care ICU between July 2014 and December 2015. The primary endpoint of the study was the influence of the admission source on ICU mortality. The secondary endpoints were the comparison of the duration of mechanical ventilation, length of ICU stay, and the ICU complication rates between the groups. Out of the 153 patients enrolled, the mortality of patients admitted from the ICUs of other hospital were significantly higher than the patients admitted directly from the emergency room or wards/operating rooms (60.5% vs. 48.2% vs. 31.9%; P = 0.02). The incidence of ventilator-associated lung injury was lower in the patients admitted directly from the emergency room (23.4% vs. 50% vs. 50%; P = 0.03). Multivariate logistic regression analysis revealed higher age, increased diseas...Continue Reading

References

Aug 1, 1987·Critical Care Medicine·H W GervaisW Dick
Feb 27, 1986·The New England Journal of Medicine·R L SchiffS Whitman
Sep 1, 1995·Critical Care Medicine·E WallenR A Orr
May 17, 1997·BMJ : British Medical Journal·P A MackenzieP G Wallace
Mar 15, 2001·The Medical Journal of Australia·G J Duke, J V Green
Jun 5, 2003·Annals of Internal Medicine·Andrew L RosenbergRodney A Hayward
May 15, 2008·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Folafoluwa O OdetolaThomas P Shanley

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