Neurological intensive care admissions: identifying candidates for intermediate care and the services they receive

Neurosurgery
J E ZimmermanW A Knaus

Abstract

The high cost and scarcity of intensive care unit (ICU) beds has resulted in a need for improved utilization. This study describes the characteristics of patients who are admitted to the ICU for neurosurgical and neurological care, identifies patients who might receive all or most of their care in an intermediate care unit, and describes the services the patients would receive in an intermediate care unit. We describe patients who received neurological care and who were part of a prospective study of 17,440 patients admitted to 42 ICUs at 40 United States hospitals. We identified patients who received only monitoring during ICU Day 1 and then used a previously validated equation to distinguish which patients were at low risk (< 10%) for subsequent active life-supporting therapy. We also describe the services these patients received during their ICU stay. Among 3000 patients admitted to the ICU for neurological care, 1350 received active therapy and 1650 (55%) underwent monitoring and received concentrated nursing care on ICU Day 1. After excluding those patients who received active therapy at admission, 1288 (78%) of the 1650 patients who underwent monitoring at admission were at low risk (< 10%) for subsequent active therapy; ...Continue Reading

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Citations

Nov 1, 2000·Critical Care Medicine·A L RosenbergW A Knaus
Sep 6, 2011·Journal of Neurosurgery·John Q H BuiMatthias Jaeger
Mar 17, 2017·Journal of Neurosurgery·Jeffrey E FlormanAnand I Rughani
Mar 30, 2001·AACN Clinical Issues·S Dawson, J A Runk
Dec 18, 2010·European Journal of Anaesthesiology·Bernhard Walder
Aug 14, 1999·Critical Care Medicine·J E Zimmerman
Apr 21, 2005·Journal of Neurosurgical Anesthesiology·Minna NiskanenRitva Vanninen
Mar 20, 2010·Wiener medizinische Wochenschrift·Mohammad TezvalKlaus Michael Stürmer
Aug 12, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Lashmi VenkatraghavanPirjo Manninen
Jul 23, 2014·The International Journal of Neuroscience·Jian-Cang ZhouHong-Chen Zhao
Jun 8, 2013·AJNR. American Journal of Neuroradiology·A M BurrowsG Lanzino

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