PMID: 8604367Mar 1, 1996Paper

Survival experience of chronically critically ill patients

Nursing Research
S DouglasH D Montenegro

Abstract

Intensive care unit (ICU) patients were randomly assigned to either a traditional ICU or a special care unit (SCU) for chronically critically ill patients. The SCU used a low-technology, family-oriented environment, nursing case management, no physician house staff, and a shared governance model. In comparison, the ICU used high technology, limited family visiting, primary care nursing, and a bureaucratic management model. The survival experience of chronically critically ill patients in the two environments during hospitalization, as well as after hospital discharge, was examined. Using survival analytic techniques, the 1-year cumulative mortality for all patients in the study was found to be 59.9%. Risk of death was significantly lower after discharge than during hospitalization. Similar mortality experiences were found for SCU and ICU patients. Thus, the high-technology ICU environment did not produce better outcomes than the SCU environment.

References

Sep 1, 1992·Critical Care Medicine·G Vazquez MataE Aguayo de Hoyos
Sep 1, 1991·Journal of the American Geriatrics Society·S A Mayer-OakesB Leake
Jan 1, 1991·The Journal of Nursing Administration·J F Karshmer
Jan 1, 1991·Intensive Care Medicine·P MahulD Robert
Aug 1, 1989·The American Review of Respiratory Disease·D P Wagner
Sep 1, 1986·Critical Care Medicine·R L GoldsteinE Skinner
Jan 1, 1987·Acta Anaesthesiologica Scandinavica. Supplementum·O LøesB Lind
Aug 1, 1987·Critical Care Medicine·B Zarén, U Hedstrand
Sep 1, 1986·Critical Care Medicine·W M SageJ F Silverman
Mar 1, 1987·Archives of Internal Medicine·J E Spicher, D P White
Nov 1, 1984·Archives of Surgery·G J BeckerH J Saranchak
Jul 1, 1995·Nursing·P Angelucci
Sep 1, 1993·Nursing Research·E B RudyP Shiao
Jun 23, 1993·JAMA : the Journal of the American Medical Association·L ChelluriA Grenvik

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Citations

Mar 29, 2001·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·D Elliott
Nov 11, 2010·Annals of the New York Academy of Sciences·Michael A ViaJeffrey I Mechanick
Apr 8, 2006·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Marie-José Roulin, Rebecca Spirig
Jul 27, 2002·Critical Care Clinics·Thomas H Kalb, Scott Lorin
Sep 7, 2016·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Marion L MitchellToni Dwan
Dec 11, 1997·AACN Clinical Issues·G Tolley, S Prevost
Jul 9, 2004·Critical Care Medicine·Judith E NelsonR Sean Morrison
Dec 14, 2012·The Cochrane Database of Systematic Reviews·Francesca DwamenaAdesuwa Olomu
Apr 20, 2007·The Cochrane Database of Systematic Reviews·P D GriffithsG Ritchie
Jul 2, 2009·Environmental Health and Preventive Medicine·Yuri HibinoHiroyuki Nakamura
Dec 1, 1999·Critical Care Medicine·D M Nierman, J I Mechanick
Jul 22, 2004·Nursing Research·Carol G KelleySara L Douglas

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