Variation in critical care unit admission rates and outcomes for patients with acute coronary syndromes or heart failure among high- and low-volume cardiac hospitals

Journal of the American Heart Association
Sean van DiepenJustin A Ezekowitz

Abstract

Little is known about cross-hospital differences in critical care units admission rates and related resource utilization and outcomes among patients hospitalized with acute coronary syndromes (ACS) or heart failure (HF). Using a population-based sample of 16,078 patients admitted to a critical care unit with a primary diagnosis of ACS (n=14,610) or HF (n=1467) between April 1, 2003 and March 31, 2013 in Alberta, Canada, we stratified hospitals into high (>250), medium (200 to 250), or low (<200) volume based on their annual volume of all ACS and HF hospitalization. The percentage of hospitalized patients admitted to critical care units varied across low, medium, and high-volume hospitals for both ACS and HF as follows: 77.9%, 81.3%, and 76.3% (P<0.001), and 18.0%, 16.3%, and 13.0% (P<0.001), respectively. Compared to low-volume units, critical care patients with ACS and HF admitted to high-volume hospitals had shorter mean critical care stays (56.6 versus 95.6 hours, P<0.001), more critical care procedures (1.9 versus 1.2 per patient, <0.001), and higher resource-intensive weighting (2.8 versus 1.5, P<0.001). No differences in in-hospital mortality (5.5% versus 6.2%, adjusted odds ratio 0.93; 95% CI, 0.61 to 1.41) were observed...Continue Reading

References

Oct 1, 1967·The American Journal of Cardiology·T Killip, J T Kimball
Dec 1, 1994·Critical Care Medicine·N A HalpernR Greenstein
Nov 1, 1995·Intensive Care Medicine·D B ChalfinJ Lambrinos
Oct 13, 1998·Journal of the American College of Cardiology·P N CasaleL M Eby
Mar 6, 2003·Medical Care·John RapoportStanley Lemeshow
Jan 11, 2005·Critical Care Medicine·Liesl M Cooper, Walter T Linde-Zwirble
Nov 29, 2005·The American Journal of Cardiology·Olivier HugliCarlos A Camargo
Jul 11, 2006·The New England Journal of Medicine·Jeremy M KahnGordon D Rubenfeld
Sep 27, 2006·European Heart Journal·Markku S NieminenUNKNOWN Heart Failure Association, European Society of Cardiology
Mar 31, 2007·Journal of the American College of Cardiology·Jason N KatzRichard C Becker
Feb 14, 2009·Journal of the American College of Cardiology·V S SrinivasMichael H Alderman
May 6, 2010·JAMA : the Journal of the American Medical Association·Adrian F HernandezLesley H Curtis
Jul 3, 2013·Circulation. Heart Failure·Finlay A McAlisterRaj S Padwal
Aug 9, 2013·Circulation. Heart Failure·Karen E JoyntAshish K Jha
Aug 21, 2013·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Finlay A McAlisterCarl van Walraven
Jan 10, 2014·American Journal of Respiratory and Critical Care Medicine·Allan J Walkey, Renda Soylemez Wiener
Jun 3, 2014·The Canadian Journal of Cardiology·Cathy A EastwoodHude Quan

❮ Previous
Next ❯

Citations

May 18, 2016·American Heart Journal·Sean van DiepenJustin A Ezekowitz
Jan 2, 2016·Journal of Intensive Care Medicine·Timothy D QuinnRichard D Urman
Apr 20, 2018·Annals of Plastic Surgery·Alexandra BucknorSamuel J Lin
Jan 25, 2018·BioMed Research International·Gianni CasellaLuigi Oltrona Visconti
Jun 13, 2015·Journal of the American Heart Association·Sean van Diepen
Jan 31, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·David A CookJohn M Wilkinson
Oct 31, 2019·European Heart Journal. Acute Cardiovascular Care·Sarah WoolridgeSean van Diepen
Apr 14, 2018·European Heart Journal. Acute Cardiovascular Care·Nariman SepehrvandJustin A Ezekowitz
Jul 17, 2020·European Heart Journal. Acute Cardiovascular Care·Marc FerrerUNKNOWN RUTI-ICCU Study
Jan 25, 2020·European Heart Journal. Acute Cardiovascular Care·M J ClaeysE Bonnefoy
Dec 29, 2020·IJC Heart & Vasculature·Basheer KarkabiAvinoam Shiran
Feb 21, 2021·European Heart Journal. Acute Cardiovascular Care·Marc FerrerAntoni Bayes-Genis

❮ Previous
Next ❯

Methods Mentioned

BETA
coronary bypass

Software Mentioned

SAS

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

Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Ashwin N AnanthakrishnanKia Saeian
Journal of the American Society of Nephrology : JASN
Sushrut S WaikarGlenn M Chertow
The American Journal of Cardiology
Edward L HannanSamin Sharma
© 2022 Meta ULC. All rights reserved