Impact of emergency department length of stay before icu admission on patient outcome
نویسندگان
چکیده
Methods An ambispective cohort study of adult patients consecutively admitted to an ICU exclusively from the ED, from October 2011 to March 2013. Variables recorded were: sex, age, comorbidities, ED length of stay, diagnosis, procedures, complications, severity scores (SOFA and APACHE II), ICU and hospital length of stay and evolution. For the assessment of clinical deterioration a Delta-SOFA score was calculated as the difference between SOFA score at ICU admission and SOFA score on ED admission. Statistical analysis was made using T-test, Mann-Whitney test, Chi-squared or Fisher’s exact test as appropriate. The coefficient of Spearman Rank was used to measure correlation between quantitative variables. Data were analysed with STATA v10.0. All P-value less than 0.05 were considered significant.
منابع مشابه
Clinical review: Impact of emergency department care on intensive care unit costs
Critical care is both expensive and increasing. Emergency department (ED) management of critically ill patients before intensive care unit (ICU) admission is an under-explored area of potential cost saving in the ICU. Although limited, current data suggest that ED care has a significant impact on ICU costs both positive and negative. ICU practices can also affect the ED, with a lack of ICU beds...
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