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An observational study to determine the effect of delayed admission to the intensive care unit on patient outcome

INTRODUCTION: Delayed patient admission to the intensive care unit (ICU) due to lack of bed availability is a common problem, but the effect on patient outcome is not fully known. METHODS: A retrospective study was performed using departmental computerised records to determine the effect of delayed...

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Autores principales: O'Callaghan, David JP, Jayia, Parveen, Vaughan-Huxley, Eyston, Gribbon, Michael, Templeton, Maie, Skipworth, James RA, Gordon, Anthony C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682272/
https://www.ncbi.nlm.nih.gov/pubmed/23025890
http://dx.doi.org/10.1186/cc11650
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author O'Callaghan, David JP
Jayia, Parveen
Vaughan-Huxley, Eyston
Gribbon, Michael
Templeton, Maie
Skipworth, James RA
Gordon, Anthony C
author_facet O'Callaghan, David JP
Jayia, Parveen
Vaughan-Huxley, Eyston
Gribbon, Michael
Templeton, Maie
Skipworth, James RA
Gordon, Anthony C
author_sort O'Callaghan, David JP
collection PubMed
description INTRODUCTION: Delayed patient admission to the intensive care unit (ICU) due to lack of bed availability is a common problem, but the effect on patient outcome is not fully known. METHODS: A retrospective study was performed using departmental computerised records to determine the effect of delayed ICU admission and temporary management within the operating theatre suite on patient outcome. Emergency surgical and medical patients admitted to the ICU (2003 to 2007) were divided into delay (more than three hours from referral to admission) and no-delay (three or fewer hours from referral to admission) groups. Our primary outcome measure was length of ICU stay. Secondary outcome measures were mortality rates and duration of organ support. RESULTS: A total of 1,609 eligible patients were included and 149 (9.3%) had a delayed admission. The delay and no-delay groups had similar baseline characteristics. Median ICU stay was 5.1 days (delay) and 4.5 days (no-delay) (P = 0.55) and ICU mortality was 26.8% (delay) and 24.2% (no-delay) (P = 0.47). Following adjustment for demographic and baseline characteristics there was no difference in either length of ICU stay or mortality rates between groups. ICU admission delay was associated with both an increased requirement for advanced respiratory support (92.3% delay vs. 76.4% no-delay, P <0.01) and a longer time spent ventilated (median four days delay vs. three days no-delay, P = 0.04). CONCLUSIONS: No significant difference in length of ICU stay or mortality rate was demonstrated between the delay and no-delay cohorts. Patients within the delay group had a significantly greater requirement for advanced respiratory support and spent a longer time ventilated.
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spelling pubmed-36822722013-06-25 An observational study to determine the effect of delayed admission to the intensive care unit on patient outcome O'Callaghan, David JP Jayia, Parveen Vaughan-Huxley, Eyston Gribbon, Michael Templeton, Maie Skipworth, James RA Gordon, Anthony C Crit Care Research INTRODUCTION: Delayed patient admission to the intensive care unit (ICU) due to lack of bed availability is a common problem, but the effect on patient outcome is not fully known. METHODS: A retrospective study was performed using departmental computerised records to determine the effect of delayed ICU admission and temporary management within the operating theatre suite on patient outcome. Emergency surgical and medical patients admitted to the ICU (2003 to 2007) were divided into delay (more than three hours from referral to admission) and no-delay (three or fewer hours from referral to admission) groups. Our primary outcome measure was length of ICU stay. Secondary outcome measures were mortality rates and duration of organ support. RESULTS: A total of 1,609 eligible patients were included and 149 (9.3%) had a delayed admission. The delay and no-delay groups had similar baseline characteristics. Median ICU stay was 5.1 days (delay) and 4.5 days (no-delay) (P = 0.55) and ICU mortality was 26.8% (delay) and 24.2% (no-delay) (P = 0.47). Following adjustment for demographic and baseline characteristics there was no difference in either length of ICU stay or mortality rates between groups. ICU admission delay was associated with both an increased requirement for advanced respiratory support (92.3% delay vs. 76.4% no-delay, P <0.01) and a longer time spent ventilated (median four days delay vs. three days no-delay, P = 0.04). CONCLUSIONS: No significant difference in length of ICU stay or mortality rate was demonstrated between the delay and no-delay cohorts. Patients within the delay group had a significantly greater requirement for advanced respiratory support and spent a longer time ventilated. BioMed Central 2012 2012-10-01 /pmc/articles/PMC3682272/ /pubmed/23025890 http://dx.doi.org/10.1186/cc11650 Text en Copyright ©2012 O'Callaghan et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
O'Callaghan, David JP
Jayia, Parveen
Vaughan-Huxley, Eyston
Gribbon, Michael
Templeton, Maie
Skipworth, James RA
Gordon, Anthony C
An observational study to determine the effect of delayed admission to the intensive care unit on patient outcome
title An observational study to determine the effect of delayed admission to the intensive care unit on patient outcome
title_full An observational study to determine the effect of delayed admission to the intensive care unit on patient outcome
title_fullStr An observational study to determine the effect of delayed admission to the intensive care unit on patient outcome
title_full_unstemmed An observational study to determine the effect of delayed admission to the intensive care unit on patient outcome
title_short An observational study to determine the effect of delayed admission to the intensive care unit on patient outcome
title_sort observational study to determine the effect of delayed admission to the intensive care unit on patient outcome
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682272/
https://www.ncbi.nlm.nih.gov/pubmed/23025890
http://dx.doi.org/10.1186/cc11650
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