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Differences in severity and resource utilization for medical and surgical ICU patients

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Medical and surgical patients use the ICU differently... Patients admitted to a single, closed medical/surgical ICU with full-time intensivists and unified triage control in a large, university-affiliated hospital were evaluated during 2011 to 2012... In total, 20.2% of surgical and 21.3% of medical patients had an ICU LOS <1; P = 0.58... Admission severity was correlated with length of stay, P = 0.014 for both medical and surgical patients... Medical patients are sicker on admission and D/C from the ICU than surgical patients (P 0.05) (Figure 1)... ICU utilization differed by patient type even with unified triage control within a single unit... Surgical patients were less severely ill on admission to and D/C from the ICU... A significant percentage of medical and surgical patients are D/C within 1 day and may be more efficiently served in a less resource-intensive environment... The reasons for the differences in ICU utilization for surgical versus medical patients require clarification and may have implications for both resource utilization and cost.

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Mentions: A total of 719 surgical and 925 medical patients met inclusion criteria. In total, 20.2% of surgical and 21.3% of medical patients had an ICU LOS <1; P = 0.58. Admission severity was correlated with length of stay, P = 0.014 for both medical and surgical patients. Medical patients are sicker on admission and D/C from the ICU than surgical patients (P 0.05) (Figure 1).


Differences in severity and resource utilization for medical and surgical ICU patients
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3643036&req=5

Mentions: A total of 719 surgical and 925 medical patients met inclusion criteria. In total, 20.2% of surgical and 21.3% of medical patients had an ICU LOS <1; P = 0.58. Admission severity was correlated with length of stay, P = 0.014 for both medical and surgical patients. Medical patients are sicker on admission and D/C from the ICU than surgical patients (P 0.05) (Figure 1).

View Article: PubMed Central - HTML

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Medical and surgical patients use the ICU differently... Patients admitted to a single, closed medical/surgical ICU with full-time intensivists and unified triage control in a large, university-affiliated hospital were evaluated during 2011 to 2012... In total, 20.2% of surgical and 21.3% of medical patients had an ICU LOS <1; P = 0.58... Admission severity was correlated with length of stay, P = 0.014 for both medical and surgical patients... Medical patients are sicker on admission and D/C from the ICU than surgical patients (P 0.05) (Figure 1)... ICU utilization differed by patient type even with unified triage control within a single unit... Surgical patients were less severely ill on admission to and D/C from the ICU... A significant percentage of medical and surgical patients are D/C within 1 day and may be more efficiently served in a less resource-intensive environment... The reasons for the differences in ICU utilization for surgical versus medical patients require clarification and may have implications for both resource utilization and cost.

No MeSH data available.