Outcomes of direct and indirect medical intensive care unit admissions from the emergency department of an acute care hospital: a retrospective cohort study.
Bottom Line: The following outcomes were compared: in-hospital mortality, 60-day mortality, LOS at the MICU/HDU, as well as total hospital LOS.There was no significant difference in total in-hospital LOS.As the magnitude of effect may vary across settings, context-specific studies may be useful for improving outcomes.
Affiliation: Health Services & Outcomes Research, National Healthcare Group, Singapore, Singapore.Show MeSH
Mentions: Looking at results separately for MICU and HDU, patients directly admitted from the ED to the MICU had a lower in-hospital mortality and 60-day mortality, and were less likely to stay in the hospital for more than 1 week than those indirectly admitted (figure 1). For those admitted to the HDU, directly admitted patients likewise had a lower in-hospital mortality and 60-day mortality, but were less likely to stay in the unit for more than 1 day. Among all direct admissions, in-hospital mortality and 60-day mortality were higher for patients admitted to the MICU than for those admitted to the HDU. In addition, MICU patients were more likely than HDU patients to stay in the unit for more than 1 day.
Affiliation: Health Services & Outcomes Research, National Healthcare Group, Singapore, Singapore.