National trends in coronary intensive care unit admissions, resource utilization, and outcomes

Background: Emerging evidence suggests that coronary intensive care units are evolving into intensive care environments with an increasing burden of non-cardiovascular illness, but previous studies have been limited to older populations or single center experiences. Methods: Canadian national health...

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Bibliographic Details
Published in:European heart journal. Acute cardiovascular care 2020-12, Vol.9 (8), p.923-930
Main Authors: Woolridge, Sarah, Alemayehu, Wendimagegn, Kaul, Padma, Fordyce, Christopher B, Lawler, Patrick R, Lemay, Michel, Jentzer, Jacob C, Goldfarb, Michael, Wong, Graham C, Armstrong, Paul W, van Diepen, Sean
Format: Article
Language:English
Subjects:
Aged
Coronary Care Units - statistics & numerical data
Female
Health Resources - statistics & numerical data
Heart Diseases - epidemiology
Heart Diseases - therapy
Humans
Incidence
Male
Middle Aged
Patient Admission - trends
Quebec - epidemiology
Retrospective Studies
Survival Rate - trends
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Summary:Background: Emerging evidence suggests that coronary intensive care units are evolving into intensive care environments with an increasing burden of non-cardiovascular illness, but previous studies have been limited to older populations or single center experiences. Methods: Canadian national health-care data was used to identify all patients ≥18 years admitted to dedicated coronary intensive care units (2005–2015) and admissions were categorized as primary cardiac or non-cardiac. The outcomes of interest included longitudinal trends in admission diagnoses, critical care therapies, and all-cause in-hospital mortality. Results: Among the 373,992 patients admitted to a coronary intensive care unit, minimal changes in the proportion of patients admitted with a primary cardiac (88.2% to 86.9%; p
ISSN:2048-8726
2048-8734
DOI:10.1177/2048872619883400