Hospital mortality of adults admitted to Intensive Care Units in hospitals with and without Intermediate Care Units: a multicentre European cohort study

The aim of the study was to assess whether adults admitted to hospitals with both Intensive Care Units (ICU) and Intermediate Care Units (IMCU) have lower in-hospital mortality than those admitted to ICUs without an IMCU. An observational multinational cohort study performed on patients admitted to...

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Published in:Critical care (London, England) England), 2014-10, Vol.18 (5), p.551-551, Article 551
Main Authors: Capuzzo, Maurizia, Volta, Carlo, Tassinati, Tania, Moreno, Rui, Valentin, Andreas, Guidet, Bertrand, Iapichino, Gaetano, Martin, Claude, Perneger, Thomas, Combescure, Christophe, Poncet, Antoine, Rhodes, Andrew
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Analysis
Cohort Studies
Europe - epidemiology
Female
Germany
Hospital Mortality - trends
Hospitals - trends
Human health and pathology
Humans
Intensive Care Units - trends
Intermediate Care Facilities - trends
Life Sciences
Male
Medical research
Medicine, Experimental
Middle Aged
Mortality
Patient Admission - trends
Poland
Spain
United Kingdom
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Summary:The aim of the study was to assess whether adults admitted to hospitals with both Intensive Care Units (ICU) and Intermediate Care Units (IMCU) have lower in-hospital mortality than those admitted to ICUs without an IMCU. An observational multinational cohort study performed on patients admitted to participating ICUs during a four-week period. IMCU was defined as any physically and administratively independent unit open 24 hours a day, seven days a week providing a level of care lower than an ICU but higher than a ward. Characteristics of hospitals, ICUs and patients admitted to study ICUs were recorded. The main outcome was all-cause in-hospital mortality until hospital discharge (censored at 90 days). One hundred and sixty-seven ICUs from 17 European countries enrolled 5,834 patients. Overall, 1,113 (19.1%) patients died in the ICU and 1,397 died in hospital, with a total of 1,397 (23.9%) deaths. The illness severity was higher for patients in ICUs with an IMCU (median Simplified Acute Physiology Score (SAPS) II: 37) than for patients in ICUs without an IMCU (median SAPS II: 29, P
ISSN:1364-8535
1466-609X
1364-8535
DOI:10.1186/s13054-014-0551-8