ArticleCritical care medicine2009
Intensive care unit occupancy and patient outcomes.
Article in Critical care medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The Association Between Hospital Capacity Strain and Inpatient Outcomes in Highly Developed Countries: A Systematic Review.Journal of general internal medicine · 2017Pooled it
- Does patient volume affect clinical outcomes in adult intensive care units?Intensive care medicine · 2012Pooled it
- Diagnostic Innovations to Combat Antibiotic Resistance in Critical Care: Tools for Targeted Therapy and Stewardship.Diagnostics (Basel, Switzerland) · 2025Review
- Article
- Article
- Policy Proposals for Mitigating Intensive Care Unit Strain: Insights from the COVID-19 Pandemic.Annals of the American Thoracic Society · 2024Article
- Intensive care unit caseload and workload and their association with outcomes in critically unwell patients: a large registry-based cohort analysis.Critical care (London, England) · 2024Article
- Quality Indicators in Adult Critical Care Medicine.Global journal on quality and safety in healthcare · 2024Review
- Optimizing Pharmacist Team-Integration for ICU Patient Management: Rationale, Study Design, and Methods for a Multicentered Exploration of Pharmacist-to-Patient Ratio.Critical care explorations · 2023Article
- Intensivist physician-to-patient ratios and mortality in the intensive care unit.Intensive care medicine · 2023Article
- Interhospital Transfer Outcomes for Critically Ill Patients With Coronavirus Disease 2019 Requiring Mechanical Ventilation.Critical care explorations · 2021Article
- Assessment of a novel marker of ICU strain, the ICU Activity Index, during the COVID-19 pandemic in Victoria, Australia.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2021Article
- The association between mechanical ventilator compatible bed occupancy and mortality risk in intensive care patients with COVID-19: a national retrospective cohort study.BMC medicine · 2021Observational
- Association of Annual Intensive Care Unit Sepsis Caseload With Hospital Mortality From Sepsis in the United Kingdom, 2010-2016.JAMA network open · 2021Article
- Discordant Cardiopulmonary Resuscitation and Code Status at Death.Journal of pain and symptom management · 2021Article
- Association between intensive care unit occupancy at discharge, afterhours discharges, and clinical outcomes: a historical cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020Article
- Effects of Delayed Initiation of End-of-life Care in Terminally Ill Intensive Care Unit Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020Article
- Broadening the Scope of Healthcare Operations: Expanding Capacity Strain Hospital-Wide.Critical care medicine · 2020Article
- Association of intensive care unit occupancy during admission and inpatient mortality: a retrospective cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020Article
- Factors Associated With Increased Hospital Length of Stay in Peritoneal Dialysis Patients With Peritonitis: A Need for Antimicrobial Stewardship?Hospital pharmacy · 2020Article
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3 authors.
Funding
Abstract
principleAlthough intensive care units (ICUs) with higher overall patient volume may achieve better outcomes than lower volume ICUs, there are few data on the effects of increasing patient loads on patients within the ICU.
objectivesTo examine the association of ICU occupancy with the patient outcomes within the same ICU.
methodsWe examined 200,499 patients in 108 ICUs using the Acute Physiology and Chronic Health Evaluation IV database in 2002-2005. Daily census on the day of admission was determined for each patient and defined in relation to the mean census. We used conditional logistic regression to compare inpatient outcomes of patients admitted on high census days to those admitted in the same ICU on low census days. We controlled for severity of illness at the patient level using data on clinical, demographic, and physiologic variables on admission to the ICU. MEASUREMENTS AND MAIN
resultsPatients admitted on high census days had the same odds of inpatient mortality or transfer to another hospital as patients admitted on average or on low census days. These findings were robust to multiple alternative definitions of day of admission census and were confirmed in several subgroup analyses.
conclusionsThe ICUs in this data are able to function as high reliability organizations. They are able to scale up their operations to meet the needs of a wide range of operating conditions while maintaining consistent patient mortality outcomes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.