ArticleBMC anesthesiology2014
Introducing an integrated intermediate care unit improves ICU utilization: a prospective intervention study.
Article in BMC anesthesiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed.
- Intensive care patients eligible for intermediate care unit-level care: a single-centre prospective cohort study in Belgium.Critical care science · 2026Article
- Intermediate care units: an effective alternative to reduce intensive care unit admissions-a prospective cohort study.Internal and emergency medicine · 2025Observational
- Optimizing Pediatric Intermediate Care: Clinical Predictors of Deterioration and Length of Stay in a Tertiary Setting.Journal of clinical medicine · 2025Article
- Outcomes and cost-effectiveness of intermediate care units for patients discharged from the intensive care unit: a nationwide retrospective observational study.Critical care (London, England) · 2025Observational
- Evaluating treatment and care outcomes for neuromuscular diseases in a pediatric intermediate care setting.Frontiers in pediatrics · 2025Article
- The Role of Intermediate Care in Supporting Critically Ill Patients and Critical Care Infrastructure.Critical care clinics · 2024Review
- A Comparison of Different Intensive Care Unit Definitions Derived from the German Administrative Data Set: A Methodological, Real-World Data Analysis from 86 Helios Hospitals.Journal of clinical medicine · 2024Article
- [A clinical study of high dependency units to reduce ICU readmission rates in patients with severe liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2023Article
- Creation and Expansion of a Mixed Patient Intermediate Care Unit to Improve ICU Capacity.Critical care explorations · 2023Article
- Measuring surge capacity: preparing for the unexpected.Internal and emergency medicine · 2023Article
- Article
- Description of an Integrated and Dynamic System to Efficiently Deal With a Raging COVID-19 Pandemic Peak.Frontiers in medicine · 2022Article
- Readmission into intensive care unit in patients with aneurysmal subarachnoid hemorrhage.Journal of cerebrovascular and endovascular neurosurgery · 2021Article
- Can integrated care improve the efficiency of hospitals? Research based on 200 Hospitals in China.Cost effectiveness and resource allocation : C/E · 2021Article
- Effects of the intermediate care unit on the oldest-old general surgical patients: a retrospective, pre- and postintervention study.Aging clinical and experimental research · 2021Article
- From intensive care to step-down units: Managing patients throughput in response to COVID-19.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Article
- Delay in ICU transfer is protective against ICU readmission in trauma patients: a naturally controlled experiment.Trauma surgery & acute care open · 2021Article
- Coronavirus Disease 2019 Intermediate Care Units: Containing Escalation of ICUs.Critical care medicine · 2020Article
- Semiautomated Glasgow-Blatchford Bleeding Score helps direct bed placement for patients with upper gastrointestinal bleeding.BMJ open gastroenterology · 2020Article
- How the high acuity unit changes mortality in the intensive care unit: a retrospective before-and-after study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImprovement of appropriate bed use and access to intensive care (ICU) beds is essential in optimizing utilization of ICU capacity. The introduction of an intermediate care unit (IMC) integrated in the ICU care may improve this utilization.
methodIn a before-after prospective intervention study in a university hospital mixed ICU, the impact of introducing a six-bed mixed IMC unit supervised and staffed by ICU physicians was investigated. Changes in ICU utilization (length of stay, frequency of mechanical ventilation use), nursing workload assessed byTISS-28 score, as well as inappropriate bed use, accessibility of the ICU (number of referrals), and clinical outcome indicators (readmission and mortality rates) were measured.
resultsDuring 17 months, data of 1027 ICU patients were collected. ICU utilization improved significantly with an increased appropriate use of ICU beds. However, the number of referrals, readmissions to the ICU and mortality rates did not decrease after the IMC was opened.
conclusionThe IMC contributed to a more appropriate use of ICU facilities and did result in a significant increase in mean nursing workload at the ICU.
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