ArticleAmerican journal of respiratory and critical care medicine2015
The impact of the organization of high-dependency care on acute hospital mortality and patient flow for critically ill patients.
Article in American journal of respiratory and critical care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Critical Care Management of Surgically Treated Gynecological Cancer Patients: Current Concepts and Future Directions.Cancers · 2025Review
- The Role of Intermediate Care in Supporting Critically Ill Patients and Critical Care Infrastructure.Critical care clinics · 2024Review
- Lung Protective Ventilation Adherence and Outcomes for Patients With COVID-19 Acute Respiratory Distress Syndrome Treated in an Intermediate Care Unit Repurposed to ICU Level of Care.Critical care explorations · 2024Observational
- Impact on 6-month outcomes of hospital trajectory in critically ill older patients: analysis of the ICE-CUB2 clinical trial.Annals of intensive care · 2022Article
- Hidden hospital mortality in patients with sepsis discharged from the intensive care unit.Revista Brasileira de terapia intensiva · 2019Observational
- Observational
- Observational
- A Proposal for an Intermediate Care Unit-Quality Measurement Framework.Critical care research and practice · 2018Article
- Intermediate care to intensive care triage: A quality improvement project to reduce mortality.Journal of critical care · 2017Article
- Outcomes of Emergency Medical Patients Admitted to an Intermediate Care Unit With Detailed Admission Guidelines.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2017Article
- Rising Billing for Intermediate Intensive Care among Hospitalized Medicare Beneficiaries between 1996 and 2010.American journal of respiratory and critical care medicine · 2016Article
- Organizational characteristics, outcomes, and resource use in 78 Brazilian intensive care units: the ORCHESTRA study.Intensive care medicine · 2015Article
- Epidemiology of admissions to 11 stand-alone high-dependency care units in the UK.Intensive care medicine · 2015Article
- Acute physiology and chronic health evaluation score and mortality of patients admitted to intermediate care units of a hospital in a low- and middle-income country: A cross-sectional study from Pakistan.International journal of critical illness and injury scienceArticle
- Shortage of intensive care specialists in the United States: recent insights and proposed solutions.Revista Brasileira de terapia intensivaArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
rationaleLittle is known about the utility of provision of high-dependency care (HDC) that is in a geographically separate location from a primary intensive care unit (ICU).
objectivesTo determine whether the availability of HDC in a geographically separate unit affects patient flow or mortality for critically ill patients.
methodsAdmissions to ICUs in the United Kingdom, from 2009 to 2011, who received Level 3 intensive care in the first 24 hours after admission and subsequently Level 2 HDC. We compared differences in patient flow and outcomes for patients treated in hospitals providing some HDC in a geographically separate unit (dual HDC) with patients treated in hospitals providing all HDC in the same unit as intensive care (integrated HDC) using multilevel mixed effects models. MEASUREMENTS AND MAIN
resultsIn 192 adult general ICUs, 21.4% provided dual HDC. Acute hospital mortality was no different for patients cared for in ICUs with dual HDC versus those with integrated HDC (adjusted odds ratio, 0.94 [0.86-1.03]; P = 0.16). Dual HDC was associated with a decreased likelihood of a delayed discharge from the primary unit. However, total duration of critical care and the likelihood of discharge from the primary unit at night were increased with dual HDC.
conclusionsAvailability of HDC in a geographically separate unit does not impact acute hospital mortality. The potential benefit of decreasing delays in discharge should be weighed against the increased total duration of critical care and greater likelihood of a transfer out of the primary unit at night.
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