ReviewCritical care (London, England)2015
Does intermediate care improve patient outcomes or reduce costs?
Review in Critical care (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
50 citing papers in PubMed.
- Emulating a target trial of early compared with late initiation of appropriate antibiotic therapy for hospital-acquired monobacterial Gram-negative bloodstream infections.The Journal of antimicrobial chemotherapy · 2026Article
- Intensive care patients eligible for intermediate care unit-level care: a single-centre prospective cohort study in Belgium.Critical care science · 2026Article
- Intermediate Care Unit performance being properly assessed?Critical care (London, England) · 2025Article
- Intermediate care units: an effective alternative to reduce intensive care unit admissions-a prospective cohort study.Internal and emergency medicine · 2025Observational
- Intermediate Care Units in Europe and Italy: A Review of Structure, Outcomes, and Policy Implications for Internal Medicine.Journal of clinical medicine · 2025Review
- Optimizing Pediatric Intermediate Care: Clinical Predictors of Deterioration and Length of Stay in a Tertiary Setting.Journal of clinical medicine · 2025Article
- Improving acute care outcome in internal medicine: the role of early stabilization and intermediate care unit.Internal and emergency medicine · 2025Observational
- Patient Characteristics and Severity Trajectories in a Pediatric Intermediate Care Unit.Indian journal of pediatrics · 2025Observational
- Combining quality improvement and critical care training: Evaluating an ICU CPR training programme quality improvement initiative at the National Hospital in Tanzania.BMJ open quality · 2024Article
- The Role of Intermediate Care in Supporting Critically Ill Patients and Critical Care Infrastructure.Critical care clinics · 2024Review
- The role of centre and country factors on process and outcome indicators in critically ill patients with hospital-acquired bloodstream infections.Intensive care medicine · 2024Article
- Outcome of hospital-acquired bloodstream infection: interplay between bacteria, host, and healthcare system organization.Intensive care medicine · 2024Article
- Rural-Urban Differences in Mortality among Mechanically Ventilated Patients in Intensive and Intermediate Care.Annals of the American Thoracic Society · 2024Article
- Utility of Intermediate Care Units: A Systematic Review Study.Healthcare (Basel, Switzerland) · 2024Review
- Interventions to promote cost-effectiveness in adult intensive care units: consensus statement and considerations for best practice from a multidisciplinary and multinational eDelphi study.Critical care (London, England) · 2023Article
- Cost comparisons and factors related to cost per stay in intensive care units in Belgium.BMC health services research · 2023Article
- Where internal medical patients receive intensive interventions: results from a tertiary-care hospital in Israel.Israel journal of health policy research · 2023Observational
- 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
- Development of a Medium Care Unit Using an Inexperienced Respiratory Staff: Lessons Learned during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- Severe maternal morbidity: admission shift from intensive care unit to obstetric high-dependency unit.BMC pregnancy and childbirth · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
ICUs are an essential but expensive part of all modern hospitals. With increasingly limited healthcare funding, methods to reduce expenditure without negatively influencing patient outcomes are, therefore, of interest. One possible solution has been the development of 'intermediate care units', which provide more intensive monitoring and patient management with higher nurse:patient ratios than the general ward but less than is offered in the ICU. However, although such units have been introduced in many hospitals, there is relatively little published, especially prospective, evidence to support the benefits of this approach on costs or patient outcomes. We review the available data and suggest that, where possible, a larger unit with combined intermediate care and intensive care beds in one location may be preferable in terms of greater flexibility and efficiency.
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Registered trials
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.