ArticleIntensive care medicine2015
Epidemiology of admissions to 11 stand-alone high-dependency care units in the UK.
Article in Intensive care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outcomes following extended postoperative recovery unit admission in noncardiac surgery: A systematic review and meta-analysis.European journal of anaesthesiology · 2025Pooled it
- Prevalence and Antimicrobial Susceptibility Patterns of Nosocomial Bacteria across Different Units at King Faisal Complex Hospital, Taif, Kingdom of Saudi Arabia.Saudi medical journal · 2026Article
- Outcomes of patients with hypertensive emergency managed in intensive vs intermediate care settings: a multihospital retrospective cohort study.Annals of the American Thoracic Society · 2026Observational
- Critical Care Management of Surgically Treated Gynecological Cancer Patients: Current Concepts and Future Directions.Cancers · 2025Review
- The Fenice project to evaluate and improve the quality of healthcare in high-dependency care units: results after the first year.Internal and emergency medicine · 2025Observational
- Influencing factors of hospitalization costs for intensive rehabilitation in patients with post-stroke disorder of consciousness.Frontiers in public health · 2025Article
- The Role of Intermediate Care in Supporting Critically Ill Patients and Critical Care Infrastructure.Critical care clinics · 2024Review
- Hospital and regional variations in intensive care unit admission for patients with invasive mechanical ventilation.Journal of intensive care · 2024Article
- Association between regional critical care capacity and the incidence of invasive mechanical ventilation for coronavirus disease 2019: a population-based cohort study.Journal of intensive care · 2024Article
- Intensive care unit versus high-dependency care unit for mechanically ventilated patients with pneumonia: a nationwide comparative effectiveness study.The Lancet regional health. Western Pacific · 2021Article
- [Prevalence of cancer patients in German intensive care units].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Article
- High-dependency units play a key role in the treatment of a Chinese military patient who developed liver failure while abroad.Military Medical Research · 2019Article
- Observational
- Hospital mortality prediction for intermediate care patients: Assessing the generalizability of the Intermediate Care Unit Severity Score (IMCUSS).Journal of critical care · 2018Article
- [Unplanned admission or readmission to the intensive care unit : Avoidable or fateful?]Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Review
- 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
- 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
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeHigh-dependency care units (HDUs) are a focus of research to optimize critical care resource allocation. HDUs provide a level of care between the general ward and the intensive care unit (ICU). However, few data report on the case mix and outcomes of patients in these units.
methodsRetrospective observational cohort study of patients admitted to 11 stand-alone HDUs in the UK from 2008 to 2011. We stratified patients by location prior to HDU admission and location on discharge from HDU, and we summarized the case mix, transitions of care, and mortality.
resultsOf 9008 patients admitted to 11 stand-alone HDUs, 56.5% were male and the mean age was 62.7 ± 17.9 years. The majority of patients admitted to HDUs were non-surgical (59.3%), with 22.4 and 20.1% admitted from the ICU and general ward, respectively; 41.3% were admitted from the operating room or recovery suite. The median length of stay in HDU was 1.8 days (IQR 0.9-3.5) and in-HDU mortality was 5.1%. Among HDU survivors (n = 8551), 8.5% were discharged to an ICU, 80.9% to a general ward, and 10.6% to other care areas. For patients admitted to HDU from an ICU, only 5.8% were readmitted to ICU. Hospital mortality for the HDU population was 14.8%; for patients discharged to an ICU, hospital mortality was 43.6%.
conclusionsIn a sample of 11 stand-alone HDUs in the UK, patients are from many different hospital locations. Hospital mortality for patients requiring HDU care is high, particularly for patients who require transfer to an ICU.
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