ArticleRevista Brasileira de terapia intensiva
Factors potentially associated with the decision of admission to the intensive care unit in a middle-income country: a survey of Brazilian physicians.
Article in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Existing capacity for renal replacement therapy and site-specific practices for managing acute kidney injury at centers participating in the BaSICS trial.Revista Brasileira de terapia intensivaTrial
- Surveys in clinical research: methodological aspects and practical guidance.Critical care science · 2026Review
- Prioritization of ICU beds with renal replacement therapy support by court order and mortality in a Brazilian metropolitan area.Scientific reports · 2022Article
- Physicians' Acceptance of Triage Guidelines in the Context of the COVID-19 Pandemic: A Qualitative Study.Frontiers in public health · 2021Article
- Decision-making in the ICU: An analysis of the ICU admission decision-making process using a '20 Questions' approach.The Southern African journal of critical care : the official journal of the Critical Care Society · 2020Article
- Refusal of beds and triage of patients admitted to intensive care units in Brazil: a cross-sectional national survey.Revista Brasileira de terapia intensivaArticle
- Accountability for reasonableness and criteria for admission, triage and discharge in intensive care units: an analysis of current ethical recommendations.Revista Brasileira de terapia intensivaArticle
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the factors potentially associated with the decision of admission to the intensive care unit in Brazil.
methodsAn electronic survey of Brazilian physicians working in intensive care units. Fourteen variables that were potentially associated with the decision of admission to the intensive care unit were rated as important (from 1 to 5) by the respondents and were later grouped as "patient-related," "scarcity-related" and "administrative-related" factors. The workplace and physician characteristics were evaluated for correlation with the factor ratings.
resultsDuring the study period, 125 physicians completed the survey. The scores on patient-related factors were rated higher on their potential to affect decisions than scarcity-related or administrative-related factors, with a mean ± SD of 3.42 ± 0.7, 2.75 ± 0.7 and 2.87 ± 0.7, respectively (p < 0.001). The patient's underlying illness prognosis was rated by 64.5% of the physicians as always or frequently affecting decisions, followed by acute illness prognosis (57%), number of intensive care unit beds available (56%) and patient's wishes (53%). After controlling for confounders, receiving specific training on intensive care unit triage was associated with higher ratings of the patient-related factors and scarcity-related factors, while working in a public intensive care unit (as opposed to a private intensive care unit) was associated with higher ratings of the scarcity-related factors.
conclusionsPatient-related factors were more frequently rated as potentially affecting intensive care unit admission decisions than scarcity-related or administrative-related factors. Physician and workplace characteristics were associated with different factor ratings.
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