Evidence map›Paper›PMID 30233870›Full record

ArticleJournal of thoracic disease2018

Critical care medicine in Taiwan from 1997 to 2013 under National Health Insurance.

Chih-Cheng Lai, Chung-Han Ho, Chia-Li Chang, Chin-Ming Chen, Shyh-Ren Chiang, Chien-Ming Chao, Jhi-Joung Wang, Kuo-Chen Cheng

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Costs of Australian intensive care: A systematic review.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2024
    Review
  4. Article
  5. Article
  6. Article
  7. Observational
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  10. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Chih-Cheng LaiDepartment of Intensive Care Medicine, Chi Mei Medical Center, Liouying.
Chung-Han HoDepartments of Medical Research, Chi Mei Medical Center, Tainan.
Chia-Li ChangDepartments of Medical Research, Chi Mei Medical Center, Tainan.
Chin-Ming ChenDepartments of Intensive Care Medicine, Chi Mei Medical Center, Tainan.
Shyh-Ren ChiangChia Nan University of Pharmacy & Science, Tainan.
Chien-Ming ChaoDepartment of Intensive Care Medicine, Chi Mei Medical Center, Liouying.
Jhi-Joung WangDepartments of Medical Research, Chi Mei Medical Center, Tainan.
Kuo-Chen ChengDepartments of Internal Medicine, Chi Mei Medical Center, Tainan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMonitoring of trends in the use of the intensive care unit (ICU) and the outcomes of ICU patients is essential for the assessment of the effective use of ICU. This study aims to investigate the incidence and outcome of critical care admissions in Taiwan from 1997 to 2013.

methodsPatients >18 years who had ICU admission between January 1997 and December 2013 were identified from the National Health Insurance Research Database in Taiwan. The main outcomes including ICU mortality and ICU length of stay (LOS) were measured.

resultsA total of 3,451,157 patients with ICU admission were identified during the study period. The mean ICU LOS was 5.9±9.0 days and the overall ICU-mortality rate was 19.8%. The mean age of the patients was 65.4 years old, 58.0% were elderly (≥65 years old), 61.1% were male. Annual incidence of ICU admissions increased from 115,754 in 1997 (age-adjusted incidence: 1,130/100,000 population) to 244,820 in 2013 (incidence: 1,483/100,000 population) (P<0.0001). The admission rate was highest for patients 75-104 years old (8,074 per 100,000 population), and lowest for those 18-44 years old (298 per 100,000 population). Among ICU admission patients, the percentage of patients ≥75 years old significantly increased from 25.2% in 1997 to 38.3% in 2013 (P<0.0001). ICU LOS remained stable during the study period, but the annual mortality rate significantly decreased from 23.0% in 1997 to 16.3% in 2013.

conclusionsICU admissions significantly increased from 1997 to 2013, especially for elderly patients, in contrast, the mortality rate of ICU patients significantly declined with time. In addition, the ICU LOS did not change during the study period.

Indexed as

Critical careintensive care unit (ICU)mortalityutilization

Identifiers

PMID30233870
PMCPMC6129862

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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.