ArticleThe journal of trauma and acute care surgery2020
Epidemiological trends of surgical admissions to the intensive care unit in the United States.
Article in The journal of trauma and acute care surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 28 citations in OpenAlex.
- Development and validation of a prediction score for early identification of palliative care needs for patients in the intensive care unit: a multicentre retrospective cohort study.EClinicalMedicine · 2025Article
- A warning model for predicting patient admissions to the intensive care unit (ICU) following surgery.Perioperative medicine (London, England) · 2025Article
- Patients' and family members' dyadic experience of post-operative delirium in the intensive care unit: A qualitative study.Nursing in critical care · 2025Article
- The Impact of Age Differences and Injury Severity on Pedestrian Traffic Crashes: An Analysis of Clinical Characteristics and Outcomes.Journal of clinical medicine · 2025Article
- Using Electronic Health Records to Identify the Daily Primary Provider During Hospitalization.Critical care explorations · 2024Article
- Relationship between blood urea nitrogen to serum albumin ratio and short-term mortality among patients from the surgical intensive care unit: a population-based real-world study.BMC anesthesiology · 2023Article
- Risk factors of postoperative intensive care unit admission during the COVID-19 pandemic: A multicentre retrospective cohort study.International journal of surgery open · 2023Article
- Delirium in the intensive care unit and its importance in the post-operative context: A review.Frontiers in medicine · 2023Review
- Epidemiologic Study of Intensive Care Unit Admission in South Korea: A Nationwide Population-Based Cohort Study from 2010 to 2019.International journal of environmental research and public health · 2022Article
- The magnitude of mortality and its determinants in Ethiopian adult intensive care units: A systematic review and meta-analysis.Annals of medicine and surgery (2012) · 2022Review
- Survival status and predictors of mortality among patients admitted to surgical intensive care units of Addis Ababa governmental hospitals, Ethiopia: A multicenter retrospective cohort study.Frontiers in medicine · 2022Article
- Morbidity and Mortality Trends of Pancreatitis: An Observational Study.Surgical infections · 2021Observational
- Discordant Cardiopulmonary Resuscitation and Code Status at Death.Journal of pain and symptom management · 2021Article
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Authors and funding
10 authors at 1 institution in 1 country.
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Abstract
backgroundEpidemiologic assessment of surgical admissions into intensive care units (ICUs) provides a framework to evaluate health care system efficiency and project future health care needs.
methodsWe performed a 9-year (2008-2016), retrospective, cohort analysis of all adult admissions to 88 surgical ICUs using the prospectively and manually abstracted Cerner Acute Physiology and Chronic Health Evaluation Outcomes database. We stratified patients into 13 surgical cohorts and modeled temporal trends in admission, mortality, surgical ICU length of stay (LOS), and change in functional status (FS) using generalized mixed-effects and Quasi-Poisson models to obtain risk-adjusted outcomes.
resultsWe evaluated 78,053 ICU admissions and observed a significant decrease in admissions after transplant and thoracic surgery, with a concomitant increase in admissions after otolaryngological and facial reconstructive procedures (all p < 0.05). While overall risk-adjusted mortality remained stable over the study period; mortality significantly declined in orthopedic, cardiac, urologic, and neurosurgical patients (all p < 0.05). Cardiac, urologic, gastrointestinal, neurosurgical, and orthopedic admissions showed significant reductions in LOS (all p < 0.05). The overall rate of FS deterioration increased per year, suggesting ICU-related disability increased over the study period.
conclusionTemporal analysis demonstrates a significant change in the type of surgical patients admitted to the ICU over the last decade, with decreasing mortality and LOS in selected cohorts, but an increasing rate of FS deterioration. Improvement in ICU outcomes may highlight the success of health care advancements within certain surgical cohorts, while simultaneously identifying cohorts that may benefit from future intervention. Our findings have significant implications in health care systems planning, including resource and personnel allocation, education, and surgical training. LEVEL OF EVIDENCE: Economic/decision, level IV.Epidemiologic, level IV.
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