ArticleClinicoEconomics and outcomes research : CEOR2023
Patient Characteristics and Clinical and Economic Outcomes Associated with Unplanned Medical and Surgical Intensive Care Unit Admissions: A Retrospective Analysis.
Article in ClinicoEconomics and outcomes research : CEOR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prognostic models for predicting intensive care unit admission or mortality in critically ill adults not yet been admitted to the intensive care unit.The Cochrane database of systematic reviews · 2026Pooled it
- Comment on: Over-night monitoring in intensive care unit and short-term monitoring in post anesthesia care unit costs analysis after elective hepato-pancreatic-biliary surgery: a retrospective study.Updates in surgery · 2026Article
- Article
- Predicting ICU transfer for high-risk patients upon medical admission via the medical intensive care prediction score (MICAPS).BMC emergency medicine · 2026Article
- Clinical Outcomes, Incidence, Associated Factors, and Prediction Model of Intensive Care Unit Admission in Women With Postpartum Hemorrhage Following Cesarean Delivery: A Secondary Analysis of a Tertiary-Care Cohort in Thailand.Obstetrics and gynecology international · 2026Article
- Incidence and risk factors for unplanned intensive care unit transfer from the postanesthesia care unit: a case-control study.BMC anesthesiology · 2025Article
- Acceptability of Tele-Critical Care Consultation for Patients at Risk of ICU Admission.Critical care explorations · 2025Article
- Reducing unplanned medical intensive care unit admissions by the critical care outreach team: a quality improvement report.BMJ open quality · 2025Article
- Portable wireless monitoring of vital signs in hospital wards.BJA education · 2025Review
- Impact on Patient Outcomes of Continuous Vital Sign Monitoring on Medical Wards: Propensity-Matched Analysis.Journal of medical Internet research · 2025Article
- Nurse worry as a trigger for rapid response team activation improving outcomes: a retrospective cohort study in non-critical units.BMC nursing · 2025Article
- Predictive Scoring Methods for Postoperative Level of Care Needs in the Geriatric Hip Fracture Patient Population.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- The effect of comorbidity on 28-day perioperative mortality rate among non-cardiac surgical patients in Northwest Ethiopia: a prospective cohort study using propensity score matching.BMC public health · 2024Article
- Use of a continuous single lead electrocardiogram analytic to predict patient deterioration requiring rapid response team activation.PLOS digital health · 2024Article
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4 authors.
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Abstract
Purpose: To characterize medical and surgical patient characteristics, as well as clinical and economic outcomes, associated with unplanned intensive care unit (ICU) admissions. Patients and Methods: This was a retrospective matched cohort analysis that utilized the PINC AI Results: A total of 3,807,124 qualifying admissions were identified. Medical admissions with unplanned ICU transfers were more likely to be urgent/emergent (odds ratio [OR] 2.9, 95% confidence interval [CI 2.7-3.0], p<0.0001), with patient characteristics including male sex (1.4, [1.4-1.4], p<0.0001), obesity (1.7, [1.6-1.7], p<0.0001), and increased Charlson Comorbidity Index (CCI=1: 1.8, [1.8-1.9], p<0.0001; CCI≥5: 3.2, [3.1-3.3], p<0.0001). Surgical admissions with unplanned ICU transfers were more likely to be urgent/emergent (3.1, [2.9-3.2], p<0.0001) and with patients of higher CCI (2.5, [2.3-2.6], p<0.0001 to a CCI of≥5 (7.9, [7.4-8.4], p<0.0001). Between matched medical patients, mean differences in length of stay, cost, and mortality were 4.1 days (p<0.0001), $13,424 (p<0.0001), and 21% (p<0.0001), respectively. Between matched surgical patients, mean differences in these outcomes were 6.4 days (p<0.0001), $21,448 (p<0.0001), and 14% (p<0.0001), respectively. Conclusion: Emergency care in patients with a higher co-morbid burden is more likely to lead to unplanned ICU admission, putting patients at a significantly increased chance of mortality, longer length of stay, and increased costs. Improving care and monitoring of patients outside the ICU may help detect early changes in pathophysiology and enable early intervention.
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