ArticleCureus2024
Comparative Study Between Medical/Surgical Intensive Care Units vs. Mixed Intensive Care Units in Key Performance Indicators.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
13 authors.
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Abstract
Background This comparative study evaluates the performance of medical/surgical and mixed intensive care units (ICUs) at a tertiary care university hospital in Riyadh, Saudi Arabia, using key performance indicators (KPIs). Since its establishment in 1982, the hospital has provided comprehensive medical services, including specialized, closed-model ICUs, including medical, surgical, and pediatric ICUs. In 2021, these ICUs transitioned to a mixed ICU model to enhance efficiency and patient care. This study aims to assess the impact of this transition on various KPIs, including mortality rate, ICU length of stay (LOS), bed occupancy rate (bOR), ICU readmission rate within 48 hours, unplanned extubation, glycemic control, and delayed ICU discharge. Methodology Data from 2018 to 2022 were analyzed, comparing the separate medical and surgical ICUs model (2018-2020) with the mixed ICU model (2021-2022). Statistical analyses were performed, including independent t-tests and analysis of variance (ANOVA), to determine significant differences between the ICU models. Results The transition to the mixed ICU model significantly improved several KPIs. The standardized mortality ratio (SMR) decreased from 0.575 in the specialized ICU model to 0.399 in the mixed ICU model, reflecting a marked improvement in patient outcomes. The average LOS also reduced from 4.989 days in the specialized ICUs to 4.481 days in the mixed ICU model. Additionally, the bOR significantly dropped from 91.00% to 72.08% (
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