TY - JOUR
T1 - Clinical characteristics and resource utilization of ICU patients
T2 - Implications for organization of intensive care
AU - Henning, R. J.
AU - McClish, D.
AU - Daly, B.
AU - Nearman, H.
AU - Franklin, C.
AU - Jackson, D.
PY - 1987
Y1 - 1987
N2 - We reviewed the clinical characteristics and resource utilization of 391 medical (M) and 315 surgical (S) ICU patients. In general, MICU patients had more physiologic derangement, as determined by the admission, maximal, and average acute physiology scores (APS). SICU patients had more frequent therapeutic interventions as measured by admission, maximal, and average therapeutic intervention scoring system values. Notably, 40% of MICU and 30% of SICU patients never received any active interventions and were admitted strictly for monitoring purposes. Patients on admission with APS ≤ 10 had markedly shorter ICU stays, with almost 50% less treatment than patients with APS over 10. Fifty-six percent of patients with APS ≤ 10 did not require any active intervention. In contrast, 83% of patients with APS greater than 10 had considerable intensive interventions. There patients required mechanical ventilation, invasive monitoring, and vasoactive drugs more than twice as often as patients with lower APS scores. Consideration should be given, therefore, to the organization of ICUs according to the patient's severity of illness.
AB - We reviewed the clinical characteristics and resource utilization of 391 medical (M) and 315 surgical (S) ICU patients. In general, MICU patients had more physiologic derangement, as determined by the admission, maximal, and average acute physiology scores (APS). SICU patients had more frequent therapeutic interventions as measured by admission, maximal, and average therapeutic intervention scoring system values. Notably, 40% of MICU and 30% of SICU patients never received any active interventions and were admitted strictly for monitoring purposes. Patients on admission with APS ≤ 10 had markedly shorter ICU stays, with almost 50% less treatment than patients with APS over 10. Fifty-six percent of patients with APS ≤ 10 did not require any active intervention. In contrast, 83% of patients with APS greater than 10 had considerable intensive interventions. There patients required mechanical ventilation, invasive monitoring, and vasoactive drugs more than twice as often as patients with lower APS scores. Consideration should be given, therefore, to the organization of ICUs according to the patient's severity of illness.
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M3 - Article
C2 - 3102165
AN - SCOPUS:0023139780
VL - 15
SP - 264
EP - 269
JO - Critical Care Medicine
JF - Critical Care Medicine
SN - 0090-3493
IS - 3
ER -