Clinical characteristics and resource utilization of ICU patients: Implications for organization of intensive care

R. J. Henning, D. McClish, B. Daly, H. Nearman, C. Franklin, D. Jackson

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)264-269
Number of pages6
JournalCritical Care Medicine
Volume15
Issue number3
StatePublished - 1987
Externally publishedYes

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Fingerprint Dive into the research topics of 'Clinical characteristics and resource utilization of ICU patients: Implications for organization of intensive care'. Together they form a unique fingerprint.

Cite this