TY - JOUR
T1 - The Cardiovascular Intensive Care Unit - An Evolving Model for Health Care Delivery
AU - Loughran, John
AU - Puthawala, Tauqir
AU - Sutton, Brad S.
AU - Brown, Lorrel E.
AU - Pronovost, Peter J.
AU - DeFilippis, Andrew P.
N1 - Publisher Copyright:
© The Author(s) 2015.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2017/2
Y1 - 2017/2
N2 - Prior to the advent of the coronary care unit (CCU), patients having an acute myocardial infarction (AMI) were managed on the general medicine wards with reported mortality rates of greater than 30%. The first CCUs are believed to be responsible for reducing mortality attributed to AMI by as much as 40%. This drastic improvement can be attributed to both advances in medical technology and in the process of health care delivery. Evolving considerably since the 1960s, the CCU is now more appropriately labeled as a cardiac intensive care unit (CICU) and represents a comprehensive system designed for the care of patients with an array of advanced cardiovascular disease, an entity that reaches far beyond its early association with AMI. Grouping of patients by diagnosis to a common physical space, dedicated teams of health care providers, as well as the development and implementation of evidence-based treatment algorithms have resulted in the delivery of safer, more efficient care, and most importantly better patient outcomes. The CICU serves as a platform for an integrated, team-based patient care delivery system that addresses a broad spectrum of patient needs. Lessons learned from this model can be broadly applied to address the urgent need to improve outcomes and efficiency in a variety of health care settings.
AB - Prior to the advent of the coronary care unit (CCU), patients having an acute myocardial infarction (AMI) were managed on the general medicine wards with reported mortality rates of greater than 30%. The first CCUs are believed to be responsible for reducing mortality attributed to AMI by as much as 40%. This drastic improvement can be attributed to both advances in medical technology and in the process of health care delivery. Evolving considerably since the 1960s, the CCU is now more appropriately labeled as a cardiac intensive care unit (CICU) and represents a comprehensive system designed for the care of patients with an array of advanced cardiovascular disease, an entity that reaches far beyond its early association with AMI. Grouping of patients by diagnosis to a common physical space, dedicated teams of health care providers, as well as the development and implementation of evidence-based treatment algorithms have resulted in the delivery of safer, more efficient care, and most importantly better patient outcomes. The CICU serves as a platform for an integrated, team-based patient care delivery system that addresses a broad spectrum of patient needs. Lessons learned from this model can be broadly applied to address the urgent need to improve outcomes and efficiency in a variety of health care settings.
KW - acute myocardial infarction
KW - cardiovascular intensive care unit
KW - coronary care unit
KW - health care delivery methods
KW - science of health care delivery
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U2 - 10.1177/0885066615624664
DO - 10.1177/0885066615624664
M3 - Review article
C2 - 26768424
AN - SCOPUS:85011422032
SN - 0885-0666
VL - 32
SP - 116
EP - 123
JO - Journal of Intensive Care Medicine
JF - Journal of Intensive Care Medicine
IS - 2
ER -