The Cardiovascular Intensive Care Unit - An Evolving Model for Health Care Delivery

John Loughran, Tauqir Puthawala, Brad S. Sutton, Lorrel E. Brown, Peter J. Pronovost, Andrew P. DeFilippis

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish (US)
Pages (from-to)116-123
Number of pages8
JournalJournal of Intensive Care Medicine
Volume32
Issue number2
DOIs
StatePublished - 2017

Keywords

  • acute myocardial infarction
  • cardiovascular intensive care unit
  • coronary care unit
  • health care delivery methods
  • science of health care delivery

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Fingerprint Dive into the research topics of 'The Cardiovascular Intensive Care Unit - An Evolving Model for Health Care Delivery'. Together they form a unique fingerprint.

  • Cite this

    Loughran, J., Puthawala, T., Sutton, B. S., Brown, L. E., Pronovost, P. J., & DeFilippis, A. P. (2017). The Cardiovascular Intensive Care Unit - An Evolving Model for Health Care Delivery. Journal of Intensive Care Medicine, 32(2), 116-123. https://doi.org/10.1177/0885066615624664