A prospective study of prolonged stay in the intensive care unit: Predictors and impact on resource utilization

International Journal for Quality in Health Care

Volumn 14, Issue 5, 2002, Pages 403-410

  Arabi, Yaseen ^a   Venkatesh, S ^a   Haddad, Samir ^a   Al Shimemeri, Abdullah ^a   Al Malik, Salim ^a  

^a KING FAHAD NATIONAL GUARD HOSPITAL   (Saudi Arabia)

Author keywords

Intensive care; Length of stay; Predictors; Prospective study; Resource utilization; Severity of illness

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BLOOD CLOTTING DISORDER; CONTROLLED STUDY; DEMOGRAPHY; DISEASE ASSOCIATION; DISEASE COURSE; DISEASE SEVERITY; FEMALE; HUMAN; INFECTION; INJURY; INTENSIVE CARE; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OLIGURIA; OUTCOMES RESEARCH; PATIENT INFORMATION; PREDICTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RESOURCE ALLOCATION; RESPIRATORY TRACT DISEASE; SCHOOL CHILD; TEACHING HOSPITAL;

ADOLESCENT; ADULT; AGED; CHILD; FEMALE; FORECASTING; HEALTH SERVICES RESEARCH; HOSPITALS, TEACHING; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT READMISSION; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; SAUDI ARABIA; SEVERITY OF ILLNESS INDEX; UTILIZATION REVIEW;

EID: 0036797923     PISSN: 13534505     EISSN: None     Source Type: Journal    
DOI: 10.1093/intqhc/14.5.403     Document Type: Article

References (22)

1. Rosenberg AL, Hofer TP, Hayward RA et al. Who bounces back? Physiologic and other predictors of intensive care unit readmission. Crit Care Med 2001; 29: 511-518.
2. Weissman C. Analyzing intensive care unit length of stay data: problems and possible solutions. Crit Care Med 1997; 25: 1594-1600.
3. Wong DT, Gomez M, McGuire GP, Kavanagh B. Utilization of intensive care unit days in a Canadian medical-surgical intensive care unit. Crit Care Med 1999; 27: 1319-1324.
4. Miller RS, Patton M, Graham RM, Hollins D. Outcomes of trauma patients who survive prolonged length of stay in the intensive care unit. J Trauma 2000; 48: 229-234.
5. Gilio AE, Stape A, Pereira CR, Cardoso MF, Silva CV, Troster EJ. Risk factors for nosocomial infections in a critically ill pediatric population: a 25-month prospective cohort study. Infect Control Hosp Epidemiol 2000; 21: 340-342.
6. Clarke T, Mackinnon E, England K, Burr G, Fowler S, Fairservice L. A review of intensive care nurse staffing practices overseas: what lessons for Australia? Aust Crit Care 1999; 12: 109-118.
7. American Thoracic Society. Fair allocation of intensive care unit resources (ATS Board of Directors Position Statement). Am J Respir Crit Care Med 1997; 156: 1282-1301.
8. Noseworthy TW, Konopad E, Shustack A, Johnston R, Grace M. Cost accounting of adult intensive care: methods and human and capital inputs. Crit Care Med 1996; 24: 1168-1172.
9. Knaus WA, Wanger DP, Zimmerman JE et al. Variations in mortality and length of stay in intensive care units. Ann Intern Med 1993; 118: 753-761.
10. Rapoport J, Teres D, Lemeshow S et al. A method for assessing the clinical performance and cost-effectiveness of intensive care units: a multicentered inception cohort study. Crit Care Med 1994; 22: 1385-1391.
11. Eagle KA, Mulley AG, Skates SJ et al. Length of stay in the intensive care unit: effects of practice guidelines and feedback. J Am Med Assoc 1990; 264: 992-997.
12. Heyland DK, Konopad E, Noseworthy TW, Johnston R, Gafni A. Is it 'worthwhile' to continue treating patients with a prolonged stay (> 14 days) in the ICU? An economic evaluation. Chest 1998; 114: 192-198.
13. Knaus WA, Draper EA, Wagner DP et al. APACHE II: A severity of disease classification system. Crit Care Med 1985; 13: 818-829.
14. Le Gall JR, Lemeshow S, Saulnier F. A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. J Am Med Assoc 1993; 270: 2957-2962.
15. Health Care Financing Administration, Office of Information Services. MEDPAR database. Available at http://www.hcfa.gov/ stats/medpar/medpar.htm.
16. Edbrooke D, Ridley SA, Hibbert CL, Corcoran M. Variations in expenditure between adult general Intensive Care Units in the UK. Anaesthesia 2000; 56: 208-216.
17. Fakhry SM, Kercher KW, Rutledge R. Survival, quality of life, and changes in critically ill surgical patients requiring prolonged ICU stays. J Trauma 1996; 41: 999-1007.
18. Goins WA, Reynolds HN, Nyanjom D, Dunham CM. Outcome following prolonged intensive care unit stay in multiple trauma patients. Crit Care Med 1991; 19: 339-345.
19. Kollef MH, Shapiro SD, Silver P et al. A randomized, controlled trial of potocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med 1997; 25: 567-574.
20. Marelich GP, Murin S, Battistella F, Inciardi J, Vierra T, Roby M. Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses: effect on weaning time and incidence of ventilator-associated pneumonia. Chest 2000; 118: 459-467.
21. Wood G, MacLeod B, Moffatt S. Weaning from mechanical ventilation: physician-directed vs a respiratory-therapist-directed protocol. Respir Care, 1995; 40: 219-224.
22. Kress JP, Pohlman AS, O'Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000; 342: 1471-1477.