The Effect of an Intermediate Care Unit on the Demographics and Outcomes of a Surgical Intensive Care Unit Population

Archives of Surgery

Volumn 139, Issue 3, 2004, Pages 315-319

  Eachempati, Soumitra R ^a,b   Hydo, Lynn J ^a   Barie, Philip S ^a  

^a WEILL CORNELL MEDICAL COLLEGE   (United States)

^b NEW YORK PRESBYTERIAN HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE DISEASE; ADULT; AGED; ARTICLE; CHRONIC DISEASE; CONTROLLED STUDY; CRITICAL ILLNESS; DEMOGRAPHY; DISEASE SEVERITY; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; INTENSIVE CARE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MORTALITY; NURSING HOME; PATIENT CARE; PRIORITY JOURNAL;

CHI-SQUARE DISTRIBUTION; DEMOGRAPHY; HUMANS; INTENSIVE CARE UNITS; INTERMEDIATE CARE FACILITIES; OUTCOME ASSESSMENT (HEALTH CARE); PROSPECTIVE STUDIES; RETROSPECTIVE STUDIES; STATISTICS, NONPARAMETRIC; SURGICAL PROCEDURES, OPERATIVE;

EID: 1442336110     PISSN: 00040010     EISSN: None     Source Type: Journal    
DOI: 10.1001/archsurg.139.3.315     Document Type: Article

References (28)

1. Barie PS, Bacchetta MA, Eachempati SR. The contemporary surgical intensive care unit: structure, staffing, and issues. Surg Clin North Am. 2000;80:791-807.
2. Auriant I, Vinatier I, Thaler F, Tourneur M, Loirat P. Simplified acute physiology score II for measuring severity of illness in intermediate care units. Crit Care Med. 1998;26:1368-1371.
3. Cheng DC, Byrick RJ, Knobel E. Structural models for intermediate care areas. Crit Care Med. 1999;27:2266-2271.
4. Engoren M. Marginal cost of liberating ventilator-dependent patients after cardiac surgery in a stepdown unit. Ann Thorac Surg. 2000;70:182-185.
5. Porath A, Reuveni H, Grinberg G, Lieberman D. The intermediate care unit as a cost-effective option for the treatment of medical patients in critical condition. Isr J Med Sci. 1995;31:674-680.
6. Step-down units and telemetry monitoring: optimizing utilization. Health Devices. 1993;22:25-27.
7. Cady N, Mattes M, Burton S. Reducing intensive care unit length of stay: a step-down unit for first-day heart surgery patients. J Nurs Adm. 1995;25:29-35.
8. Fiebach NY, Cook EF, Lee TH, et al. Outcomes in patients with myocardial infarction who are initially admitted to stepdown units: data from the Multicenter Chest Pain Study. Am J Med. 1990;89:15-20.
9. Krieger BP, Ershowsky P, Spivack D. One year's experience with a noninvasively moniotred intermediate care unit for pulmonary patients. JAMA. 1990;264:1143-1146.
10. Barie PS, Hydo LJ, Fischer E. Comparison of APACHE II and III scoring systems for mortality prediction in critical surgical illness. Arch Surg. 1995;130:77-82.
11. Lustbader D, Fein A. Emerging trends in ICU management and staffing. Crit Care Clin. 2000;16:735-748.
12. Dimick JB, Pronovost PJ, Heitmiller RF, Lipsett PA. Intensive care unit physician staffing is associated with decreased length of stay, hospital cost, and complications after esophageal resection. Crit Care Med. 2001;29:753-758.
13. Rosenberg AL, Watts C. Patients readmitted to ICUs*: a systematic review of risk factors and outcomes. Chest. 2000;118:492-502.
14. Mirski MA, Chang CW, Cowan R. Impact of a neuroscience intensive care unit on neurosurgical patient outcomes and cost of care: evidence-based support for an intensivist-directed specialty ICU model of care. J Neurosurg Anesthesiol. 2001;13:83-92.
15. Chen LM, Martin CM, Keenan SP, Sibbald WJ. Patients readmitted to the intensive care unit during the same hospitalization: clinical features and outcomes. Crit Care Med. 1998;26:1834-1841.
16. Vincent JL, Burchardi H. Do we need intermediate care units? Intensive Care Med. 1999;25:1345-1349.
17. 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.
18. Fornes VJ, Gallego CG, Barcelo OM, et al. Causal and emotional factors related to work stress in ICU nursing staff. Intensive Crit Care Nurs. 1994;10:41-50.
19. Barie PS, Hydo LJ. Lessons learned: durability and progress of a program for ancillary cost reduction in surgical critical care. J Trauma. 1997;43:590-596.
20. Talmor M, Hydo LJ, Shaikh N, Gayle LB, Hoffman LA, Barie PS. Clinical features and outcome of patients admitted to the intensive care unit after plastic surgical procedures: implications for cost reduction and quality of care. Ann Plast Surg. 1997;39:74-79.
21. Weissman C. Factors influencing changes in surgical intensive care unit utilization. Crit Care Med. 2000;28:1766-1771.
22. Eachempati SR, Reed RL II, St Louis JE, Fischer RP. "The demographics of trauma in 1995" revisited: an assessment of the accuracy and utility of trauma predictions. J Trauma. 1998;45:208-213.
23. Byrick RJ, Mazer CD, Caskennette GM. Closure of an intermediate care unit: impact on critical care utilization. Chest. 1993;104:876-881.
24. Cuthbertson BH, Webster NR. The role of the intensive care unit in the management of the critically ill surgical patient. J R Coll Surg Edinb. 1999;44:294-300.
25. Ivatury RR, Simon RJ, Islam S, Fueg A, Rohman M, Stahl WM. A prospective randomized study of end points of resuscitation after major trauma: global oxygen transport indices versus organ-specific gastric mucosal pH. J Am Coll Surg. 1996;183:145-154.
26. Nasraway SA, Cohen IL, Dennis RC, et al. Guidelines on admission and discharge for adult intermediate care units: American College of Critical Care Medicine of the Society of Critical Care Medicine. Crit Care Med. 1998;26:607-610.
27. Snow N, Bergin KT, Horrigan TP. Readmission of patients to the surgical intensive care unit: patient profiles and possibilities for prevention. Crit Care Med. 1985; 13:961-964.
28. Duke GJ, Green JV. Outcome of critically ill patients undergoing interhospital transfer. Med J Austr. 2001;174:122-125.