Outcomes among patients discharged from busy intensive care units

Annals of Internal Medicine

Volumn 159, Issue 7, 2013, Pages 447-455

  Wagner, Jason ^a   Gabler, Nicole B ^b   Ratcliffe, Sarah J ^b   Brown, Sydney E S ^b   Strom, Brian L ^b   Halpern, Scott D ^b  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; FEMALE; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; TREATMENT OUTCOME; UNITED STATES;

AGED; AGED, 80 AND OVER; FEMALE; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT DISCHARGE; PATIENT READMISSION; RETROSPECTIVE STUDIES; TRIAGE; UNITED STATES;

EID: 84884825469     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/0003-4819-159-7-201310010-00004     Document Type: Article

References (41)

1. Kelley MA. Critical care workforce crisis: time to look in the mirror [Editorial]. Crit Care Med. 2008;36:1385-6. [PMID: 18379284]
2. Halpern NA, Pastores SM, Greenstein RJ. Critical care medicine in the United States 1985-2000: an analysis of bed numbers, use, and costs. Crit Care Med. 2004;32:1254-9. [PMID: 15187502]
3. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA. 2002;288:2151-62. [PMID: 12413375]
4. Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J Jr; Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS). Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA. 2000;284:2762-70. [PMID: 11105183]
5. Kelley MA, Angus D, Chalfin DB, Crandall ED, Ingbar D, Johanson W, et al. The critical care crisis in the United States: a report from the profession. Chest. 2004;125:1514-7. [PMID: 15078767]
6. Cooper RA. Weighing the evidence for expanding physician supply. Ann Intern Med. 2004;141:705-14. [PMID: 15520427]
7. Angus DC, Shorr AF, White A, Dremsizov TT, Schmitz RJ, Kelley MA; Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS). Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med. 2006;34: 1016-24. [PMID: 16505703]
8. Howell MD. Managing ICU throughput and understanding ICU census. Curr Opin Crit Care. 2011;17:626-33. [PMID: 21934614]
9. Halpern SD. ICU capacity strain and the quality and allocation of critical care. Curr Opin Crit Care. 2011;17:648-57. [PMID: 21986461]
10. Baker DR, Pronovost PJ, Morlock LL, Geocadin RG, Holzmueller CG. Patient flow variability and unplanned readmissions to an intensive care unit. Crit Care Med. 2009;37:2882-7. [PMID: 19866504]
11. Chrusch CA, Olafson KP, McMillan PM, Roberts DE, Gray PR. High occupancy increases the risk of early death or readmission after transfer from intensive care. Crit Care Med. 2009;37:2753-8. [PMID: 19707139]
12. Strauss MJ, LoGerfo JP, Yeltatzie JA, Temkin N, Hudson LD. Rationing of intensive care unit services. An everyday occurrence. JAMA. 1986;255:1143-6. [PMID: 3945032]
13. Singer DE, Carr PL, Mulley AG, Thibault GE. Rationing intensive care-physician responses to a resource shortage. N Engl J Med. 1983;309:1155-60. [PMID: 6413862]
14. Walther SM, Jonasson U. A prospective cohort study of 6-month mortality in a community hospital experiencing a gradual reduction in critical care services. Intensive Care Med. 2001;27:700-5. [PMID: 11398696]
15. Brody H. From an ethics of rationing to an ethics of waste avoidance. N Engl J Med. 2012;366:1949-51. [PMID: 22551106]
16. Brown SE, Ratcliffe SJ, Kahn JM, Halpern SD. The epidemiology of intensive care unit readmissions in the United States. Am J Respir Crit Care Med. 2012;185:955-64. [PMID: 22281829]
17. Levy MM, Rapoport J, Lemeshow S, Chalfin DB, Phillips G, Danis M. Association between critical care physician management and patient mortality in the intensive care unit. Ann Intern Med. 2008;148:801-9. [PMID: 18519926]
18. Chalfin DB, Trzeciak S, Likourezos A, Baumann BM, Dellinger RP; DELAY-ED study group. Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med. 2007;35: 1477-83. [PMID: 17440421]
19. Glance LG, Li Y, Osler TM, Dick A, Mukamel DB. Impact of patient volume on the mortality rate of adult intensive care unit patients. Crit Care Med. 2006;34:1925-34. [PMID: 16715030]
20. Higgins TL, Teres D, Copes WS, Nathanson BH, Stark M, Kramer AA. Assessing contemporary intensive care unit outcome: an updated Mortality Probability Admission Model (MPM0-III). Crit Care Med. 2007;35:827-35. [PMID: 17255863]
21. Vranas K, Ratcliffe SJ, Harhay MO, Cooney E, Halpern SD, Prasad M. A prospective study of the determinants of intensive care unit (ICU) capacity strain. Am J Respir Crit Care Med. 2012;185:A1608.
22. Kramer AA, Higgins TL, Zimmerman JE. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Crit Care Med. 2012;40:3-10. [PMID: 21926603]
23. Cleveland WS. Robust locally weighted regression and smoothing scatterplots. J Am Stat Assoc. 1979;74:829-36.
24. Localio AR, Berlin JA, Ten Have TR, Kimmel SE. Adjustments for center in multicenter studies: an overview. Ann Intern Med. 2001;135:112-23. [PMID: 11453711]
25. Rhodes A, Moreno RP, Azoulay E, Capuzzo M, Chiche JD, Eddleston J, et al; Task Force on Safety and Quality of European Society of Intensive Care Medicine (ESICM). Prospectively defined indicators to improve the safety and quality of care for critically ill patients: a report from the Task Force on Safety and Quality of the European Society of Intensive Care Medicine (ESICM). Intensive Care Med. 2012;38:598-605. [PMID: 22278594]
26. Truog RD, Brock DW, Cook DJ, Danis M, Luce JM, Rubenfeld GD, et al; Task Force on Values, Ethics, and Rationing in Critical Care (VERICC). Rationing in the intensive care unit. Crit Care Med. 2006;34:958-63. [PMID: 16484912]
27. Young MJ, Brown SE, Truog RD, Halpern SD. Rationing in the intensive care unit: to disclose or disguise? Crit Care Med. 2012;40:261-6. [PMID: 21926611]
28. Ward NS, Teno JM, Curtis JR, Rubenfeld GD, Levy MM. Perceptions of cost constraints, resource limitations, and rationing in United States intensive care units: results of a national survey. Crit Care Med. 2008;36:471-6. [PMID: 18216601]
29. Wunsch H. Is there a Starling curve for intensive care? Chest. 2012;141: 1393-9. [PMID: 22670019]
30. Wunsch H, Linde-Zwirble WT, Harrison DA, Barnato AE, Rowan KM, Angus DC. Use of intensive care services during terminal hospitalizations in England and the United States. Am J Respir Crit Care Med. 2009;180:875-80. [PMID: 19713448]
31. Zimmerman JE, Kramer AA. A model for identifying patients who may not need intensive care unit admission. J Crit Care. 2010;25:205-13. [PMID: 19682848]
32. Gershengorn HB, Iwashyna TJ, Cooke CR, Scales DC, Kahn JM, Wunsch H. Variation in use of intensive care for adults with diabetic ketoacidosis*. Crit Care Med. 2012;40:2009-15. [PMID: 22564962]
33. Halpern NA, Pastores SM. Critical care medicine in the United States 2000-2005: an analysis of bed numbers, occupancy rates, payer mix, and costs. Crit Care Med. 2010;38:65-71. [PMID: 19730257]
34. Seymour CW, Iwashyna TJ, Ehlenbach WJ, Wunsch H, Cooke CR. Hospital-level variation in the use of intensive care. Health Serv Res. 2012;47: 2060-80. [PMID: 22985033]
35. Roberts RR, Frutos PW, Ciavarella GG, Gussow LM, Mensah EK, Kampe LM, et al. Distribution of variable vs. fixed costs of hospital care. JAMA. 1999; 281:644-9. [PMID: 10029127]
36. Luce JM, Rubenfeld GD. Can health care costs be reduced by limiting intensive care at the end of life? Am J Respir Crit Care Med. 2002;165:750-4. [PMID: 11897638]
37. Kahn JM. Understanding economic outcomes in critical care. Curr Opin Crit Care. 2006;12:399-404. [PMID: 16943716]
38. Seymour CW, Kahn JM. Addressing the growth in intensive care: comment on "Intensive care unit admitting patterns in the Veterans Affairs health care system". Arch Intern Med. 2012;172:1226. [PMID: 22824962]
39. Cooper GS, Sirio CA, Rotondi AJ, Shepardson LB, Rosenthal GE. Are readmissions to the intensive care unit a useful measure of hospital performance? Med Care. 1999;37:399-408. [PMID: 10213020]
40. Kramer AA, Higgins TL, Zimmerman JE. The association between ICU readmission rate and patient outcomes. Crit Care Med. 2013;41:24-33. [PMID: 23128381]
41. Angus DC. Grappling with intensive care unit quality-does the readmission rate tell us anything? [Editorial]. Crit Care Med. 1998;26:1779-80. [PMID: 9824061]