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  1. The importance of technology for achieving superior outcomes from intensive care.

    Article - En anglais

    Objective 

    To test the hypothesis that technology availability, staffing, and diagnostic diversity in an intensive care unit (ICU) are associated with the ability to decrease hospital mortality.

    Design 

    Prospective multicenter descriptive cohort study.

    Setting 

    Ten Brazilian medical-surgical ICUs.

    Patients 

    1734 consecutive adult ICU admissions.

    Measurements and results 

    We recorded the amount of technology, number of diagnoses, and availability of nurses at each ICU.

    We also used demographic, clinical and physiologic information for an average of 173 admissions to each ICU to calculate standardized mortality ratios (SMRs) for each ICU.

    The mean SMR for the ten ICUs was 1.67 (range 1.01-2.30).

    A greater availability of ICU equipment and services was significantly (p<0.001) associated with a lower SMR.

    Conclusion

    The ability of Brazilian ICUs to reduce hospital mortality is associated with the amount of technology available in these units.

    Mots-clés Pascal : Unité soin intensif, Technologie, Mortalité, Organisation santé, Prévention, Homme, Brésil, Amérique du Sud, Amérique

    Mots-clés Pascal anglais : Intensive care unit, Technology, Mortality, Public health organization, Prevention, Human, Brazil, South America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0356947

    Code Inist : 002B30A04D. Création : 10/04/1997.