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  1. Neurological intensive care admissions : Identifying candidates for intermediate care and the services they receive. Commentary.

    Article - En anglais


    The high cost and scarcity of intensive care unit (ICU) beds has resulted in a need for improved utilization.

    This study describes the characteristics of patients who are admitted to the ICU for neurosurgical and neurological care, identifies patients who might receive all or most of their care in an intermediate care unit, and describes the services the patients would receive in an intermediate care unit.


    We describe patients who received neurological care and who were part of a prospective study of 17,440 patients admitted to 42 ICUs at 40 United States hospitals.

    We identified patients who received only monitoring during ICU Day 1 and then used a previously validated equation to distinguish which patients were at low risk (<10%) for subsequent active life-supporting therapy.

    We also describe the services these patients received during their ICU stay.


    Among 3000 patients admitted to the ICU for neurological care, 1350 received active therapy and 1650 (55%) underwent monitoring and received concentrated nursing care on ICU Day 1. After excluding those patients who received active therapy at admission, 1288 (78%) of the 1650 patients who underwent monitoring at admission were at low risk (<10%) for subsequent active therapy ; 95.8% received no active therapy.

    These patients who were at low risk for subsequent active therapy were significantly (P<0. (...)

    Mots-clés Pascal : Unité soin intensif, Système nerveux pathologie, Chirurgie, Orientation, Malade, Admission hôpital, Etats Unis, Amérique du Nord, Amérique, Organisation hospitalière, Organisation santé, Homme, Unité soin intermédiaire

    Mots-clés Pascal anglais : Intensive care unit, Nervous system diseases, Surgery, Orientation, Patient, Hospital admission, United States, North America, America, Hospital organization, Public health organization, Human

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

    Cote : 98-0072290

    Code Inist : 002B30A04D. Création : 14/05/1998.