We studied the effect of closing a six-bed intermediabe care area (ICA) on utilization of a multidisciplinary critical care unit (CCU).
Data were collected on all admissions to the 7-bed CCU for 9 months prior to ICA closure (n=217) andcompared with 9 months after CCU expansion (7 to 9 beds) and ICA closure (n=407).
Nonemergency CCU admissions increased from 41 to 112 after ICA closure (p<0.03).
Mean APACHE II score within 24 h of admission decreased from 21.9+-7.4 to 18.6+-7.4 (p<0.0001).
The proportion of patients with APACHE II score<15, increased from 30/217 to 136/407 accounting for an increase from 5.4 percent to 12.7 percent of CCU days (p<0.0001).
Nursing workload at the time of discharge from CCU decreased (p<0.0001).
Mots-clés Pascal : Economie santé, Technique, Homme, Unité soin intensif, Hygiène
Mots-clés Pascal anglais : Health economy, Technique, Human, Intensive care unit, Hygiene
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0040420
Code Inist : 002B27B14C. Création : 199406.