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  1. Closure of an intermediate care unit : impact on critical care utilization.

    Article - En anglais

    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

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

    Cote : 94-0040420

    Code Inist : 002B27B14C. Création : 199406.