Publication
Time of Admission to Intensive Care Unit, Strained Capacity, and Mortality: a Retrospective Cohort Study
| dc.contributor.author | Sousa Cardoso, F | |
| dc.contributor.author | Germano, N | |
| dc.contributor.author | Bento, L | |
| dc.contributor.author | Fortuna, P | |
| dc.date.accessioned | 2024-01-10T16:01:46Z | |
| dc.date.available | 2024-01-10T16:01:46Z | |
| dc.date.issued | 2019-12 | |
| dc.description.abstract | Purpose: We sought to study the association between afterhours ICU admission and ICU mortality considering measures of strained ICU capacity. Materials and methods: Retrospective analysis of 4141 admissions to 2 ICUs in Lisbon, Portugal (06/2016-06/2018). Primary exposure was ICU admission on 20:00 h-07:59 h. Primary outcome was ICU mortality. Measures of strained ICU capacity were: bed occupancy rate ≥ 90% and cluster of ICU admissions 2 h before or following index admission. Results: There were 1581 (38.2%) afterhours ICU admissions. Median APACHE II score (19 vs. 20) was similar between patients admitted afterhours and others (P = .27). Patients admitted afterhours had higher crude ICU mortality (15.4% vs. 21.9%; P < .001), but similar adjusted ICU mortality (aOR [95%CI] = 1.15 [0.97-1.38]; P = .12). While bed occupancy rate ≥ 90% was more frequent in patients admitted afterhours (23.1% vs. 29.1%) or deceased in ICU (23.6% vs. 33.7%), cluster of ICU admissions was more frequent in patients admitted during daytime hours (75.2% vs. 58.9%) or that survived the ICU stay (70.1% vs. 63.9%; P ≤ .001 for all). These measures of strained ICU capacity were not associated with adjusted ICU mortality (P ≥ .10 for both). Conclusions: Afterhours ICU admission and measures of strained ICU capacity were associated with crude but not adjusted ICU mortality. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | J Crit Care . 2019 Dec:54:1-6. doi: 10.1016/j.jcrc.2019.06.028. | pt_PT |
| dc.identifier.doi | 10.1016/j.jcrc.2019.06.028 | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.17/4783 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Elsevier | pt_PT |
| dc.subject | HCC UCI | pt_PT |
| dc.subject | HSJ UUM | pt_PT |
| dc.subject | Adult | pt_PT |
| dc.subject | Aged | pt_PT |
| dc.subject | Middle Aged | pt_PT |
| dc.subject | Female | pt_PT |
| dc.subject | Male | pt_PT |
| dc.subject | Humans | pt_PT |
| dc.subject | Bed Occupancy | pt_PT |
| dc.subject | Critical Care / statistics & numerical data* | pt_PT |
| dc.subject | Hospital Mortality* | pt_PT |
| dc.subject | Hospitalization* | pt_PT |
| dc.subject | Intensive Care Units | pt_PT |
| dc.subject | Patient Admission | pt_PT |
| dc.subject | Portugal | pt_PT |
| dc.subject | Retrospective Studies | pt_PT |
| dc.subject | Time-to-Treatment | pt_PT |
| dc.title | Time of Admission to Intensive Care Unit, Strained Capacity, and Mortality: a Retrospective Cohort Study | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 6 | pt_PT |
| oaire.citation.startPage | 1 | pt_PT |
| oaire.citation.title | Journal of Critical Care | pt_PT |
| oaire.citation.volume | 54 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |