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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorRAMOS, Joao Gabriel Rosa
dc.contributor.authorRANZANI, Otavio T.
dc.contributor.authorPERONDI, Beatriz
dc.contributor.authorDIAS, Roger Daglius
dc.contributor.authorJONES, Daryl
dc.contributor.authorCARVALHO, Carlos Roberto Ribeiro
dc.contributor.authorVELASCO, Irineu Tadeu
dc.contributor.authorFORTE, Daniel Neves
dc.date.accessioned2019-06-26T17:28:39Z-
dc.date.available2019-06-26T17:28:39Z-
dc.date.issued2019
dc.identifier.citationJOURNAL OF CRITICAL CARE, v.51, p.77-83, 2019
dc.identifier.issn0883-9441
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/32454-
dc.description.abstractPurpose: Intensive care unit (ICU) admission triage occurs frequently and often involves highly subjective decisions that may lead to potentially inappropriate ICU admissions. In this study, we evaluated the effect of implementing a decision-aid tool for ICU triage on ICU admission decisions. Methods: This was a prospective, before-after study. Urgent ICU referrals to ten ICUs in a tertiary hospital in Brazil were assessed before and after the implementation of the decision-aid tool. Our primary outcome was the proportion of potentially inappropriate ICU referrals (defined as priority 4B or 5 referrals, accordingly to the Society of Critical Care Medicine guidelines of 1999 and 2016, respectively) admitted to the ICU within 48 h. We conducted multivariate analyses to adjust for potential confounders and evaluated the interaction between phase and triage priority. Results: Of the 2201 patients analyzed, 1184 (53.8%) patients were admitted to the ICU. After adjustment for confounders, implementation of the decision-aid tool was associated with a reduction in potentially inappropriate ICU admissions using either the 1999 [adjOR (95% CI) = 0.36 (0.13-0.97)] or 2016 [adjOR (95%CI) = 0.35 (0.13-0.96)] definitions. Conclusion: Implementation of a decision-aid tool for ICU triage was associated with a reduction in potentially inappropriate ICU admissions. (C) 2019 Published by Elsevier Inc.eng
dc.language.isoeng
dc.publisherW B SAUNDERS CO-ELSEVIER INCeng
dc.relation.ispartofJournal of Critical Care
dc.rightsrestrictedAccesseng
dc.subjectIntensive care triageeng
dc.subjectDecision-makingeng
dc.subjectDecision-support tooleng
dc.subjectIntensive care resource allocationeng
dc.subjectIntensive care unit admissioneng
dc.subjectCritically illeng
dc.subject.otherpolicy statementeng
dc.subject.otheroutcomeseng
dc.subject.otherrefusaleng
dc.titleA decision-aid tool for ICU admission triage is associated with a reduction in potentially inappropriate intensive care unit admissionseng
dc.typearticleeng
dc.rights.holderCopyright W B SAUNDERS CO-ELSEVIER INCeng
dc.identifier.doi10.1016/j.jcrc.2019.02.002
dc.identifier.pmid30769294
dc.subject.wosCritical Care Medicineeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
hcfmusp.author.externalDIAS, Roger Daglius:Univ Sao Paulo, Fac Med, Hosp Clin HCFMUSP, Emergency Dept, Sao Paulo, Brazil; Harvard Med Sch, Brigham & Womens Hosp, Emergency Dept, Boston, MA 02115 USA
hcfmusp.author.externalJONES, Daryl:Monash Univ, Sch Publ Hlth & Prevent Med, Clayton, Vic, Australia; Univ Melbourne, Melbourne, Vic, Australia; Austin Hlth, Melbourne, Vic, Australia
hcfmusp.description.beginpage77
hcfmusp.description.endpage83
hcfmusp.description.volume51
hcfmusp.origemWOS
hcfmusp.origem.idWOS:000468412000015
hcfmusp.origem.id2-s2.0-85061377093
hcfmusp.publisher.cityPHILADELPHIAeng
hcfmusp.publisher.countryUSAeng
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dc.description.indexMEDLINEeng
dc.identifier.eissn1557-8615
hcfmusp.citation.scopus9-
hcfmusp.scopus.lastupdate2022-05-06-
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Artigos e Materiais de Revistas Científicas - FM/MCM
Departamento de Clínica Médica - FM/MCM

Artigos e Materiais de Revistas Científicas - FM/MCP
Departamento de Cardio-Pneumologia - FM/MCP

Artigos e Materiais de Revistas Científicas - HC/ICHC
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Artigos e Materiais de Revistas Científicas - HC/InCor
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Artigos e Materiais de Revistas Científicas - LIM/51
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