Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/5514
Title: The effects of discharge to an intermediate care unit after a critical illness: A 5-year cohort study
Authors: RANZANI, Otavio T.ZAMPIERI, Fernando GodinhoTANIGUCHI, Leandro UtinoFORTE, Daniel NevesAZEVEDO, Luciano Cesar PontesPARK, Marcelo
Citation: JOURNAL OF CRITICAL CARE, v.29, n.2, p.230-235, 2014
Abstract: Purpose: The impact of the intermediate care unit (IMCU) on post-intensive care unit (ICU) outcomes is controversial. Materials and Methods: We analyzed admissions from January 2003 to December 2008 from a mixed ICU in a teaching hospital in Brazil with a high patient-to-nurse ratio (3.5:1 on the ICU, 11:1 on the IMCU, 20-25:1 on the ward). A retrospective propensity-matched analysis was performed with data from 690 patients who were discharged after at least 3 days of ICU stay. Results: Of the 690 patients, 160 (23%) were discharged to the IMCU. A total of 399 propensity-matched patients were compared: 298 were discharged to the ward and 101 were discharged to the IMCU. Ninety-day mortality rate was similar between the IMCU and ward patients (22% vs 18%, respectively, P =. 37), as was the unplanned ICU readmission rate (P =. 63). In a multivariate logistic regression, discharge to the IMCU had no effect on the 90-day mortality rate (P = .27). Conclusions: In a resource-limited setting with a high patient-to-nurse ratio, discharge to IMCU had no impact on 90-day mortality rate and on unplanned readmission rate. The impact of discharge to the IMCU on the outcome for critically ill patients should be evaluated in further studies.
Appears in Collections:Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/09
Artigos e Materiais de Revistas Científicas - LIM/51

Files in This Item:
File Description SizeFormat 
art_RANZANI_The_effects_of_discharge_to_an_intermediate_care_2014.PDF
  Restricted Access
publishedVersion (English)278.09 kBAdobe PDFView/Open Request a copy

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.