Direct and delayed admissions to ICU in older medical patients

Milou Bosch; N. A. Zwietering; Hella F. Borggreve; Evelien Pijpers; Patricia M. Stassen

doi:10.52964/AMJA.0704

Direct and delayed admissions to ICU in older medical patients

Milou Bosch^*
, N. A. Zwietering
, Hella F. Borggreve
, Evelien Pijpers
, Patricia M. Stassen

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

The aims of this retrospective cohort study were to retrieve characteristics and outcomes of older (65+) medical patients who are directly admitted to ICU from the ED and to compare these with those admitted to ICU from a ward. Of 1396 patients, 21 (1.5%) were directly admitted to ICU and 54 (3.9%) after a delay. Blood pressure was lower and respiratory rate higher in the direct than in the delayed group. The direct group had lower mortality (28-day: 19.0 vs. 38.9%, p=0.14; 1-year: 42.9 vs. 66.7%; p=0.06), shorter length-of-stay and returned more frequently to independent living than the delayed group. Only a fraction of older patients are admitted to ICU; directly admitted patients tend to have better outcomes.

Original language	English
Number of pages	57
Journal	Acute Medicine
Volume	17
Issue number	2
DOIs	https://doi.org/10.52964/AMJA.0704
Publication status	Published - 1 Jan 2018

Keywords

Aged
Aged, 80 and over
Emergency Service, Hospital/statistics & numerical data
Hospital Mortality
Humans
Intensive Care Units/statistics & numerical data
Outcome Assessment, Health Care/methods statistics & numerical data
Patient Admission/statistics & numerical data
Patient Transfer/statistics & numerical data
Retrospective Studies

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title = "Direct and delayed admissions to ICU in older medical patients",

abstract = "The aims of this retrospective cohort study were to retrieve characteristics and outcomes of older (65+) medical patients who are directly admitted to ICU from the ED and to compare these with those admitted to ICU from a ward. Of 1396 patients, 21 (1.5\%) were directly admitted to ICU and 54 (3.9\%) after a delay. Blood pressure was lower and respiratory rate higher in the direct than in the delayed group. The direct group had lower mortality (28-day: 19.0 vs. 38.9\%, p=0.14; 1-year: 42.9 vs. 66.7\%; p=0.06), shorter length-of-stay and returned more frequently to independent living than the delayed group. Only a fraction of older patients are admitted to ICU; directly admitted patients tend to have better outcomes.",

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doi = "10.52964/AMJA.0704",

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AU - Bosch, Milou

AU - Zwietering, N. A.

AU - Borggreve, Hella F.

AU - Pijpers, Evelien

AU - Stassen, Patricia M.

PY - 2018/1/1

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N2 - The aims of this retrospective cohort study were to retrieve characteristics and outcomes of older (65+) medical patients who are directly admitted to ICU from the ED and to compare these with those admitted to ICU from a ward. Of 1396 patients, 21 (1.5%) were directly admitted to ICU and 54 (3.9%) after a delay. Blood pressure was lower and respiratory rate higher in the direct than in the delayed group. The direct group had lower mortality (28-day: 19.0 vs. 38.9%, p=0.14; 1-year: 42.9 vs. 66.7%; p=0.06), shorter length-of-stay and returned more frequently to independent living than the delayed group. Only a fraction of older patients are admitted to ICU; directly admitted patients tend to have better outcomes.

AB - The aims of this retrospective cohort study were to retrieve characteristics and outcomes of older (65+) medical patients who are directly admitted to ICU from the ED and to compare these with those admitted to ICU from a ward. Of 1396 patients, 21 (1.5%) were directly admitted to ICU and 54 (3.9%) after a delay. Blood pressure was lower and respiratory rate higher in the direct than in the delayed group. The direct group had lower mortality (28-day: 19.0 vs. 38.9%, p=0.14; 1-year: 42.9 vs. 66.7%; p=0.06), shorter length-of-stay and returned more frequently to independent living than the delayed group. Only a fraction of older patients are admitted to ICU; directly admitted patients tend to have better outcomes.

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KW - Aged, 80 and over

KW - Emergency Service, Hospital/statistics & numerical data

KW - Hospital Mortality

KW - Humans

KW - Intensive Care Units/statistics & numerical data

KW - Outcome Assessment, Health Care/methods statistics & numerical data

KW - Patient Admission/statistics & numerical data

KW - Patient Transfer/statistics & numerical data

KW - Retrospective Studies

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M3 - Article

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JO - Acute Medicine

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Direct and delayed admissions to ICU in older medical patients

Abstract

Keywords

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