Hospital Contributions to Variability in the Use of ICUs Among Elderly Medicare Recipients.

ABSTRACT:

Objective

Hospitals vary widely in ICU admission rates across numerous medical diagnoses. The extent to which variability in ICU use is specific to individual diagnoses or is a function of the hospital, regardless of disease, is unknown.

Design

Retrospective cohort study.

Setting

A total of 1,120 acute care hospitals with ICU capabilities.

Patients

Medicare beneficiaries 65 years old or older admitted for five medical diagnoses (acute myocardial infarction, congestive heart failure, stroke, pneumonia, and chronic obstructive pulmonary disease) and a surgical diagnosis (hip fracture treated with arthroplasty) in 2010.

Interventions

None.

Measurements and main results

We used multilevel models to calculate risk- and reliability-adjusted ICU admissio

SUBMITTER: Admon AJ 

PROVIDER: S-EPMC5669057 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature