Association between afterhours admission to the intensive care unit, strained capacity, and mortality: a retrospective cohort study.

ABSTRACT:

Background

Admission to the intensive care unit (ICU) outside daytime hours has been shown to be variably associated with increased morbidity and mortality. We aimed to describe the characteristics and outcomes of patients admitted to the ICU afterhours (22:00-06:59 h) in a large Canadian health region. We further hypothesized that the association between afterhours admission and mortality would be modified by indicators of strained ICU capacity.

Methods

This is a population-based cohort study of 12,265 adults admitted to nine ICUs in Alberta from June 2012 to December 2014. We used a path-analysis modeling strategy and mixed-effects multivariate regression analysis to evaluate direct and integrated associations (mediated through Acute Physiology and Chronic Health Evaluatio

SUBMITTER: Hall AM 

PROVIDER: S-EPMC5905119 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature