Hospital-level variation in the development of persistent critical illness.

ABSTRACT:

Purpose

Patients with persistent critical illness may account for up to half of all intensive care unit (ICU) bed-days. It is unknown if there is hospital variation in the development of persistent critical illness and if hospital performance affects the incidence of persistent critical illness.

Methods

This is a retrospective analysis of Veterans admitted to the Veterans Administration (VA) ICUs from 2015 to 2017. Hospital performance was defined by the risk- and reliability-adjusted 30-day mortality. Persistent critical illness was defined as an ICU length of stay of at least 11 days. We used 2-level multilevel logistic regression models to assess variation in risk- and reliability-adjusted probabilities in the development of persistent critical illness.

Results

In

SUBMITTER: Viglianti EM 

PROVIDER: S-EPMC7444658 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature