Epidemiological trends of surgical admissions to the intensive care unit in the United States.

ABSTRACT:

Background

Epidemiologic assessment of surgical admissions into intensive care units (ICUs) provides a framework to evaluate health care system efficiency and project future health care needs.

Methods

We performed a 9-year (2008-2016), retrospective, cohort analysis of all adult admissions to 88 surgical ICUs using the prospectively and manually abstracted Cerner Acute Physiology and Chronic Health Evaluation Outcomes database. We stratified patients into 13 surgical cohorts and modeled temporal trends in admission, mortality, surgical ICU length of stay (LOS), and change in functional status (FS) using generalized mixed-effects and Quasi-Poisson models to obtain risk-adjusted outcomes.

Results

We evaluated 78,053 ICU admissions and observed a significant decrease in

SUBMITTER: Vakayil V 

PROVIDER: S-EPMC7799916 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature