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VOLUME 21 , ISSUE 3 ( 2017 ) > List of Articles


Assessing the Performance of a Medical Intensive Care Unit: A 5-year single-center Experience

Amir Anushiravani, Seyed Masoom Masoompour

Keywords : Intensive Care Unit, mortality, performance

Citation Information : Anushiravani A, Masoompour SM. Assessing the Performance of a Medical Intensive Care Unit: A 5-year single-center Experience. Indian J Crit Care Med 2017; 21 (3):163-166.

DOI: 10.4103/ijccm.IJCCM_420_16

License: CC BY-ND 3.0

Published Online: 01-04-2018

Copyright Statement:  Copyright © 2017; The Author(s).


Patient care in the Intensive Care Unit (ICU) is complex and expensive, serving to provide optimal outcome as well as the adequate use of resources. Our objective was to determine variables associated with admission practices, processes of care, and clinical outcomes for critically ill patients. Admission records of a 10-bed ICU were gathered during a 5-year period. Variables such as average length of stay, bed turnover, bed occupancy rate, and turnover interval were evaluated. Of the 1719 patients evaluated, 54% were men. Mortality was highest between 10 pm and 2 am. There was no significant difference in ICU mortality during different days of the week. We showed that nonoffice hour admissions were not associated with poorer clinical outcomes, and significant differences in ICU mortality and ICU length of stay were not seen. Moreover, hospital mortality rates were not significantly higher for patients admitted to our ICU on weekends, at nights, or any day of the week.

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  1. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL. Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review. JAMA 2002;288:2151-62.
  2. Barnett MJ, Kaboli PJ, Sirio CA, Rosenthal GE. Day of the week of intensive care admission and patient outcomes: A multisite regional evaluation. Med Care 2002;40:530-9.
  3. Laupland KB, Shahpori R, Kirkpatrick AW, Stelfox HT. Hospital mortality among adults admitted to and discharged from intensive care on weekends and evenings. J Crit Care 2008;23:317-24.
  4. Numa A, Williams G, Awad J, Duffy B. After-hours admissions are not associated with increased risk-adjusted mortality in pediatric intensive care. Intensive Care Med 2008;34:148-51.
  5. Morales IJ, Peters SG, Afessa B. Hospital mortality rate and length of stay in patients admitted at night to the Intensive Care Unit. Crit Care Med 2003;31:858-63.
  6. Pabón Lasso H. Evaluating hospital performance through simultaneous application of several indicators. Bull Pan Am Health Organ 1986;20:341-57.
  7. Masoompour SM, Petramfar P, Farhadi P, Mahdaviazad H. Five-year trend analysis of capacity utilization measures in a teaching hospital 2008-2012. Shiraz E Med 2015;16:e21176.
  8. Ministry of Health and Medical Education. Standard Guidelines and Criteria of Evaluation of Public Hospitals in the Country. Tehran: Ministry of Health and Medical Education Publication; 2007.
  9. Romo H, Amaral AC, Vincent JL. Effect of patient sex on Intensive Care Unit survival. Arch Intern Med 2004;164:61-5.
  10. Fowler RA, Sabur N, Li P, Juurlink DN, Pinto R, Hladunewich MA, et al. Sex-and age-based differences in the delivery and outcomes of critical care. CMAJ 2007;177:1513-9.
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