scholarly journals Impact of an Intensive Care Information System on the Length of Stay of Surgical Intensive Care Unit Patients: Observational Study (Preprint)

2019 ◽  
Author(s):  
Camille Havel ◽  
Jean Selim ◽  
Emmanuel Besnier ◽  
Philippe Gouin ◽  
Benoit Veber ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Length Of Stay ◽  
Observational Study ◽  
Severity Score ◽  
University Hospital ◽  
X Rays ◽  
Icu Mortality ◽  
Care Information

BACKGROUND The implementation of computerized monitoring and prescription systems in intensive care has proven to be reliable in reducing the rate of medical error and increasing patient care time. They also showed a benefit in reducing the length of stay in the intensive care unit (ICU). However, this benefit has been poorly studied, with conflicting results. OBJECTIVE This study aimed to show the impact of computerization on the length of stay in ICUs. METHODS This was a before-after retrospective observational study. All patients admitted in the surgical ICU at the Rouen University Hospital were included, from June 1, 2015, to June 1, 2016, for the before period and from August 1, 2016, to August 1, 2017, for the after period. The data were extracted from the hospitalization report and included the following: epidemiological data (age, sex, weight, height, and body mass index), reason for ICU admission, severity score at admission, length of stay and mortality in ICU, mortality in hospital, use of life support during the stay, and ICU readmission during the same hospital stay. The consumption of antibiotics, biological analyses, and the number of chest x-rays during the stay were also analyzed. RESULTS A total of 1600 patients were included: 839 in the before period and 761 in the after period. Only the severity score Simplified Acute Physiology Score II was significantly higher in the postcomputerization period (38 [SD 20] vs 40 [SD 21]; P<.05). There was no significant difference in terms of length of stay in ICU, mortality, or readmission during the stay. There was a significant increase in the volume of prescribed biological analyses (5416 [5192-5956] biological exams prescribed in the period before Intellispace Critical Care and Anesthesia [ICCA] vs 6374 [6013-6986] biological exams prescribed in the period after ICCA; P=.002), with an increase in the total cost of biological analyses, to the detriment of hematological and biochemical blood tests. There was also a trend toward reduction in the average number of chest x-rays, but this was not significant (0.55 [SD 0.39] chest x-rays per day per patient before computerization vs 0.51 [SD 0.37] chest x-rays per day per patient after computerization; P=.05). On the other hand, there was a decrease in antibiotic prescribing in terms of cost per patient after the implementation of computerization (€149.50 [$164 USD] per patient before computerization vs €105.40 [$155 USD] per patient after computerization). CONCLUSIONS Implementation of an intensive care information system at the Rouen University Hospital in June 2016 did not have an impact on reducing the length of stay.

scholarly journals Impact of an Intensive Care Information System on the Length of Stay of Surgical Intensive Care Unit Patients: Observational Study

10.2196/14501 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. e14501
Author(s):  
Camille Havel ◽  
Jean Selim ◽  
Emmanuel Besnier ◽  
Philippe Gouin ◽  
Benoit Veber ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Length Of Stay ◽  
Observational Study ◽  
Severity Score ◽  
University Hospital ◽  
X Rays ◽  
Icu Mortality ◽  
Care Information

Background The implementation of computerized monitoring and prescription systems in intensive care has proven to be reliable in reducing the rate of medical error and increasing patient care time. They also showed a benefit in reducing the length of stay in the intensive care unit (ICU). However, this benefit has been poorly studied, with conflicting results. Objective This study aimed to show the impact of computerization on the length of stay in ICUs. Methods This was a before-after retrospective observational study. All patients admitted in the surgical ICU at the Rouen University Hospital were included, from June 1, 2015, to June 1, 2016, for the before period and from August 1, 2016, to August 1, 2017, for the after period. The data were extracted from the hospitalization report and included the following: epidemiological data (age, sex, weight, height, and body mass index), reason for ICU admission, severity score at admission, length of stay and mortality in ICU, mortality in hospital, use of life support during the stay, and ICU readmission during the same hospital stay. The consumption of antibiotics, biological analyses, and the number of chest x-rays during the stay were also analyzed. Results A total of 1600 patients were included: 839 in the before period and 761 in the after period. Only the severity score Simplified Acute Physiology Score II was significantly higher in the postcomputerization period (38 [SD 20] vs 40 [SD 21]; P<.05). There was no significant difference in terms of length of stay in ICU, mortality, or readmission during the stay. There was a significant increase in the volume of prescribed biological analyses (5416 [5192-5956] biological exams prescribed in the period before Intellispace Critical Care and Anesthesia [ICCA] vs 6374 [6013-6986] biological exams prescribed in the period after ICCA; P=.002), with an increase in the total cost of biological analyses, to the detriment of hematological and biochemical blood tests. There was also a trend toward reduction in the average number of chest x-rays, but this was not significant (0.55 [SD 0.39] chest x-rays per day per patient before computerization vs 0.51 [SD 0.37] chest x-rays per day per patient after computerization; P=.05). On the other hand, there was a decrease in antibiotic prescribing in terms of cost per patient after the implementation of computerization (€149.50 [$164 USD] per patient before computerization vs €105.40 [$155 USD] per patient after computerization). Conclusions Implementation of an intensive care information system at the Rouen University Hospital in June 2016 did not have an impact on reducing the length of stay.

The implementation of an Intensive Care Information System allows shortening the ICU length of stay

2014 ◽  
Vol 29 (2) ◽  
pp. 263-269 ◽  
Author(s):  
Eric Levesque ◽  
Emir Hoti ◽  
Daniel Azoulay ◽  
Philippe Ichai ◽  
Didier Samuel ◽  
...  
Keyword(s):  
Information System ◽  
Intensive Care ◽  
Length Of Stay ◽  
Icu Length Of Stay ◽  
Care Information

Unplanned Transfers From Intermediate Care Units to Intensive Care Units: A Cohort Study

2021 ◽  
Vol 30 (5) ◽  
pp. 397-400
Author(s):  
Joao Gabriel Rosa Ramos ◽  
Gabriel Machado Naus dos Santos ◽  
Marina Chetto Coutinho Bispo ◽  
Renata Cristina de Almeida Matos ◽  
Gil Mario Lopes Santos de Carvalho ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cohort Study ◽  
Intensive Care ◽  
Observational Study ◽  
Hospital Mortality ◽  
Odds Ratio ◽  
Intermediate Care ◽  
Icu Mortality ◽  
Patient Transfers ◽  
Reason For Admission

This study evaluated unplanned transfers from the intermediate care unit (IMCU) to the intensive care unit (ICU) among urgent admissions. This retrospective, observational study was conducted in 2 ICUs and 1 IMCU. Three patterns of urgent admission were assessed: admissions to the ICU only, admissions to the IMCU only, and admissions to the IMCU with subsequent transfer to the ICU. Of 5296 admissions analyzed, 1396 patients (26.4%) were initially admitted to the IMCU. Of these, 172 (12.3%) were transferred from the IMCU to the ICU. Mortality was higher in patients transferred from the IMCU to the ICU than in the 3900 ICU-only patients (odds ratio, 3.22; 95% CI, 1.52-6.80). Most transfers from the IMCU to the ICU (135; 78.5%) were due to deterioration of the condition for which the patient was admitted. Patient transfers from the IMCU to the ICU were common, were associated with increased hospital mortality, and were mostly due to deterioration in the condition that was the reason for admission.

Thrombocytopenia and Bloodstream Infection: Incidence and Implication on Length of Stay in the Pediatric Intensive Care Unit

2021 ◽  
Author(s):  
Reut Kassif Lerner ◽  
Dana Levinkopf ◽  
Inna Zaslavsky Paltiel ◽  
Tal Sadeh ◽  
Marina Rubinstein ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Bloodstream Infection ◽  
Critically Ill ◽  
Pediatric Intensive Care Unit ◽  
Odds Ratio ◽  
Pediatric Patients ◽  
Pediatric Intensive Care ◽  
University Hospital

AbstractThe incidence and prognosis of thrombocytopenia in critically ill patients with bloodstream infection (BSI) is not well delineated in the pediatric intensive care unit (PICU) setting. We assessed these variables in our PICU and sought to determine whether thrombocytopenia could serve as a prognostic marker for length of stay (LOS). The study was conducted at the medical PICU of a university hospital, on all critically ill pediatric patients consecutively admitted during a 3-year period. Patient surveillance and data collection have been used to identify the risk factors during the study period. The main outcomes were BSI incidence and implication on morbidity and LOS. Data from 2,349 PICU patients was analyzed. The overall incidence of BSI was 3.9% (93/2,349). Overall, 85 of 93 patients (91.4%) with BSI survived and 8 patients died (8.6% mortality rate). The overall incidence of thrombocytopenia among these 93 patients was 54.8% (51/93) and 100% (8/8) for the nonsurvivors. Out of the 85 survivors, 27 thrombocytopenic patients were hospitalized for >14 days versus 14 of nonthrombocytopenic patients (p = 0.007). Thrombocytopenia was associated with borderline significance with an increased LOS (adjusted odds ratio = 3.00, 95% confidence interval: 0.93–9.71, p = 0.066). Thrombocytopenia is common in critically ill pediatric patients with BSI and constitutes a simple and readily available risk marker for PICU LOS.

105 Effects of a specifically-designed intensive care information system length of stay and mortality

2010 ◽  
Vol 19 (Suppl 1) ◽  
pp. A72-A73 ◽  
Author(s):  
B. Helene ◽  
A. Charlotte ◽  
L. Qin ◽  
B. Belaid ◽  
V. Corinne ◽  
...  
Keyword(s):  
Information System ◽  
Intensive Care ◽  
Length Of Stay ◽  
Care Information ◽  
System Length

Intra-hospital transfers to a higher level of care: Contribution to total hospital and intensive care unit (ICU) mortality and length of stay (LOS)

2010 ◽  
Vol 6 (2) ◽  
pp. 74-80 ◽  
Author(s):  
Gabriel J. Escobar ◽  
John D. Greene ◽  
Marla N. Gardner ◽  
Gregory P. Marelich ◽  
Bryon Quick ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Level Of Care ◽  
Icu Mortality ◽  
Total Hospital

scholarly journals Respiratory Support during Bronchiolitis Due to One Virus versus More Than One Virus: An Observational Study

2019 ◽  
Vol 08 (04) ◽  
pp. 204-209
Author(s):  
Thomas Coleman ◽  
Alison Taylor ◽  
Helen Crothall ◽  
F. Eduardo Martinez
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Observational Study ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Retrospective Observational Study ◽  
Respiratory Support ◽  
Virus Versus

AbstractBronchiolitis is common during infancy and frequently leads to pediatric intensive care unit (PICU) admission. This study aimed to determine if there is a difference in the duration of respiratory support when bronchiolitis is due to one virus or more than one virus. This is a retrospective, observational study of cases admitted to PICU with confirmed bronchiolitis. There were 306 cases analyzed, 70% (215/306) were infected by a single virus and 30% (91/306) were infected with more than one virus. Both groups had similar duration of respiratory support and PICU length of stay (LOS). Hospital LOS was longer for the group with more than one virus.

Sign in / Sign up

Export Citation Format

Share Document