OBJECTIVE: We hypothesized that critically ill patients who remain in the ED for more than 24 hours experience worse outcomes and longer lengths of stay than those transferred to the medical intensive care unit (MICU) within 24 hours. METHODS: Medical records were examined of all patients admitted to the MICU directly from the ED of a 325-bed community teaching hospital between 2001 and 2002. RESULTS: Of 443 patients, 104 remained in the ED for 24 hours or longer (ED>or=24) before being transferred to the MICU. There were no significant differences in demographic characteristics of the 339 who were in the ED for less than 24 hours (ED <24 ) as compared with ED>or=24. APACHE II scores were 18.9+/-1.0 for a random sample of ED<24 and 20.5+/-0.9 for ED>or=24 (P=.2). Lengths of hospital stay were 10.9+/-0.8 days for ED<24 and 9.8+/-0.9 days for ED>or=24 (P=.7). Mortality rates were 26.8% for ED<24 and 26.9% for ED>or=24 (P=.5). CONCLUSIONS: These data suggest that outcomes of critically ill patients transferred from the ED to our MICU within 24 hours were not better than those who remained in the ED for longer durations. Larger studies are required to examine this hypothesis.
OBJECTIVE: We hypothesized that critically ill patients who remain in the ED for more than 24 hours experience worse outcomes and longer lengths of stay than those transferred to the medical intensive care unit (MICU) within 24 hours. METHODS: Medical records were examined of all patients admitted to the MICU directly from the ED of a 325-bed community teaching hospital between 2001 and 2002. RESULTS: Of 443 patients, 104 remained in the ED for 24 hours or longer (ED>or=24) before being transferred to the MICU. There were no significant differences in demographic characteristics of the 339 who were in the ED for less than 24 hours (ED <24 ) as compared with ED>or=24. APACHE II scores were 18.9+/-1.0 for a random sample of ED<24 and 20.5+/-0.9 for ED>or=24 (P=.2). Lengths of hospital stay were 10.9+/-0.8 days for ED<24 and 9.8+/-0.9 days for ED>or=24 (P=.7). Mortality rates were 26.8% for ED<24 and 26.9% for ED>or=24 (P=.5). CONCLUSIONS: These data suggest that outcomes of critically ill patients transferred from the ED to our MICU within 24 hours were not better than those who remained in the ED for longer durations. Larger studies are required to examine this hypothesis.
Authors: Jonathan Elmer; Daniel J Pallin; Shan Liu; Catherine Pearson; Yuchiao Chang; Carlos A Camargo; Steven M Greenberg; Jonathan Rosand; Joshua N Goldstein Journal: Neurocrit Care Date: 2012-12 Impact factor: 3.210
Authors: Andrew A Herring; Adit A Ginde; Jahan Fahimi; Harrison J Alter; Judith H Maselli; Janice A Espinola; Ashley F Sullivan; Carlos A Camargo Journal: Crit Care Med Date: 2013-05 Impact factor: 7.598
Authors: Louise Rose; Sara Gray; Karen Burns; Clare Atzema; Alex Kiss; Andrew Worster; Damon C Scales; Gordon Rubenfeld; Jacques Lee Journal: Scand J Trauma Resusc Emerg Med Date: 2012-04-11 Impact factor: 2.953
Authors: Zoubir Boudi; Dominique Lauque; Mohamed Alsabri; Linda Östlundh; Churchill Oneyji; Anna Khalemsky; Carlos Lojo Rial; Shan W Liu; Carlos A Camargo; Elhadi Aburawi; Martin Moeckel; Anna Slagman; Michael Christ; Adam Singer; Karim Tazarourte; Niels K Rathlev; Shamai A Grossman; Abdelouahab Bellou Journal: PLoS One Date: 2020-04-15 Impact factor: 3.240