OBJECTIVE: To identify factors associated with the triage decision for patients classified as Society of Critical Care Medicine (SCCM) Triage Priority 3, and their outcomes. DESIGN: Single-centre, prospective, observational cohort study. SETTING: General intensive care unit in a tertiary regional hospital, over the 9 months January to September 2007. PATIENTS: SCCM Triage Priority 3 patients. RESULTS: All patients were followed up for at least 6 months. Among the 1346 triaged patients, 250 were classified as SCCM Triage Priority 3. Fewer than a third of these (76, 30.4%) were admitted to the ICU. Medical patients were more likely to be rejected than surgical or neurosurgical patients. Those with a poorer physicianpredicted chance of long-term survival were more likely to be rejected than those with a better predicted prognosis. The MPMII0-predicted mortality was higher for those denied ICU admission. Non-postoperative status (odds ratio [OR], 26.3) and physician-predicted risk > 50% of death within 1 month (OR, 11.8) were independently correlated with denial of ICU admission in a multiple logistic regression analysis. Cox regression analysis showed that independent risk factors for mortality were denial of ICU admission (hazard ratio [HR], 2.80), higher MPMII0-predicted mortality (HR, 1.12 for every 10% increment) and the presence of renal disease as an admission diagnosis (HR, 2.28). CONCLUSIONS: For SCCM Triage Priority 3 patients, postoperative status and better physician-predicted prognosis correlated with ICU admission. Patients had lower medium-term survival if they were denied ICU admission, or had higher MPMII0-predicted mortality, or renal disease as the admission diagnosis.
OBJECTIVE: To identify factors associated with the triage decision for patients classified as Society of Critical Care Medicine (SCCM) Triage Priority 3, and their outcomes. DESIGN: Single-centre, prospective, observational cohort study. SETTING: General intensive care unit in a tertiary regional hospital, over the 9 months January to September 2007. PATIENTS: SCCM Triage Priority 3 patients. RESULTS: All patients were followed up for at least 6 months. Among the 1346 triaged patients, 250 were classified as SCCM Triage Priority 3. Fewer than a third of these (76, 30.4%) were admitted to the ICU. Medical patients were more likely to be rejected than surgical or neurosurgical patients. Those with a poorer physicianpredicted chance of long-term survival were more likely to be rejected than those with a better predicted prognosis. The MPMII0-predicted mortality was higher for those denied ICU admission. Non-postoperative status (odds ratio [OR], 26.3) and physician-predicted risk > 50% of death within 1 month (OR, 11.8) were independently correlated with denial of ICU admission in a multiple logistic regression analysis. Cox regression analysis showed that independent risk factors for mortality were denial of ICU admission (hazard ratio [HR], 2.80), higher MPMII0-predicted mortality (HR, 1.12 for every 10% increment) and the presence of renal disease as an admission diagnosis (HR, 2.28). CONCLUSIONS: For SCCM Triage Priority 3 patients, postoperative status and better physician-predicted prognosis correlated with ICU admission. Patients had lower medium-term survival if they were denied ICU admission, or had higher MPMII0-predicted mortality, or renal disease as the admission diagnosis.
Authors: Francisco Martín-Rodríguez; Raúl López-Izquierdo; Carlos Del Pozo Vegas; Juan F Delgado-Benito; Carmen Del Pozo Pérez; Virginia Carbajosa Rodríguez; Agustín Mayo Iscar; José Luis Martín-Conty; Carlos Escudero Cuadrillero; Miguel A Castro-Villamor Journal: Emerg Med Int Date: 2019-07-01 Impact factor: 1.112
Authors: Sophie Rees; Christopher Bassford; Jeremy Dale; Zoe Fritz; Frances Griffiths; Helen Parsons; Gavin D Perkins; Anne Marie Slowther Journal: J Eval Clin Pract Date: 2019-05-17 Impact factor: 2.431
Authors: Lowell Ling; Chun Ming Ho; Pauline Yeung Ng; King Chung Kenny Chan; Hoi Ping Shum; Cheuk Yan Chan; Alwin Wai Tak Yeung; Wai Tat Wong; Shek Yin Au; Kit Hung Anne Leung; Jacky Ka Hing Chan; Chi Keung Ching; Oi Yan Tam; Hin Hung Tsang; Ting Liong; Kin Ip Law; Manimala Dharmangadan; Dominic So; Fu Loi Chow; Wai Ming Chan; Koon Ngai Lam; Kai Man Chan; Oi Fung Mok; Man Yee To; Sze Yuen Yau; Carmen Chan; Ella Lei; Gavin Matthew Joynt Journal: J Intensive Care Date: 2021-01-06
Authors: Joao Gabriel Rosa Ramos; Beatriz Perondi; Roger Daglius Dias; Leandro Costa Miranda; Claudio Cohen; Carlos Roberto Ribeiro Carvalho; Irineu Tadeu Velasco; Daniel Neves Forte Journal: Crit Care Date: 2016-04-02 Impact factor: 9.097