OBJECTIVE: To describe and identify the relationship between ED length of stay (LOS) and mortality after ICU admission. METHODS: We undertook a retrospective cohort study of records from the Australian and New Zealand Intensive Care Society Adult Patient Database (from 1 January 2000 to 31 December 2006). Data from 45 hospitals and 48 803 ED patients directly transferred to ICU were included. Patients were divided into ED LOS<8 h and ED LOS>or=8 h. Univariate and multivariate analyses were performed. RESULTS: Median ED LOS was 3.9 h (interquartile range 2.0-6.8). Patients transferred within 8 h (80.9%) were younger (P<0.001) and more seriously ill (higher mortality and mechanical ventilation rate) than those transferred>or=8 h. There was no clear relationship between ED LOS and hospital survival for patients admitted directly to ICU (odds ratio=1.01 per hour, 95% confidence intervals 0.99-1.02). CONCLUSION: Although 20% of critically ill patients spend more than 8 h in ED before transfer to ICU, we were unable to demonstrate an adverse relationship between time in ED and hospital mortality.
OBJECTIVE: To describe and identify the relationship between ED length of stay (LOS) and mortality after ICU admission. METHODS: We undertook a retrospective cohort study of records from the Australian and New Zealand Intensive Care Society Adult Patient Database (from 1 January 2000 to 31 December 2006). Data from 45 hospitals and 48 803 ED patients directly transferred to ICU were included. Patients were divided into ED LOS<8 h and ED LOS>or=8 h. Univariate and multivariate analyses were performed. RESULTS: Median ED LOS was 3.9 h (interquartile range 2.0-6.8). Patients transferred within 8 h (80.9%) were younger (P<0.001) and more seriously ill (higher mortality and mechanical ventilation rate) than those transferred>or=8 h. There was no clear relationship between ED LOS and hospital survival for patients admitted directly to ICU (odds ratio=1.01 per hour, 95% confidence intervals 0.99-1.02). CONCLUSION: Although 20% of critically illpatients spend more than 8 h in ED before transfer to ICU, we were unable to demonstrate an adverse relationship between time in ED and hospital mortality.
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: Carline N L Groenland; Fabian Termorshuizen; Wim J R Rietdijk; Judith van den Brule; Dave A Dongelmans; Evert de Jonge; Dylan W de Lange; Anne Marie G A de Smet; Nicolette F de Keizer; Joachim D Weigel; Lucia S D Jewbali; Eric Boersma; Corstiaan A den Uil Journal: Crit Care Med Date: 2019-11 Impact factor: 7.598
Authors: Waleed Tharwat Aletreby; Peter G Brindley; Ahmed Naji Balshi; Basim Mohammed Huwait; Abdulrahman Mishaal Alharthy; Ahmed Fouad Madi; Omar Elsayed Ramadan; Alfateh Sayed Nasr Noor; Wasim S Alzayer; Mohammed A Alodat; Hend Mohammed Hamido; Shahzad Ahmed Mumtaz; Abdullah Balahmar; Papas Vasillios; Huda Mhawish; Dimitrios Karakitsos Journal: Rev Bras Ter Intensiva Date: 2021 Jan-Mar