P M Olaechea1, F Álvarez-Lerma2, M Palomar3, R Gimeno4, M P Gracia5, N Mas6, R Rivas6, I Seijas7, X Nuvials8, M Catalán9. 1. Service of Intensive Care Medicine, Hospital de Galdakao-Usansolo, B° Labeaga s/n, 48960 Galdakao, Bizkaia, Spain. Electronic address: pedromaria.olaecheaastigarrag@osakidetza.net. 2. Service of Intensive Care Medicine, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Spain. 3. Service of Intensive Care Medicine, Hospital Arnau de Vilanova. Lleida, Institut de Reserca Biomèdica (IRB) y Universitat Autónoma de Barcelona, Barcelona, Spain. 4. Intensive Care Unit, Hospital Universitario La Fe, Valencia, Spain. 5. Service of Intensive Care Medicine, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain. 6. Service of Intensive Care Medicine, Hospital de Galdakao-Usansolo, Galdakao, Bizkaia, Spain. 7. Service of Intensive Care Medicine, Hospital Universitario Cruces, Barakaldo, Bizkaia, Spain. 8. Service of Intensive Care Medicine, Hospital Universitari Arnau de Vilanova, Lleida, Spain. 9. Service of Intensive Care Medicine, Hospital Universitario 12 de Octubre, Madrid, Spain.
Abstract
OBJECTIVE: To describe the case-mix of patients admitted to intensive care units (ICUs) in Spain during the period 2006-2011 and to assess changes in ICU mortality according to severity level. DESIGN: Secondary analysis of data obtained from the ENVN-HELICS registry. Observational prospective study. SETTING: Spanish ICU. PATIENTS: Patients admitted for over 24h. INTERVENTIONS: None. VARIABLES: Data for each of the participating hospitals and ICUs were recorded, as well as data that allowed to knowing the case-mix and the individual outcome of each patient. The study period was divided into two intervals, from 2006 to 2008 (period 1) and from 2009 to 2011 (period 2). Multilevel and multivariate models were used for the analysis of mortality and were performed in each stratum of severity level. RESULTS: The study population included 142,859 patients admitted to 188 adult ICUs. There was an increase in the mean age of the patients and in the percentage of patients >79 years (11.2% vs. 12.7%, P<0.001). Also, the mean APACHE II score increased from 14.35±8.29 to 14.72±8.43 (P<0.001). The crude overall intra-UCI mortality remained unchanged (11.4%) but adjusted mortality rate in patients with APACHE II score between 11 and 25 decreased modestly in recent years (12.3% vs. 11.6%, odds ratio=0.931, 95% CI 0.883-0.982; P=0.008). CONCLUSION: This study provides observational longitudinal data on case-mix of patients admitted to Spanish ICUs. A slight reduction in ICU mortality rate was observed among patients with intermediate severity level.
OBJECTIVE: To describe the case-mix of patients admitted to intensive care units (ICUs) in Spain during the period 2006-2011 and to assess changes in ICU mortality according to severity level. DESIGN: Secondary analysis of data obtained from the ENVN-HELICS registry. Observational prospective study. SETTING: Spanish ICU. PATIENTS: Patients admitted for over 24h. INTERVENTIONS: None. VARIABLES: Data for each of the participating hospitals and ICUs were recorded, as well as data that allowed to knowing the case-mix and the individual outcome of each patient. The study period was divided into two intervals, from 2006 to 2008 (period 1) and from 2009 to 2011 (period 2). Multilevel and multivariate models were used for the analysis of mortality and were performed in each stratum of severity level. RESULTS: The study population included 142,859 patients admitted to 188 adult ICUs. There was an increase in the mean age of the patients and in the percentage of patients >79 years (11.2% vs. 12.7%, P<0.001). Also, the mean APACHE II score increased from 14.35±8.29 to 14.72±8.43 (P<0.001). The crude overall intra-UCI mortality remained unchanged (11.4%) but adjusted mortality rate in patients with APACHE II score between 11 and 25 decreased modestly in recent years (12.3% vs. 11.6%, odds ratio=0.931, 95% CI 0.883-0.982; P=0.008). CONCLUSION: This study provides observational longitudinal data on case-mix of patients admitted to Spanish ICUs. A slight reduction in ICU mortality rate was observed among patients with intermediate severity level.
Authors: María Dolores Rodríguez-Huerta; Ana Díez-Fernández; María Jesús Rodríguez-Alonso; María Robles-González; María Martín-Rodríguez; Alberto González-García Journal: Nurs Crit Care Date: 2021-03-16 Impact factor: 2.897
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