Jinkyeong Park1, Kyeongman Jeon1, Chi Ryang Chung1, Jeong Hoon Yang1, Yang Hyun Cho1, Joongbum Cho1, Chi-Min Park1, Hyejeong Park2, Juhee Cho3, Eliseo Guallar4, Gee Young Suh5. 1. Department of Critical Care Medicine in Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. 2. Department of Critical Care Medicine in Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Center for Clinical Epidemiology, Samsung Medical Center, Seoul, Republic of Korea. 3. Center for Clinical Epidemiology, Samsung Medical Center, Seoul, Republic of Korea; Department of Clinical Research Design & Evaluation, SAIHST, Sungkyunkwan University, Republic of Korea. 4. Center for Clinical Epidemiology, Samsung Medical Center, Seoul, Republic of Korea; Department of Clinical Research Design & Evaluation, SAIHST, Sungkyunkwan University, Republic of Korea; Departments of Epidemiology and Medicine, Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 5. Department of Critical Care Medicine in Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Center for Clinical Epidemiology, Samsung Medical Center, Seoul, Republic of Korea; Department of Clinical Research Design & Evaluation, SAIHST, Sungkyunkwan University, Republic of Korea. Electronic address: suhgy@skku.edu.
Abstract
PURPOSE: To evaluate unbiased information on the characteristics, procedures, and outcomes of intensive care unit (ICU) admissions in a long-term nationwide study. MATERIALS AND METHODS: Cohort study of all ICU admissions in patients >18years of age in Korea between August 1, 2009 and September 30, 2014 (1,553,673 ICU admissions in 1,265,509 patients). RESULTS: From August 2009 to September 2014, the age-standardized ICU admission rate was 744.6 per 100,000 person-years (869.5 per 100,000 person-years in men and 622.0 per 100,000 person-years in women). The overall in-hospital mortality was 13.8% (14.1% in men and 13.5% in women). Among all Koreans, the ICU mortality rate was 102.9 per 100,000 person-years (122.5 per 100,000 person years in men and 83.8 per 100,000 person years in women). The median ICU and hospital length of stay were 4 and 13days, respectively. The median cost per ICU admission was $5051, which increased steadily over the study period. There were marked differences by gender in ICU admission rates, aggressive support, and outcomes. CONCLUSIONS: Our study identified increasing trends in ICU admissions and utilization of advance life support systems that add to the burden of care in a developed society.
PURPOSE: To evaluate unbiased information on the characteristics, procedures, and outcomes of intensive care unit (ICU) admissions in a long-term nationwide study. MATERIALS AND METHODS: Cohort study of all ICU admissions in patients >18years of age in Korea between August 1, 2009 and September 30, 2014 (1,553,673 ICU admissions in 1,265,509 patients). RESULTS: From August 2009 to September 2014, the age-standardized ICU admission rate was 744.6 per 100,000 person-years (869.5 per 100,000 person-years in men and 622.0 per 100,000 person-years in women). The overall in-hospital mortality was 13.8% (14.1% in men and 13.5% in women). Among all Koreans, the ICU mortality rate was 102.9 per 100,000 person-years (122.5 per 100,000 person years in men and 83.8 per 100,000 person years in women). The median ICU and hospital length of stay were 4 and 13days, respectively. The median cost per ICU admission was $5051, which increased steadily over the study period. There were marked differences by gender in ICU admission rates, aggressive support, and outcomes. CONCLUSIONS: Our study identified increasing trends in ICU admissions and utilization of advance life support systems that add to the burden of care in a developed society.
Authors: Seung Hun Lee; Ju-Young Kim; Tae Hoon Kim; Sun Mi Ju; Jung-Wan Yoo; Seung Jun Lee; Yu Ji Cho; Yi Yeong Jeong; Jong Deog Lee; Ho Cheol Kim Journal: Tuberc Respir Dis (Seoul) Date: 2020-03-10
Authors: Bernhard Wernly; Raphael Romano Bruno; Malte Kelm; Ariane Boumendil; Alessandro Morandi; Finn H Andersen; Antonio Artigas; Stefano Finazzi; Maurizio Cecconi; Steffen Christensen; Loredana Faraldi; Michael Lichtenauer; Johanna M Muessig; Brian Marsh; Rui Moreno; Sandra Oeyen; Christina Agvald Öhman; Bernado Bollen Pinto; Ivo W Soliman; Wojciech Szczeklik; David Niederseer; Andreas Valentin; Ximena Watson; Susannah Leaver; Carole Boulanger; Sten Walther; Joerg C Schefold; Michael Joannidis; Yuriy Nalapko; Muhammed Elhadi; Jesper Fjølner; Tilemachos Zafeiridis; Dylan W De Lange; Bertrand Guidet; Hans Flaatten; Christian Jung Journal: Sci Rep Date: 2020-10-29 Impact factor: 4.379