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Waiting for ICU admission may increase the risk of death-A plea for better resource organization

dc.contributor.authorCastro, Silvia
dc.contributor.authorPereira, Isabel Jesus
dc.contributor.authorDias, Claudia Camila
dc.contributor.authorGranja, Cristina
dc.date.accessioned2020-07-24T10:51:53Z
dc.date.available2020-07-24T10:51:53Z
dc.date.issued2019-08
dc.description.abstractBackground Mortality is high in critically ill patients. In order to study the risk factors associated with mortality in these patients, we conducted an observational retrospective study in the general Intensive Care Unit (ICU) of Faro Hospital. Methods All patients discharged from the general ICU in the year 2015 were evaluated for inclusion. Mortality was characterized in the first 48 hours of ICU stay, at the time of discharge from ICU, and at discharge from hospital. Collected variables included demographic variables (age), and ICU variables: type of ICU admission (scheduled surgery, urgent surgery, medical and trauma), Simplified Acute Physiology Score (SAPS II), main diagnosis, hospital length of stay (HLS) before ICU (BICULS), in ICU (ICULS) and after ICU (AICULS). Results When comparing survivors with non-survivors, we found that age, disease severity expressed by SAPS II and BICULS were significantly higher in non-survivors. After multivariate regression analysis, BICULS was still significantly associated with mortality in the hospital. Conclusion Further studies are needed to characterize whether this longer BICULS is related to non-modifiable prior conditions or whether it is related to delayed ICU admission, which is a modifiable factor.
dc.description.versioninfo:eu-repo/semantics/publishedVersion
dc.identifier.doi10.1111/aas.13375
dc.identifier.issn0001-5172
dc.identifier.issn1399-6576
dc.identifier.urihttp://hdl.handle.net/10400.1/14283
dc.language.isoeng
dc.peerreviewedyes
dc.publisherWiley
dc.subjectIntensive-care
dc.subjectLong-term
dc.subjectMortality
dc.subjectDeterminants
dc.subjectDischarge
dc.subjectImpact
dc.titleWaiting for ICU admission may increase the risk of death-A plea for better resource organization
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage899
oaire.citation.issue7
oaire.citation.startPage895
oaire.citation.titleActa Anaesthesiologica Scandinavica
oaire.citation.volume63
person.familyNameGranja
person.givenNameCristina
person.identifier1348022
person.identifier.ciencia-id571D-FECC-7E4D
person.identifier.orcid0000-0002-5503-051X
person.identifier.scopus-author-id7003360936
rcaap.rightsrestrictedAccess
rcaap.typearticle
relation.isAuthorOfPublicationcc178203-2192-4f85-ab61-b2ac6ba5bede
relation.isAuthorOfPublication.latestForDiscoverycc178203-2192-4f85-ab61-b2ac6ba5bede

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