Matches in SemOpenAlex for { <https://semopenalex.org/work/W2160500427> ?p ?o ?g. }
Showing items 1 to 96 of
96
with 100 items per page.
- W2160500427 endingPage "881" @default.
- W2160500427 startingPage "876" @default.
- W2160500427 abstract "We studied the effect of closing a six-bed intermediate care area (ICA) on utilization of a multidisciplinary critical care unit (CCU). Data were collected on all admissions to the 7-bed CCU for 9 months prior to ICA closure (n = 217) and compared with 9 months after CCU expansion (7 to 9 beds) and ICA closure (n = 407). Nonemergency CCU admissions increased from 41 to 112 after ICA closure (p<0.03). Mean APACHE II score within 24 h of admission decreased from 21.9±7.4 to 18.6±7.4 (p<0.0001). The proportion of patients with APACHE II score <15, increased from 30/217 to 136/407 accounting for an increase from 5.4 percent to 12.7 percent of CCU days (p<0.0001). Nursing workload at the time of discharge from CCU decreased (p<0.0001). The ICA closure altered CCU admission and discharge decision-making. “Low-risk” admissions increased and patients remained in the CCU until they required less nursing care. One factor determining utilization of a CCU is the facilities available outside the unit. A CCU management system is especially important when a wide range of illness severity is present. We studied the effect of closing a six-bed intermediate care area (ICA) on utilization of a multidisciplinary critical care unit (CCU). Data were collected on all admissions to the 7-bed CCU for 9 months prior to ICA closure (n = 217) and compared with 9 months after CCU expansion (7 to 9 beds) and ICA closure (n = 407). Nonemergency CCU admissions increased from 41 to 112 after ICA closure (p<0.03). Mean APACHE II score within 24 h of admission decreased from 21.9±7.4 to 18.6±7.4 (p<0.0001). The proportion of patients with APACHE II score <15, increased from 30/217 to 136/407 accounting for an increase from 5.4 percent to 12.7 percent of CCU days (p<0.0001). Nursing workload at the time of discharge from CCU decreased (p<0.0001). The ICA closure altered CCU admission and discharge decision-making. “Low-risk” admissions increased and patients remained in the CCU until they required less nursing care. One factor determining utilization of a CCU is the facilities available outside the unit. A CCU management system is especially important when a wide range of illness severity is present." @default.
- W2160500427 created "2016-06-24" @default.
- W2160500427 creator A5024998395 @default.
- W2160500427 creator A5041840962 @default.
- W2160500427 creator A5050836538 @default.
- W2160500427 date "1993-09-01" @default.
- W2160500427 modified "2023-09-23" @default.
- W2160500427 title "Closure of an Intermediate Care Unit" @default.
- W2160500427 cites W1965145288 @default.
- W2160500427 cites W1971719099 @default.
- W2160500427 cites W1994097069 @default.
- W2160500427 cites W1994733723 @default.
- W2160500427 cites W2001817202 @default.
- W2160500427 cites W2003378032 @default.
- W2160500427 cites W2016604331 @default.
- W2160500427 cites W2032018352 @default.
- W2160500427 cites W2044973421 @default.
- W2160500427 cites W2047597943 @default.
- W2160500427 cites W2052585484 @default.
- W2160500427 cites W2053271098 @default.
- W2160500427 cites W2077647249 @default.
- W2160500427 cites W2078750608 @default.
- W2160500427 cites W2080135567 @default.
- W2160500427 cites W2090403309 @default.
- W2160500427 cites W2317193860 @default.
- W2160500427 cites W4293242440 @default.
- W2160500427 cites W4293430821 @default.
- W2160500427 doi "https://doi.org/10.1378/chest.104.3.876" @default.
- W2160500427 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/8365304" @default.
- W2160500427 hasPublicationYear "1993" @default.
- W2160500427 type Work @default.
- W2160500427 sameAs 2160500427 @default.
- W2160500427 citedByCount "100" @default.
- W2160500427 countsByYear W21605004272012 @default.
- W2160500427 countsByYear W21605004272013 @default.
- W2160500427 countsByYear W21605004272014 @default.
- W2160500427 countsByYear W21605004272015 @default.
- W2160500427 countsByYear W21605004272016 @default.
- W2160500427 countsByYear W21605004272017 @default.
- W2160500427 countsByYear W21605004272018 @default.
- W2160500427 countsByYear W21605004272019 @default.
- W2160500427 countsByYear W21605004272020 @default.
- W2160500427 countsByYear W21605004272021 @default.
- W2160500427 countsByYear W21605004272022 @default.
- W2160500427 crossrefType "journal-article" @default.
- W2160500427 hasAuthorship W2160500427A5024998395 @default.
- W2160500427 hasAuthorship W2160500427A5041840962 @default.
- W2160500427 hasAuthorship W2160500427A5050836538 @default.
- W2160500427 hasConcept C111919701 @default.
- W2160500427 hasConcept C126322002 @default.
- W2160500427 hasConcept C146834321 @default.
- W2160500427 hasConcept C162324750 @default.
- W2160500427 hasConcept C177713679 @default.
- W2160500427 hasConcept C194828623 @default.
- W2160500427 hasConcept C2776376669 @default.
- W2160500427 hasConcept C2777260377 @default.
- W2160500427 hasConcept C2778476105 @default.
- W2160500427 hasConcept C34447519 @default.
- W2160500427 hasConcept C41008148 @default.
- W2160500427 hasConcept C500558357 @default.
- W2160500427 hasConcept C71924100 @default.
- W2160500427 hasConceptScore W2160500427C111919701 @default.
- W2160500427 hasConceptScore W2160500427C126322002 @default.
- W2160500427 hasConceptScore W2160500427C146834321 @default.
- W2160500427 hasConceptScore W2160500427C162324750 @default.
- W2160500427 hasConceptScore W2160500427C177713679 @default.
- W2160500427 hasConceptScore W2160500427C194828623 @default.
- W2160500427 hasConceptScore W2160500427C2776376669 @default.
- W2160500427 hasConceptScore W2160500427C2777260377 @default.
- W2160500427 hasConceptScore W2160500427C2778476105 @default.
- W2160500427 hasConceptScore W2160500427C34447519 @default.
- W2160500427 hasConceptScore W2160500427C41008148 @default.
- W2160500427 hasConceptScore W2160500427C500558357 @default.
- W2160500427 hasConceptScore W2160500427C71924100 @default.
- W2160500427 hasIssue "3" @default.
- W2160500427 hasLocation W21605004271 @default.
- W2160500427 hasLocation W21605004272 @default.
- W2160500427 hasOpenAccess W2160500427 @default.
- W2160500427 hasPrimaryLocation W21605004271 @default.
- W2160500427 hasRelatedWork W1965889279 @default.
- W2160500427 hasRelatedWork W1972132168 @default.
- W2160500427 hasRelatedWork W1978901906 @default.
- W2160500427 hasRelatedWork W2092922175 @default.
- W2160500427 hasRelatedWork W2325097216 @default.
- W2160500427 hasRelatedWork W2357916327 @default.
- W2160500427 hasRelatedWork W2410091304 @default.
- W2160500427 hasRelatedWork W2754173204 @default.
- W2160500427 hasRelatedWork W2903459657 @default.
- W2160500427 hasRelatedWork W2954022508 @default.
- W2160500427 hasVolume "104" @default.
- W2160500427 isParatext "false" @default.
- W2160500427 isRetracted "false" @default.
- W2160500427 magId "2160500427" @default.
- W2160500427 workType "article" @default.