{"title":"A retrospective comparison study of delayed admissions into the critical care unit.","authors":"Simran Aujla, Sanjog Banstola, Shondipon Laha, Craig Marshall","doi":"10.1177/17511437251333268","DOIUrl":null,"url":null,"abstract":"<p><p>Little is known about the effect of alternative patient routes prior to ICU admission on clinical outcomes. Therefore, this study compared patients that were admitted directly from the emergency department into the ICU with those admitted from the wards. Patients admitted from the wards had significantly higher SOFA (6 vs 5, <i>p</i> = 0.038) and APACHE scores (19 vs 16, <i>p</i> = 0.007), as well as a greater need for invasive ventilation (45.5% vs 28.6%, <i>p</i> < 0.001). Hence, this hypothesis-generating study suggests that further work is needed to assess if scoring systems are sensitive enough to assess the need for ICU admission.</p>","PeriodicalId":39161,"journal":{"name":"Journal of the Intensive Care Society","volume":" ","pages":"404-406"},"PeriodicalIF":1.4000,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106374/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Intensive Care Society","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17511437251333268","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Little is known about the effect of alternative patient routes prior to ICU admission on clinical outcomes. Therefore, this study compared patients that were admitted directly from the emergency department into the ICU with those admitted from the wards. Patients admitted from the wards had significantly higher SOFA (6 vs 5, p = 0.038) and APACHE scores (19 vs 16, p = 0.007), as well as a greater need for invasive ventilation (45.5% vs 28.6%, p < 0.001). Hence, this hypothesis-generating study suggests that further work is needed to assess if scoring systems are sensitive enough to assess the need for ICU admission.
期刊介绍:
The Journal of the Intensive Care Society (JICS) is an international, peer-reviewed journal that strives to disseminate clinically and scientifically relevant peer-reviewed research, evaluation, experience and opinion to all staff working in the field of intensive care medicine. Our aim is to inform clinicians on the provision of best practice and provide direction for innovative scientific research in what is one of the broadest and most multi-disciplinary healthcare specialties. While original articles and systematic reviews lie at the heart of the Journal, we also value and recognise the need for opinion articles, case reports and correspondence to guide clinically and scientifically important areas in which conclusive evidence is lacking. The style of the Journal is based on its founding mission statement to ‘instruct, inform and entertain by encompassing the best aspects of both tabloid and broadsheet''.