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Timing of Admission to the Surgical Intensive Care Unit is Associated with in-Hospital Mortality
DC Field | Value | Language |
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dc.contributor.author | 김임경 | - |
dc.contributor.author | 김미경 | - |
dc.contributor.author | 정은주 | - |
dc.contributor.author | 박슬기 | - |
dc.date.accessioned | 2023-06-14T08:13:09Z | - |
dc.date.available | 2023-06-14T08:13:09Z | - |
dc.date.issued | 2022-03 | - |
dc.identifier.issn | 2288-5862 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/194816 | - |
dc.description.abstract | Purpose The relationship between the timing of admission (work-hours or after-hours) to the intensive care unit (ICU) and mortality among surgical ICU (SICU) patients is unclear. This study aimed to investigate whether admission to SICU during after-hours was associated with in-hospital mortality. Methods This retrospective cohort study was conducted in a tertiary academic hospital. The data of 571 patients who were admitted to the SICU and whose complete medical records were available were analyzed. Work-hours were defined as 07:00 to 19:00 Monday to Friday, during which the ICU was staffed with intensivists. After-hours were defined as any other time during which the SICU was not staffed with intensivists. The primary outcome measure was in-hospital mortality according to the time of admission (work-hours or after-hours) to the SICU. Results A total of 333 patients, were admitted to the SICU during work-hours, and 238 patients after-hours. Unplanned admissions (47.1% vs. 33.3%, p < 0.001), acute physiology and chronic health evaluation II score ≥ 25 (23.9% vs. 11.1%, p < 0.001), the need for ventilator support (34.0% vs. 17.4%, p < 0.001), and the use of vasopressors (50.0% vs. 33.3%, p < 0.001) were significantly higher in the after-hours group compared with the work-hours group. Multivariate analyses revealed that the timing of SICU admission was an independent predictor of in-hospital mortality (odds ratio, 2.526; 95% confidence interval, 1.010-6.320; p = 0.048). Conclusion This study showed that admission to the SICU during after-hours was associated with increased in-hospital mortality. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English, Korean | - |
dc.publisher | The Korean Society of Acute Care Surgery | - |
dc.relation.isPartOf | Journal of Acute Care Surgery | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Timing of Admission to the Surgical Intensive Care Unit is Associated with in-Hospital Mortality | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Mi Kyoung Kim | - |
dc.contributor.googleauthor | Eun-Joo Jung | - |
dc.contributor.googleauthor | Seulkee Park | - |
dc.contributor.googleauthor | Im-kyung Kim | - |
dc.identifier.doi | 10.17479/jacs.2022.12.1.11 | - |
dc.contributor.localId | A00851 | - |
dc.contributor.localId | A05711 | - |
dc.relation.journalcode | J01220 | - |
dc.identifier.eissn | 2287-7029 | - |
dc.subject.keyword | in-hospital mortality | - |
dc.subject.keyword | intensive care unit | - |
dc.subject.keyword | surgical intensive care | - |
dc.contributor.alternativeName | Kim, Im Kyung | - |
dc.contributor.affiliatedAuthor | 김임경 | - |
dc.contributor.affiliatedAuthor | 김미경 | - |
dc.citation.volume | 12 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 11 | - |
dc.citation.endPage | 17 | - |
dc.identifier.bibliographicCitation | Journal of Acute Care Surgery, Vol.12(1) : 11-17, 2022-03 | - |
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