The use of intensive care: a comparison of a university and community hospital.
Draper, Elizabeth A
Date of Pub
Knaus, William A; Wagner, Douglas P
We compared 223 consecutive intensive care unit (ICU) admissions to a community hospital (CH) with 613 such admissions at
a university hospital (UH) using a new clinical scale aimed at quantifying severity of illness. Both ICU's had similar technical
resources and treatment capabilities. At the CH, however, patients were more often admitted for monitoring rather than for
treatment of UH admissions had a substantially greater acute severity of illness (p less than .001) than CH patients in most
diagnostic categories. These findings suggest that use of the ICU was substantially different in the two hospitals, with the
CH admitting many more stable patients. This study also suggests that evaluation of ICU use is improved by quantitative measurement
of severity of illness.
Costs and Cost Analysis : Diagnosis-Related Groups : Comparative Study : District of Columbia : Hospital Bed Capacity, 300
to 499 : Hospital Bed Capacity, 500 and over : Hospitals, Community/utilization : Hospitals, Teaching/utilization : Hospitals,
University/utilization : Intensive Care Units/utilization : Mid-Atlantic Region : Regression Analysis : Support, U.S. Gov't,