INTRODUCTION. Triage decisions are made daily by physicians in ICUs throughout the world without strict guidelines. Evaluation and comparisons of triage practices in different ICUs have not been reported. METHODS. A prospective, observational study of triage decisions was performed in 11 ICUs in 7 European countries from September 2003 until March 1, 2005. All patients > 18 years whose health care professional explicitly requested admission to the ICU were included. Data collected for consecutive patients included whether the patient was accepted or rejected and SAPS II scores at the time of triage. RESULTS. Of the 8472 triages there were 7737 patients (pt); 6390 pts were accepted to ICU, 1347 (18%) rejected. Numbers of accepted, rejected (%), total pts and mean SAPS II scores of the 7737 pts per center were respectively, Isala, NE- 1231, 66(5%), 1297, 27.8; Univ Med Ctr, NE- 839, 127(13%),28.8; Hadassah, IL- 725, 160 (18%), 885, 35.0; Royal Hallamshire, UK- 664, 142(18%),806,25.5; Herlev, DE- 498, 187(27%),685,46.9; San Paolo, IT- 483, 187(28%),670,36.1; Parc Tauli, ES- 298, 272(48%),570,32.3; Soroka, IL- 491,10 (2%),501,35.4; San Gerardo, IT- 442, 52(11%),494,33.0; Lariboisiere, FR- 426, 47(10%),473,29.7; Whittington, UK- 292, 97(25%),389,37.1; Total- 6390, 1347(18%),7737,32.7. CONCLUSION. Marked variations in percentages of accepted and rejected patients were present in the studied European ICUs that could not be explained by patient severity of illness.

Triage admission and rejection variations in European intensive care units / C.L. Sprung, J. Bakker, J. Kesecioglu, D. Edbrooke, M. Baras, J. Wiis, G. Iapichino, A. Artigas, G. Gurman, A. Pesenti, S. Cohen, C. Hargreaves, D. Payen, T. ELDICUS study group. - In: INTENSIVE CARE MEDICINE. - ISSN 0342-4642. - 32:Suppl. 1(2006), pp. S210-S210.

Triage admission and rejection variations in European intensive care units

G. Iapichino;A. Pesenti;
2006

Abstract

INTRODUCTION. Triage decisions are made daily by physicians in ICUs throughout the world without strict guidelines. Evaluation and comparisons of triage practices in different ICUs have not been reported. METHODS. A prospective, observational study of triage decisions was performed in 11 ICUs in 7 European countries from September 2003 until March 1, 2005. All patients > 18 years whose health care professional explicitly requested admission to the ICU were included. Data collected for consecutive patients included whether the patient was accepted or rejected and SAPS II scores at the time of triage. RESULTS. Of the 8472 triages there were 7737 patients (pt); 6390 pts were accepted to ICU, 1347 (18%) rejected. Numbers of accepted, rejected (%), total pts and mean SAPS II scores of the 7737 pts per center were respectively, Isala, NE- 1231, 66(5%), 1297, 27.8; Univ Med Ctr, NE- 839, 127(13%),28.8; Hadassah, IL- 725, 160 (18%), 885, 35.0; Royal Hallamshire, UK- 664, 142(18%),806,25.5; Herlev, DE- 498, 187(27%),685,46.9; San Paolo, IT- 483, 187(28%),670,36.1; Parc Tauli, ES- 298, 272(48%),570,32.3; Soroka, IL- 491,10 (2%),501,35.4; San Gerardo, IT- 442, 52(11%),494,33.0; Lariboisiere, FR- 426, 47(10%),473,29.7; Whittington, UK- 292, 97(25%),389,37.1; Total- 6390, 1347(18%),7737,32.7. CONCLUSION. Marked variations in percentages of accepted and rejected patients were present in the studied European ICUs that could not be explained by patient severity of illness.
Settore MED/41 - Anestesiologia
2006
Article (author)
File in questo prodotto:
Non ci sono file associati a questo prodotto.
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/51759
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact