Characteristics of the patients in an Infectious Diseases Intensive Care Unit

Florescu, Simin Aysel; Popescu, Cristina; Ciortea, Daniela; Stanciu, Delia; Zaharia, Mihaela; Nedu, Elena; Nica, Maria; Codreanu, Daniel; Kosa, Alma; Ruță, Simona; Calistru, Petre Iacob; Ceauşu, Emanoil

doi:10.1016/j.ijid.2018.04.4080

Cited by 1 publication

(2 citation statements)

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“…4 However, specialized infectious diseases intensive care units (IDICU) are different from general ICUs regarding case mix, disease severity, and mortality rate. 5 There are few units in Brazil (less than 10 units) and there is also a large information gap about this type of unit in the medical literature and difficulties to compare and benchmark them. 6,7 In many places, it is not even considered an official intensive care specialization.…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review and meta-analysis of 154 studies 11 of CNSI published between 1990 and 2016 concluded that the global prevalence was 0.4%, making them rare diseases. However, the prevalence can vary from 1%, in general ICUs to 10% or higher in IDICUs, 5,12,13 suggesting that these units may be the ideal places for sentinel syndromic surveillance for CNSI and other HCID. This approach would allow focusing on new diseases with tremendous potential for severe morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

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Profiling and Benchmarking Central Nervous System Infections in an Infectious Diseases Intensive Care Unit

Andrade

Silva

Espinoza

et al. 2023

J Intensive Care Med

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Background There is little information comparing the performance of community acquired central nervous system infections (CNSI) treatment by intensive care units (ICUs) specialized in infectious diseases with treatment at other ICUs. Our objective was to reduce these gaps, creating bases for benchmarking and future case-mix classification. Methods This is a retrospective observational cohort of 785 admissions with 82 cases of CNSI admitted to the ICU of an important Brazilian referral center for infectious diseases (INI) between January 2012 and January 2019. Comparisons were made to data retrospectively collected from the 303,500 intensive care admissions from the Brazilian state health care system included in the Epimed Monitor database. Clinical, epidemiologic, and performance indicators: the standardized mortality rate (SMR) and the standardized resource use rate per ICU surviving patient (SRU) were collected. Results Case-mix infections profile and SMR/SRU data. SUS Mixed medical/surgical ICUs: SMR = 1.26, SRU = 1.59; SUS Neurological ICUs: SMR = 1.17, SRU = 2.23; INI ICU: SMR = 1.1, SRU = 1.1; INI ICU CNSI patients: SMR = 0.95, SRU = 1.01. Conclusions Severe patients with CNSI can be efficiently and effectively treated in an ICU specialized in infectious diseases when compared to mixed medical/surgical and neurological ICUs from the public health system. At the same time, we provided profiling and a case-mix that can help and encourage benchmarking by other institutions and other countries.

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