Factors influencing the length of hospitalisation in intensive care units: a prospective observational study

Vacca, Franca; Vaiani, Monica; Messori, Andrea; Trippoli, Sabrina; Maltoni, Susanna; Pelagotti, Filippo; Santarlasci, Benedetta; Bardelli, F.

doi:10.1023/b:phar.0000042880.12835.4e

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…The aim of neurointensive critical clinical care should also be to reduce duration of ventilation and length of stay. In 131 patients Vacca et al described factors influencing the length of hospitalization in intensive care unit, which shows that sepsis as complication has the greatest impact, also treatment of infection is an important variable to reduce LOS [ 12 ]. In our cohort 33.2% of nonventilated and 87.0% of ventilated patients suffer from a complication, mostly respiratory infection, respectively, associated with mechanical ventilation.…”

Section: Discussionmentioning

confidence: 99%

Inventory of a Neurological Intensive Care Unit: Who Is Treated and How Long?

Backhaus

Aigner

Schlachetzki

et al. 2015

Neurology Research International

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Purpose. To characterize indications, treatment, and length of stay in a stand-alone neurological intensive care unit with focus on comparison between ventilated and nonventilated patient. Methods. We performed a single-center retrospective cohort study of all treated patients in our neurological intensive care unit between October 2006 and December 2008. Results. Overall, 512 patients were treated in the surveyed period, of which 493 could be included in the analysis. Of these, 40.8% had invasive mechanical ventilation and 59.2% had not. Indications in both groups were predominantly cerebrovascular diseases. Length of stay was 16.5 days in mean for ventilated and 3.6 days for nonventilated patient. Conclusion. Most patients, ventilated or not, suffer from vascular diseases with further impairment of other organ systems or systemic complications. Data reflects close relationship and overlap of treatment on nICU with a standardized stroke unit treatment and suggests, regarding increasing therapeutic options, the high impact of acute high-level treatment to reduce consequential complications.

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Section: Discussionmentioning

confidence: 99%

Inventory of a Neurological Intensive Care Unit: Who Is Treated and How Long?

Backhaus

Aigner

Schlachetzki

et al. 2015

Neurology Research International

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“…Sowohl auf neurochirurgischen als auch internistischen bzw. interdisziplinären Intensivstationen ergeben sich ähnliche Geschlechtsverteilungen [27,28]. Allerdings ist entsprechend der demographischen Entwicklung unserer Gesellschaft eine Zunahme des Durchschnittsalters bei uns sowie auch in den NITS der Universität Innsbruck und der Universität Erlangen erkennbar [2,13] [22].…”

Section: Alters- Und Geschlechtsverteilungunclassified

“…Vacca et al sowie Dettenkofer et al konnten eine Inzidenz von 20,7% nosokomialer Infektionen auf einer neurochirurgischen Intensivstation nachweisen [7,27]. Es fanden sich insgesamt 49 Fälle von Pneumonien, wobei allerdings 29 davon nicht beatmungsassoziiert waren.…”

Section: Alters- Und Geschlechtsverteilungunclassified

Indikationen und Outcome beatmeter Patienten einer neurologischen Intensivstation

et al. 2012

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More than one third of the patients treated in the NICU required artificial ventilation with an emphasis on cerebrovascular diseases, which illustrates the overlap between stroke unit and NICU care. Despite a lengthy duration of ventilation and a long stay in the intensive care unit more than one third of surviving patients showed no or only mild impairment. However, an additional third suffered from severe disability up to nursing care dependency. The study data differ little from the few publications in this field despite the stand alone situation of the NICU. The case mix index per day averaged around 0.3 and underlines the economic importance with respect to other forms of neurological treatment.

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