2004
DOI: 10.1097/01.ccm.0000133021.22188.35
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Abstract: The early survival advantage in the intensive care unit suggests a window of critical opportunity for these patients. Under economic constraints and dearth of intensive care unit beds, increasing the turnover of patients in the intensive care unit, thus exposing more needy patients to the early benefit of treatment in the intensive care unit, may be advantageous.

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Cited by 153 publications
(116 citation statements)
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References 30 publications
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“…Since Sinuff et al's review, three more studies have been published which report the hospital mortalities of patients admitted to and those refused ICU management [2,11,12]. Using a simple statistical formula [19] (see example in Appendix 1) and random effects pooled estimate, it is possible to calculate the odds ratio of mortality for patients refused ICU admission from the figures reported in all seven studies (i.e.…”
Section: Impact Of Critical Carementioning
confidence: 99%
See 1 more Smart Citation
“…Since Sinuff et al's review, three more studies have been published which report the hospital mortalities of patients admitted to and those refused ICU management [2,11,12]. Using a simple statistical formula [19] (see example in Appendix 1) and random effects pooled estimate, it is possible to calculate the odds ratio of mortality for patients refused ICU admission from the figures reported in all seven studies (i.e.…”
Section: Impact Of Critical Carementioning
confidence: 99%
“…However, in the past decade, there have been several reports of patients appropriately referred to, but refused, ICU admission [2,3,[8][9][10][11][12]. These studies can be used to compute the mortality risk reduction achieved by intensive care.…”
mentioning
confidence: 99%
“…In many countries the demand for intensive care beds exceeds their availability, (1)(2)(3) and it is unlikely that the number of expensive Intensive Care Unit (ICU) beds will increase. Earlier and better selection of patients admitted to ICU can allow more appropriate utilization of available intensive care resources.…”
Section: Introductionmentioning
confidence: 99%
“…(1,6,7) As a consequence, critically ill patients are hospitalized outside the ICU: some evidence exists that these patients have a mortality rate higher than similar patients admitted to ICU, (1)(2)(3)8) although a recent study did not confirm the data. (9) Among the different "responding teams", the Medical Emergency Team (MET) is the best evaluated: (10) nonetheless, its efficacy -and the methods to ascertain it-remains a matter of discussion.…”
Section: Introductionmentioning
confidence: 99%
“…First, it includes only patients admitted to an ICU, neglecting the fact that, in the era of ICU outreach teams, much of what is considered to be modern critical care occurs on hospital wards outside the ICU (15)(16)(17)(18)(19). Second, it treats ICU patients as a single group, when in reality the factors driving outcomes for low-risk ICU patients, for whom care is focused on observation and prevention of complications (20), may differ from those for high-risk acutely ill patients, for whom care may be focused on urgent resuscitation (21,22).…”
mentioning
confidence: 99%