- Poster presentation
- Open access
- Published:
Impact of the time elapsed between ICU request and actual admission on mortality and length of stay
Critical Care volume 17, Article number: P487 (2013)
Methods
A retrospective cohort study performed on patients in the ICU of Hospital Regional de Samambaia over a period of 4 years, from January 2008 to December 2011. The patients were allocated into two groups: patients who waited longer than 6 hours, long waiting period (LWP, n = 300); and patients whose waiting time was equal to or less than that period, short waiting period (SWP, n = 113).
Results
In total, 413 patients were included, 300 of which belonged to the LWP group (65.4%). For the entire cohort, the mean APACHE II score was 19 ± 7, the mean age was 52 ± 22 years, and 211 patients were male (51.1%). The LWP group did not show difference in the APACHE II score (19 ± 7 vs. 18 ± 8, P = 0.13), but was older (55 ± 20 vs. 49 ± 23, P = 0.01). LWP also had a higher incidence of primary bloodstream infection (23.8% vs. 10.4%, P = 0.01) and catheter-associated urinary tract infection (10.2% vs. 1.9%, P = 0.01). LWP patients had higher mortality (37.8% vs. 25.9%, P = 0.02) and longer ICU LOS (21 ± 47 vs. 14 ± 18 days, P = 0.01). Relative risk for death in the LWP was 1.74 (95% CI: 1.11 to 2.72).
Conclusion
Despite showing no significant differences on APACHE II scores from the SWP group, patients from the LWP group presented greater incidence of primary bloodstream infection, catheter-associated urinary tract infection, higher mortality outcomes and longer ICU LOS.
References
Amorim FF, et al.: J Clin Med Res. 2012, 4: 410-414.
Rivers E, et al.: N Engl J Med. 2001, 345: 1368-1377. 10.1056/NEJMoa010307
Author information
Authors and Affiliations
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
About this article
Cite this article
Filho, G., Silva, T., Santana, A. et al. Impact of the time elapsed between ICU request and actual admission on mortality and length of stay. Crit Care 17 (Suppl 2), P487 (2013). https://doi.org/10.1186/cc12425
Published:
DOI: https://doi.org/10.1186/cc12425