Volume 14 Supplement 1
Role of critical care outreach to provide the intention to treat of hematological disorders: a pilot study
© BioMed Central Ltd. 2010
Published: 1 March 2010
Hematological malignancy patients admitted to the ICU due to complications are at high risk of death. In the second half of 2008 we started Critical Care Outreach (CCO) activity. The purpose of this team was to start intensive care early as possible for avoiding mechanical ventilation and multiorgan failure for improving intensive treatment outcome.
After CCO introduction, intention to treat was guaranteed at 90% in 2008 and at 41% in 2009. Comparing the number of criteria of activation, during 2008 and 2009 intensivists were activated earlier, with a lower number of criteria. The ICU mortality rate passed from 60% in 2003 to 54.5% in 2008 and 33.3% in 2009. Also the need for mechanical ventilation decreased after CCO introduction.
The introduction of CCO and activation criteria improves the intention to treat and reduces ICU admissions and mortality.