Study: Heart Patients Fare Worse in ICUs
A new study suggests that patients who have heart attacks or flareups of CHF fare worse in hospitals that rely on intensive care units to care for such patients. The findings are published in CHEST.
Findings show that these patients may be half as likely to get proven tests and treatments and are less likely to survive a month after hospital stay. This is the first time a study has demonstrated that hospitals with a high ICU usage measure worse on health care quality in heart patients.
During the study, the authors examined Medicare records from more than 570,000 hospital stays in 2010. Out of 150,000 hospitalisations for acute MI, 46 percent included care in an ICU. 16 percent of the 400,000 hospitalisations for heart failure also included an ICU stay.
See Also: Multidisciplinary Care in the ICU: Who’s in Charge?
The results showed that hospitals with the highest percentage of patients admitted to the ICU tended to be those with the smallest number of heart attacks and heart failure patients. They were also more likely to be for-profit hospitals with patients more likely from low-income areas.
Findings also suggest that high-ICU patients were less likely to give heart attack patients apsirin or other drugs to improve outcomes. Similarly, in heart failure high-ICU hospitals were less likely to give important medications, perform key tests and advise patients to stop smoking.
The biggest difference was in the risk of dying within 30 days of discharge. Heart attack patients were 6 percent more likely to die in high-ICU hospitals as compared to those admitted to low-ICU hospitals and 8 percent more for heart failure patients. No significant differences were observed in the odds of being hospitalised again or in total spending on care.
"These studies suggest that hospitals using the ICU frequently could be targets for improvement. If we find out why hospitals are using ICU beds more often for these patients, we could intervene to improve care overall," says Thomas Valley, MD, MSc, a critical care specialist who takes care of patients in the U-M Health System's Critical Care Medicine Unit.
Image Credit: Wikimedia Commons
Published on : Tue, 9 Aug 2016
User experience enhanced by leading technologies With state-of-the-art screen technology, BeneVision N-Series patient monitors deliver clear, multi-color, wide-format displays for users to capture and review information at a glance. With...
The HAMILTON-S1 is one of the most advanced mechanical ventilators with a number of unique features. It was the first ventilator featuring the "Ventilation Autopilot" INTELLiVENT®-ASV®. · Automated control of the patient’s Ventilation
Always in sight, always in mind Features Mindray believes the best way to predict the future is to create it. The revolutionary BeneVision N22/N19 is designed to optimize user experience by satisfying all your clinical demands....
Designed for many applications. Venue is a multi-purpose, point of care system that is also well-suited to help you manage patients in shock. It includes automated tools that enable you to quickly get the information you need to make fast decisions...
The fully featured ICU ventilator, HAMILTON-MR1, guarantees uncompromised continuous ventilation care from the ICU to the MRI scanner and back. Its reliability and high performance, with advanced lung-protective strategies and patient-adaptive modes,...