Hospital ICUs Might Be Overused
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THURSDAY, Dec. 29, 2016 (HealthDay Information) -- Many sufferers admitted to intensive care items most likely do not want therapy in that costly setting, new analysis suggests.
"Our examine discovered over 50 p.c of sufferers admitted to the ICU have been categorized into teams suggesting that they have been probably both too nicely or too sick to profit from ICU care or might have acquired equal care in non-ICU settings," mentioned Dr. Dong Chang. He's a researcher on the Los Angeles Biomedical Analysis Institute and the examine's corresponding writer.
"This analysis signifies that ICU care is inefficient as a result of it's devoting substantial sources to sufferers who're much less more likely to profit from this degree of care," he mentioned in an institute information launch.
"These findings are a priority for sufferers, suppliers and the well being care system as a result of ICU care is regularly invasive and comes at a considerable value," Chang added.
The researchers tracked simply over 800 sufferers who have been admitted to the intensive care unit (ICU) at Harbor-UCLA Medical Middle from mid-2015 to mid-2016. Of these, about one-quarter wanted to be monitored carefully however did not want the extent of care supplied within the ICU.
One other 21 p.c have been so sick that they weren't more likely to get well; one other eight p.c have been close to dying or have been anticipated to have the identical end result exterior of the ICU, the researchers discovered.
"Whereas this can be a examine of only one hospital and outcomes might differ at different medical facilities, we suspect that these traits of ICU utilization are commonplace and prevalent in lots of establishments," Chang mentioned.
"There may be more likely to be a subset of sufferers wherein ICU care results in undesirable, invasive care with out vital scientific profit," he added.
Determining who will profit most from the ICU will assist guarantee the very best look after sufferers, Chang mentioned. And ensuring sufferers within the ICU really want that degree of care will assist make the very best use of the well being care system's restricted sources, he mentioned.
The examine was revealed Dec. 27 in JAMA Inner Medication.
-- Randy Dotinga
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SOURCE: Los Angeles Biomedical Analysis Institute, information launch, Dec. 27, 2016
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