Abstract
There is a paucity of data on risk factors & patient outcomes following admission to cardio-thoracic intensive care units (CT ICU). More patients with increasing age & complex co-morbidities are admitted to ICU. Early identification of patients at risk & appropriate preventive measures may improve ICU readmission rates & patient outcomes
Aim: Record outcomes of all patients admitted to CT ICU
Hypothesis: Poor physiological reserve will be associated with poorer patient outcomes
Design & Setting: Prospective 1-yr observational study in 23 bedded level 3 CT ICU. Data retrieved from paperless patient record system & patients followed up till ICU discharge/death
Results: No of admissions 1310.Re-admission rate 7%. M:F 3:1 Age 64 yrs (SD15). Indications for admission: post-cardiac surgery (73%) transplant (7%) ventricular assist device insertion (4%) thoracic surgery (6%) & cardiology (10%)
Conclusion: First known report of patient outcomes following admission to a CT ICU over 1 year. Poor baseline physiology is associated with poorer outcomes. However age and BMI were not associated with reduced survival in our series. Further sub-group analysis is underway to identify potential mechanisms to explain these findings and pinpoint areas to target resources.
- © 2014 ERS