Penn Med 2008: General Versus Speciality ICU Poster Presentation

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Leonard Davis Institute of Health Economics

Author: Jason Lott

Santé & Médecine

[object Object],[object Object],[object Object],Results Critical illness outcomes in general versus specialty intensive care units Jason P. Lott MA 3 , Theodore J. Iwashyna MD PhD 1-3 , Jason D. Christie MD MSCE 1-3 , David A. Asch MD MBA 1-3 , Andrew A. Kramer PhD 4 , Jeremy M. Kahn MD MS 1-3 ,[object Object],[object Object],[object Object],1 Division of Pulmonary, Allergy & Critical Care, 2 Leonard Davis Institute of Health Economics, 3 University of Pennsylvania School of Medicine, Philadelphia PA; 4 Cerner Corporation, Vienna VA OR (95% CI) 1.41 (1.01,1.96) 1.41 (1.03,1.94) Table. Risk-adjusted Odds Ratios of ICU Type a on Hospital Mortality for Select Diagnoses Diagnosis OR (95% CI) b Acute Coronary Syndrome Ideal Specialty ICU (n=9,967) 1.17 (0.95,1.45) Non-ideal Specialty ICU (n=1,161) 1.41 (1.01,1.96) † Ischemic Stroke Ideal Specialty ICU (n=1,457) 1.35 (0.96,1.89) Non-ideal Specialty ICU (n=752) 1.41 (1.03,1.94) † Intracranial Hemorrhage Ideal Specialty ICU (n=6,023) 1.00 (0.79,1.28) Non-ideal Specialty ICU (n=2,126) 1.31 (1.03,1.66) † Pneumonia Ideal Specialty ICU (n=3,925) 1.20 (1.02,1.40) † Non-ideal Specialty ICU (n=314) 1.02 (0.74,1.40) Abdominal Surgery Ideal Specialty ICU (n=3,915) 1.06 (0.83,1.36) Non-ideal Specialty ICU (n=2,373) 1.29 (1.04,1.61) † Cardiothoracic Surgery Ideal Specialty ICU (n=22,634) 0.60 (0.32,1.13) Non-ideal Specialty ICU (n=75) NC NC=Not calculated; a Reference group is general ICU; b Values adjusted for age, race, gender, diagnosis, source of admission, acute physiology score, pre-hospital length of stay, ventilation status (yes/no), hospital location (by region), and hospital teaching status; † Designates significance at p<0.05. ,[object Object],[object Object],[object Object],Background ,[object Object],Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],Methods ,[object Object],[object Object],Conclusions ,[object Object],[object Object],[object Object],Limitations ,[object Object],[object Object],Policy Implications

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