Article
Medicine, General & Internal
Benjamin S. Bassin, Nathan L. Haas, Nana Sefa, Richard Medlin, Timothy A. Peterson, Kyle Gunnerson, Steve Maxwell, James A. Cranford, Stephanie Laurinec, Christine Olis, Renee Havey, Robert Loof, Patrick Dunn, Debra Burrum, Jennifer Gegenheimer-Holmes, Robert W. Neumar
Summary: This study aimed to assess the impact of an emergency department-based intensive care unit (ED-ICU) on the cost of care. The results showed that implementation of the ED-ICU was not associated with a significant change in the inflation-adjusted total direct cost per emergency department encounter, but there was an increase in net revenue and direct margin.
Article
Medicine, General & Internal
Erin Tuttle, Xuan Wang, Ariel Modrykamien
Summary: Emergency department patient boarding is associated with increased hospital mortality and length of stay. This study examines the impact of an Intensive Care team in the ED on sepsis mortality and ICU length of stay. The results showed that the ICU team in the ED did not reduce hospital mortality, but was associated with prolonged ICU length of stay. Compliance with SEP-1 bundle was associated with reducing ICU length of stay in septic patients. Overall, implementing an ICU team in the ED did not result in a reduction of mortality or ICU length of stay.
INTERNAL AND EMERGENCY MEDICINE
(2023)
Article
Pediatrics
Brian D. Leland, Lucia D. Wocial, Vanessa N. Madrigal, Michelle M. Moon, Cheryl Ramey-Hunt, Jennifer K. Walter, Jennifer D. Baird, Jeffrey D. Edwards
Summary: This study used group concept mapping to describe and conceptualize high-quality care for long-stay pediatric intensive care unit (PICU) patients. Through the analysis of 265 prompt responses, 8 domains of high-quality care were identified, including family-centered care and shared decision making, humanizing the patient, clinician supports and resources, multidisciplinary coordination of care, family well-being, anticipatory guidance and care planning, communication, and continuity of care.
JOURNAL OF PEDIATRICS
(2023)
Article
Engineering, Multidisciplinary
Merhan A. Abd-Elrazek, Ahmed A. Eltahawi, Mohamed H. Abd Elaziz, Mohamed N. Abd-Elwhab
Summary: According to the World Health Organization (WHO), patient Length of Stay (LOS) in hospitals is an important performance measurement and monitoring indicator. Prolonged LOS in the Intensive Care Unit (ICU) may lead to consuming hospital resources, manpower, and equipment. The proposed framework for predicting patient LOS in the ICU using different machine learning (ML) techniques demonstrates high prediction accuracy and applicability across all patients.
AIN SHAMS ENGINEERING JOURNAL
(2021)
Article
Multidisciplinary Sciences
Abdullah E. Laher, Fathima Paruk, Guy A. Richards, Willem D. F. Venter
Summary: This study identified predictors of prolonged hospital length of stay in HIV-positive patients presenting to the emergency department. Factors such as anemia, Glasgow coma scale, creatinine levels, cryptococcal meningitis, and bacterial meningitis were significantly associated with longer hospital stays. Meanwhile, bacterial pneumonia and acute gastroenteritis were associated with a lower likelihood of prolonged hospitalization.
Article
Chemistry, Multidisciplinary
Lars Hempel, Sina Sadeghi, Toralf Kirsten
Summary: This paper presents predictive models for the length of stay (LOS) of ICU patients using machine learning and early available clinical data. The goal was to demonstrate a practical approach to predicting LOS and improve resource allocation and future planning. The results show significant improvements in the performance of the models for predicting actual LOS.
APPLIED SCIENCES-BASEL
(2023)
Article
Emergency Medicine
Nathan L. Haas, Richard P. Medlin, James A. Cranford, Caryn Boyd, Renee A. Havey, Eve D. Losman, Michael D. Rice, Benjamin S. Bassin
Summary: The implementation of an ED-ICU for critically ill ED patients with UGIB led to reduced ICU admission rates and hospital lengths of stay, without differences in safety outcomes.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Jiang Du, Kyle J. Gunnerson, Benjamin S. Bassin, Craig Meldrum, Robert C. Hyzy
Summary: This study evaluated the impact of an emergency critical care center on the admissions of critically ill patients to a critical care medicine unit and their outcomes. The results showed that the establishment of the EC3 was associated with a decreased proportion of patients admitted to the CCMU from the ED and improved 60-day survival in ED patients.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Multidisciplinary Sciences
Tharwat El Zahran, Nour Kalot, Rola Cheaito, Malak Khalifeh, Natalie Estelly, Imad El Majzoub
Summary: This retrospective cohort study identified tachypnea and recent chemotherapy as significant predictors of ICU admission among cancer patients with COVID-19 infection presenting to the Emergency Department. Vigilance is required for healthcare providers caring for these high-risk patients.
Article
Multidisciplinary Sciences
Harpreet Singh, Su Jin Cho, Shubham Gupta, Ravneet Kaur, S. Sunidhi, Satish Saluja, Ashish Kumar Pandey, Mihoko Bennett, Henry C. Lee, Ritu Das, Jonathan Palma, Ryan M. McAdams, Avneet Kaur, Gautam Yadav, Yao Sun
Summary: Increased length of stay in intensive care units is associated with patient gestation age, nutrition deviation, and clinical diagnoses. Unique risk factors were identified for each gestation age group, with deviations from recommended nutrition and medication guidelines significantly impacting predicted length of stay.
SCIENTIFIC REPORTS
(2021)
Article
Cardiac & Cardiovascular Systems
Helena Staehler, Masamichi Ono, Patrick Schober, Takashi Kido, Paul Philipp Heinisch, Martina Strbad, Janez Vodiskar, Julie Cleuziou, Julia Lemmer, Gunter Balling, Alfred Hager, Peter Ewert, Juergen Hoerer
Summary: This study examined the clinical and haemodynamic variables associated with early adverse outcomes after the neonatal Norwood procedure. The results showed that early postoperative haemodynamic variables can predict the length of stay in the intensive care unit (ICU) and suggest that good early postoperative haemodynamics contribute to early recovery. Prolonged stay in the ICU after the Norwood procedure was associated with late mortality.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Emergency Medicine
Susanne B. Wilhelms, Daniel B. Wilhelms
Summary: This study found that patients admitted to intensive care units (ICU) directly from the emergency department (ED) were most commonly due to intoxication, trauma, and neurological conditions. However, there were significant variations in causes of ICU admissions based on age, sex, and hospital type. ICU mortality rate was 7.2%, with higher rates seen in certain patient demographics and medical conditions.
BMC EMERGENCY MEDICINE
(2021)
Article
Multidisciplinary Sciences
Eyal Klang, Benjamin R. Kummer, Neha S. Dangayach, Amy Zhong, M. Arash Kia, Prem Timsina, Ian Cossentino, Anthony B. Costa, Matthew A. Levin, Eric K. Oermann
Summary: Early admission to the neurosciences intensive care unit (NSICU) is associated with improved patient outcomes. Machine learning models using structured and free text data can predict NSICU admission soon after arrival to the emergency department, potentially improving resource allocation in the ED and NSICU.
SCIENTIFIC REPORTS
(2021)
Article
Emergency Medicine
Rohit B. Sangal, David R. Peaper, Craig Rothenberg, Marie L. Landry, L. Scott Sussman, Richard A. Martinello, Andrew Ulrich, Arjun K. Venkatesh
Summary: This study examined the relationship between SARS-CoV-2 testing and emergency department length of stay. The results showed that universal testing increased admission length of stay and detected only 1 positive case every other day. Regular operational flow and infection prevention needs need to be balanced in order to support mitigation and containment efforts.
ANNALS OF EMERGENCY MEDICINE
(2022)
Article
Biochemistry & Molecular Biology
Yu-Jui Hsiao, Chun-Yu Chen, Hsin-Tzu Hung, Chao-Hui Lee, Yu-Yun Su, Chip-Jin Ng, An-Hsun Chou
Summary: Emergency endotracheal intubation outside the OR in general ward and ICU is associated with higher incidence of hemodynamic collapse and mortality compared to those in the ED. Performing preventive intubations in the ED may lead to a higher rate of neurologically intact survival to hospital discharge.
BIOMEDICAL JOURNAL
(2021)
Article
Health Care Sciences & Services
Richard Chalwin, Arthas Flabouris, Karoline Kapitola, Leonie Dewick
AUSTRALIAN HEALTH REVIEW
(2016)
Article
Health Care Sciences & Services
Hassan Assareh, Jack Chen, Lixin Ou, Ken Hillman, Arthas Flabouris
BMC HEALTH SERVICES RESEARCH
(2016)
Meeting Abstract
Medicine, General & Internal
A. O'Connell, C. Thompson, A. Flabouris, S. Kim, C. Horwood, P. Hakendorf
INTERNAL MEDICINE JOURNAL
(2016)
Article
Medicine, General & Internal
K. Sundararajan, A. Flabouris, C. Thompson, I. Seppelt
INTERNAL MEDICINE JOURNAL
(2016)
Article
Medicine, General & Internal
A. O'Connell, A. Flabouris, S. W. Kim, C. Horwood, P. Hakendorf, C. H. Thompson
INTERNAL MEDICINE JOURNAL
(2016)
Meeting Abstract
Health Care Sciences & Services
J. Chen, L. Ou, K. Hillman, A. Flabouris
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
(2016)
Article
Critical Care Medicine
Lixin Ou, Jack Chen, Arthas Flabouris, Ken Hillman, Michael Parr, Rinaldo Bellomo
JOURNAL OF CRITICAL CARE
(2018)
Letter
Critical Care Medicine
Krishnaswamy Sundararajan, Alice O'Connell, Arthas Flabouris, Campbell Thompson
Article
Critical Care Medicine
Alice O'Connell, Arthas Flabouris, Suzanne Edwards, Doris Tang, Katherine Lavrencic, Emma Brook, Stephen Shih-Teng Kao, Campbell Thompson
Summary: This study aimed to assess the predictive strength of commonly used triggers and tiers of escalation. The results showed that in a three-tiered system, the specificity of triggers decreases, while the sensitivity increases, but the discriminatory power is poor. Modifications to triggers reduced the number of escalations without affecting the tier discriminatory value.
AUSTRALIAN CRITICAL CARE
(2023)
Article
Critical Care Medicine
Lixin Ou, Jack Chen, Ken Hillman, Arthas Flabouris, Michael Parr, Malcolm Green
Article
Critical Care Medicine
Arthas Flabouris, Michelle Mesecke
CRITICAL CARE AND RESUSCITATION
(2017)
Article
Surgery
Mitchell K. Petersen Tym, Guy L. Ludbrook, Arthas Flabouris, Richard Seglenieks, Thomas W. Painter
ANZ JOURNAL OF SURGERY
(2017)
Article
Critical Care Medicine
Lixin Ou, Jack Chen, Ken Hillman, Arthas Flabouris, Michael Parr, Hassan Assareh, Rinaldo Bellomo
Review
Critical Care Medicine
Krishnaswamy Sundararajan, Arthas Flabouris, Campbell Thompson
JOURNAL OF INTENSIVE CARE
(2016)
Article
Critical Care Medicine
Lixin Ou, Jack Chen, Tony Burrell, Arthas Flabouris, Kenneth Hillman, Rinaldo Bellomo, Michael Parr
CRITICAL CARE AND RESUSCITATION
(2016)