From: Effects of a multifaceted intervention QI program to improve ICU performance
Admittance Year Parameter | 2008 n (%) | 2009 n (%) | 2010 n (%) | 2011 n (%) | 2012 n (%) | 2013 n (%) | 2014 n (%) | Change 2008 vs 2014 n (%) | p (n.s. = non significant) |
---|---|---|---|---|---|---|---|---|---|
No of patients | 768 | 814 | 905 | 847 | 836 | 866 | 914 | 146 (19.0) | n.s. |
0–19 years of age | 26 (3.4) | 33 (4.1) | 30 (3.3) | 24 (2.8) | 23 (2.8) | 25 (2.9) | 19 (2.1) | −7 (− 26.9) | n.s. |
20–64 years of age | 379 (49.3) | 367 (45.1) | 416 (46.0) | 384 (45.3) | 340 (40.7) | 395 (45.6) | 419 (45.8) | 40 (10.6) | n.s. |
> 65 years of age | 363 (47.3) | 414 (50.9) | 459 (50.7) | 439 (51.8) | 473 (56.6) | 446 (51.5) | 476 (52.1) | 113 (31.1) | < 0.05 |
Female | 282 (37.7) | 331 (40.7) | 383 (42.3) | 366 (43.2) | 361 (43.2) | 352 (40.6) | 382 (41.8) | 100 (35.5) | < 0.05 |
Septic diagnosis n(%) | 61 (7.9) | 79 (9.7) | 69 (7.6) | 76 (9.0) | 82 (9.8) | 103 (11.9) | 103 (11.3) | 42 (68.9) | < 0.01 |
Case Severity (SAPS III/patient) | 34.2 | 32.3 | 31.7 | 33.4 | 33.5 | 31.3 | 32.6 | −1.6 (−4.7) | n.s. |
Septic patients | 56.6 | 57.1 | 56.3 | 57.5 | 56.8 | 51.1 | 56.4 | −0.2 (−0.4) | n.s. |
Length of stay (LOS) average days | 3.2 | 3.1 | 2.8 | 3.3 | 2.8 | 2.9 | 2.8 | −0.4 (−12.5) | n.s. |
Septic patients | 7.9 | 5.7 | 5.8 | 5.7 | 5.8 | 4.0 | 4.5 | −3.4 (−43.0) | < 0.01 |
Ventilator treatment, n of patients | 467 (60.8) | 472 (58.0) | 519 (57.3) | 517 (61.0) | 524 (62.7) | 565 (65.2) | 591 (64.7) | 124 (26.6) | n.s. |
20–65 years of age | 218 (57.5) | 206 (56.1) | 230 (55.3) | 223 (58.1) | 204 (60.0) | 254 (64.3) | 277 (66.1) | 59 (27.1) | < 0.05 |
Time on ventilator (average days) | 2.2 | 1.9 | 1.7 | 2.2 | 1.8 | 1.8 | 1.7 | −0.5 (−22.7) | < 0.01 |
Septic patients | 6.4 | 4.0 | 4.3 | 4.0 | 4.6 | 2.8 | 3.1 | −3.3 (−51.6) | < 0.01 |
Mortality | |||||||||
ICU | 90 (11.7) | 89 (10.9) | 91 (10.1) | 82 (9.7) | 86 (10.3)a | 75 (8.7) | 68 (7.4) | −22 (−24.4) | < 0.01 |
> 65 years of age | 61 (16.8) | 63 (15.2) | 63 (13.7) | 57 (13.0) | 57 (12.1)a | 50 (11.2) | 43 (9.0) | −18 (−29.5) | < 0.01 |
30-days | 167 (21.7) | 172 (21.1) | 188 (20.8) | 177 (20.9) | 186 (22.2)a | 168 (19.4) | 182 (19.9) | 15 (9.0) | n.s. |