Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study

Objective The aim of this study was to determine the differences in the efficacy and efficiency in providing critical care to hospitalized patients in teaching vs nonteaching intensive care units (ICUs) in Colombia. Methods A prospective cohort observational study was conducted. Location This study...

Full description

Autores:
Rubiano, Sandra
Gil, Jacky
Celis-Rodríguez, Edgar
Oliveros, Henry
Carrasquilla, Gabriel
Tipo de recurso:
Article of journal
Fecha de publicación:
2012
Institución:
Universidad El Bosque
Repositorio:
Repositorio U. El Bosque
Idioma:
eng
OAI Identifier:
oai:repositorio.unbosque.edu.co:20.500.12495/3564
Acceso en línea:
http://hdl.handle.net/20.500.12495/3564
https://doi.org/10.1016/j.jcrc.2011.03.006
https://repositorio.unbosque.edu.co
Palabra clave:
Unidades de cuidados intensivos
Recursos en salud
Calidad de la atención de salud
Intensive care
Critical care
Intensive therapy
Rights
openAccess
License
Acceso abierto
id UNBOSQUE2_a9eea7b11a9a73411a4e2901d911b5b3
oai_identifier_str oai:repositorio.unbosque.edu.co:20.500.12495/3564
network_acronym_str UNBOSQUE2
network_name_str Repositorio U. El Bosque
repository_id_str
dc.title.spa.fl_str_mv Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study
dc.title.translated.spa.fl_str_mv Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study
title Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study
spellingShingle Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study
Unidades de cuidados intensivos
Recursos en salud
Calidad de la atención de salud
Intensive care
Critical care
Intensive therapy
title_short Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study
title_full Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study
title_fullStr Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study
title_full_unstemmed Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study
title_sort Critical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational study
dc.creator.fl_str_mv Rubiano, Sandra
Gil, Jacky
Celis-Rodríguez, Edgar
Oliveros, Henry
Carrasquilla, Gabriel
dc.contributor.author.none.fl_str_mv Rubiano, Sandra
Gil, Jacky
Celis-Rodríguez, Edgar
Oliveros, Henry
Carrasquilla, Gabriel
dc.subject.decs.spa.fl_str_mv Unidades de cuidados intensivos
Recursos en salud
Calidad de la atención de salud
topic Unidades de cuidados intensivos
Recursos en salud
Calidad de la atención de salud
Intensive care
Critical care
Intensive therapy
dc.subject.keywords.spa.fl_str_mv Intensive care
Critical care
Intensive therapy
description Objective The aim of this study was to determine the differences in the efficacy and efficiency in providing critical care to hospitalized patients in teaching vs nonteaching intensive care units (ICUs) in Colombia. Methods A prospective cohort observational study was conducted. Location This study was conducted in 11 teaching and 8 nonteaching ICUs. From June 1 until December 31, 2005, data on 826 patients admitted consecutively to teaching ICUs and 825 patients admitted to nonteaching ICUs were analyzed. Measurements Acute Physiology and Chronic Health Evaluation II, Simplified Therapeutic Intervention Scoring System, ICU discharge status (dead or alive) and ICU length of stay, and standardized mortality ratios were considered in this study. A logistic regression and robust linear regression were performed. Results There were no differences in mortality (P = .25). Standardized mortality was less than 1 for both types of units. The teaching ICUs length of stay was 1 day longer (P < .01). Resource use is 25% higher in teaching units (P = .01). When the Simplified Therapeutic Intervention Scoring System score on the last day was from 21 to 35, a higher ratio of patients from the nonteaching ICUs was observed going floor or home when discharged from the ICU (P < .01). Conclusions Nonteaching ICUs discharge patients earlier than do teaching ICUs, but the effect of it remains to be clarified with further studies addressing questions as what happens after ICU discharge.
publishDate 2012
dc.date.issued.none.fl_str_mv 2012
dc.date.accessioned.none.fl_str_mv 2020-07-21T23:19:44Z
dc.date.available.none.fl_str_mv 2020-07-21T23:19:44Z
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.local.none.fl_str_mv Artículo de revista
dc.type.coar.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/article
format http://purl.org/coar/resource_type/c_6501
dc.identifier.issn.none.fl_str_mv 1557-8615
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12495/3564
dc.identifier.doi.none.fl_str_mv https://doi.org/10.1016/j.jcrc.2011.03.006
dc.identifier.instname.spa.fl_str_mv instname:Universidad El Bosque
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad El Bosque
dc.identifier.repourl.none.fl_str_mv https://repositorio.unbosque.edu.co
identifier_str_mv 1557-8615
instname:Universidad El Bosque
reponame:Repositorio Institucional Universidad El Bosque
url http://hdl.handle.net/20.500.12495/3564
https://doi.org/10.1016/j.jcrc.2011.03.006
https://repositorio.unbosque.edu.co
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.ispartofseries.spa.fl_str_mv Journal of critical care, 1557-8615, Vol. 27, Nro. 1, 2012, p. 104.e9-104.e17
dc.relation.uri.none.fl_str_mv sciencedirect.com/science/article/abs/pii/S0883944111001535?via%3Dihub
dc.rights.local.spa.fl_str_mv Acceso abierto
dc.rights.accessrights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
info:eu-repo/semantics/openAccess
Acceso abierto
dc.rights.creativecommons.none.fl_str_mv 2012-02
rights_invalid_str_mv Acceso abierto
http://purl.org/coar/access_right/c_abf2
2012-02
eu_rights_str_mv openAccess
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Elsevier
dc.publisher.journal.spa.fl_str_mv Journal of critical care
institution Universidad El Bosque
bitstream.url.fl_str_mv https://repositorio.unbosque.edu.co/bitstreams/69bd16e9-1e3b-467a-a3a7-f63f7f54bba5/download
https://repositorio.unbosque.edu.co/bitstreams/a9279a56-9c61-4b3c-a311-f11b04b413b4/download
https://repositorio.unbosque.edu.co/bitstreams/fcae6299-f0bd-41b5-8c60-5328ec7bb64b/download
https://repositorio.unbosque.edu.co/bitstreams/618601cb-6b39-4262-8a0a-fd826c23826c/download
bitstream.checksum.fl_str_mv 02b5891eb6ea56f67efef0c938893fc6
8a4605be74aa9ea9d79846c1fba20a33
7210a811635d1799e7c05fee5d259be7
173343445a0001c258ea151a545de0ab
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio Institucional Universidad El Bosque
repository.mail.fl_str_mv bibliotecas@biteca.com
_version_ 1814100812316540928
spelling Rubiano, SandraGil, JackyCelis-Rodríguez, EdgarOliveros, HenryCarrasquilla, Gabriel2020-07-21T23:19:44Z2020-07-21T23:19:44Z20121557-8615http://hdl.handle.net/20.500.12495/3564https://doi.org/10.1016/j.jcrc.2011.03.006instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquehttps://repositorio.unbosque.edu.coapplication/pdfengElsevierJournal of critical careJournal of critical care, 1557-8615, Vol. 27, Nro. 1, 2012, p. 104.e9-104.e17sciencedirect.com/science/article/abs/pii/S0883944111001535?via%3DihubCritical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational studyCritical care in Colombia: differences between teaching and nonteaching intensive care units. A prospective cohort observational studyArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articlehttp://purl.org/coar/version/c_970fb48d4fbd8a85Unidades de cuidados intensivosRecursos en saludCalidad de la atención de saludIntensive careCritical careIntensive therapyObjective The aim of this study was to determine the differences in the efficacy and efficiency in providing critical care to hospitalized patients in teaching vs nonteaching intensive care units (ICUs) in Colombia. Methods A prospective cohort observational study was conducted. Location This study was conducted in 11 teaching and 8 nonteaching ICUs. From June 1 until December 31, 2005, data on 826 patients admitted consecutively to teaching ICUs and 825 patients admitted to nonteaching ICUs were analyzed. Measurements Acute Physiology and Chronic Health Evaluation II, Simplified Therapeutic Intervention Scoring System, ICU discharge status (dead or alive) and ICU length of stay, and standardized mortality ratios were considered in this study. A logistic regression and robust linear regression were performed. Results There were no differences in mortality (P = .25). Standardized mortality was less than 1 for both types of units. The teaching ICUs length of stay was 1 day longer (P < .01). Resource use is 25% higher in teaching units (P = .01). When the Simplified Therapeutic Intervention Scoring System score on the last day was from 21 to 35, a higher ratio of patients from the nonteaching ICUs was observed going floor or home when discharged from the ICU (P < .01). Conclusions Nonteaching ICUs discharge patients earlier than do teaching ICUs, but the effect of it remains to be clarified with further studies addressing questions as what happens after ICU discharge.Acceso abiertohttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessAcceso abierto2012-02ORIGINALSandra Rubiano MD, Fabian Gil MSc_2012.pdfSandra Rubiano MD, Fabian Gil MSc_2012.pdfapplication/pdf146924https://repositorio.unbosque.edu.co/bitstreams/69bd16e9-1e3b-467a-a3a7-f63f7f54bba5/download02b5891eb6ea56f67efef0c938893fc6MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorio.unbosque.edu.co/bitstreams/a9279a56-9c61-4b3c-a311-f11b04b413b4/download8a4605be74aa9ea9d79846c1fba20a33MD52THUMBNAILSandra Rubiano MD, Fabian Gil MSc_2012.pdf.jpgSandra Rubiano MD, Fabian Gil MSc_2012.pdf.jpgimage/jpeg5775https://repositorio.unbosque.edu.co/bitstreams/fcae6299-f0bd-41b5-8c60-5328ec7bb64b/download7210a811635d1799e7c05fee5d259be7MD53TEXTSandra Rubiano MD, Fabian Gil MSc_2012.pdf.txtSandra Rubiano MD, Fabian Gil MSc_2012.pdf.txtExtracted texttext/plain4509https://repositorio.unbosque.edu.co/bitstreams/618601cb-6b39-4262-8a0a-fd826c23826c/download173343445a0001c258ea151a545de0abMD5420.500.12495/3564oai:repositorio.unbosque.edu.co:20.500.12495/35642024-02-07 08:23:10.535restrictedhttps://repositorio.unbosque.edu.coRepositorio Institucional Universidad El Bosquebibliotecas@biteca.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