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...
- 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
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oai:repositorio.unbosque.edu.co:20.500.12495/3564 |
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UNBOSQUE2 |
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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 |
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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 |
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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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 |