Safety, quality & education

Adverse events as key risk factors for in-hospital mortality in intensive care units

Crit CarePublished Cross-sectional study

Authors' conclusion

The presence of AEs was associated with a two-fold higher risk of in-hospital mortality. Among the identified AEs, HAIs were the most frequent and had the highest mortality.

Study context

Population
Critically ill ICU patients in 26 hospitals, Community of Madrid, single day in May 2019
Participants
458 patients · 26 hospitals
Exposure
Patients with adverse events (AEs) vs without AEs
  • AEsn = 125
Outcome
Prevalence of AEs (Harvard Medical Practice Study (HMPS) methodology)
Methodological detailsmulticentre, observational, single-day, Harvard Medical Practice Study methodology
  • Multicentre
  • Observational
  • Single-day
  • Harvard Medical Practice Study methodology

Main finding

As reported in the abstract

Patients with ≥1 AE

AEs

27.3%

125

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
In-hospital mortalityAdjusted for potential confounders2.15 (1.10–4.25)

Factors associated with AEs

Pressure ulcer, hypoalbuminemia, mechanical ventilation, central venous catheter, surgical intervention and sensory deficit associated with AEs

Health care-associated infections among AEs

Proportion of AEs that were HAIs
44.6%

Original publication

Adverse events as key risk factors for in-hospital mortality in intensive care units. Crit Care. Published 7 March 2026. doi:10.1186/s13054-026-05917-x

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