Impact of direct ICU admission of pneumococcal meningitis in France: a retrospective analysis of a French medico-administrative (PMSI) database
Main finding · In-hospital mortalityResult — go to the resultOdds ratio 0.67 CI 0.56–0.80Authors' conclusion
Among patients with PM and sepsis, direct ICU admission was associated with lower mortality rates when compared to delayed admission.
Study context
- Population
- Adults hospitalised for a first episode of pneumococcal meningitis with sepsis criteria, France, 2011–2020
- Participants
- 4,052 adults
- Exposure
- Direct ICU admission vs delayed ICU admission
- Direct ICUn = 2,006
- Delayed ICUn = 2,046reference
- Outcome
- In-hospital mortality
Methodological detailsmedico-administrative database (PMSI), consecutive patients
- Medico-administrative database (PMSI)
- Consecutive patients
Main finding
As reported in the abstract
Odds ratio
0.67
CI 0.56–0.80
P < 0.01
Direct ICU vs Delayed ICU
OR 0.67 (CI 0.56–0.80); P < 0.01
Observational data: associations, not effects.
Further findings
Overall in-hospital mortality (whole cohort)
- In-hospital mortality
- 27% (n = 1100)
- Transferred to rehabilitation care unit
- 640 (16%)
ICU and hospital LOS (whole cohort)
- Median ICU LOS, days [IQR]
- 6 [2-14]
- Median hospital LOS, days [IQR]
- 21 [13-38]
Original publication
Impact of direct ICU admission of pneumococcal meningitis in France: a retrospective analysis of a French medico-administrative (PMSI) database. Ann Intensive Care. Published 27 January 2024. doi:10.
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