ICU sedation, delirium & recovery

Intensive Care Unit activity in France from the national database between 2013 and 2019: More critically ill patients, shorter stay and lower mortality rate

Anaesth Crit Care Pain MedPublished Population-based retrospective cohort study

Main finding · In-ICU case fatalityResult — go to the resultAdjusted odds ratio 0.87 95% CI 0.85–0.89

Authors' conclusion

During the study, an increasing incidence of ICU admission was associated with higher severity of illness but lower in-ICU case fatality.

Study context

Population
Intensive Care Units (ICU) admissions in France, French National Hospital Database, 2013–2019
Participants
1,594,801 ICU admissions
Exposure
ICU activity and outcomes by year, 2019 vs 2013
Outcome
In-ICU case fatality
Methodological detailsobservational, national hospital database
  • Observational
  • National hospital database

Main finding

As reported in the abstract

Adjusted odds ratio

0.87

95% CI 0.85–0.89

By group

2019 vs 2013
aOR 0.87 (95% CI 0.85–0.89)

Observational data: associations, not effects.

Further findings

Hospital mortality case fatality

Yearly ICU admission rate

Yearly ICU admission increased from 3.3 to 3.5 per year per 1000 inhabitants
Bed occupancy rate between 83.4 and 84.3%

Admission SAPS II

Mean admission SAPS II (± SD), all admissions
42 ± 22
Gradual annual increase

ICU and hospital LOS

Median ICU LOS, days (IQR [1-7])
3
Median hospital LOS, days (IQR [6-21])
11
Progressive decrease over time

Factors associated with case fatality

Male sex, age, SAPS II score and any organ failure associated with higher case fatality rate

Original publication

Intensive Care Unit activity in France from the national database between 2013 and 2019: More critically ill patients, shorter stay and lower mortality rate. Anaesth Crit Care Pain Med. Published 7 April 2023. doi:10.1016/j.accpm.2023.101228

Composed by AI from the published abstract and checked against it. How Briefs are made →

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