Cardiothoracic & vascular anesthesia

Severity of Illness and Mortality According to Time of Admission to Intensive Care

Acta Anaesthesiol ScandPublished Retrospective registry-based cohort study

Main finding · SAPS II score at admissionResult — go to the resultMean difference 0.87 points 95% CI 0.65–1.09

Authors' conclusion

Patients admitted to intensive care during morning hours experienced higher severity of illness and higher in-hospital mortality.

Study context

Population
Adult emergency intensive care unit (ICU) admissions in 25 Finnish ICUs, 2005–2022 (excluding readmissions, cardiac surgery, organ donation)
Participants
131,175 admissions · 25 Finnish ICUs
Exposure
Morning ICU admission vs admission at other times
Outcome
Severity of illness at ICU admission (SAPS II score)
Methodological detailsmulticentre, national ICU registry, adjusted linear and logistic regression
  • Multicentre
  • National ICU registry
  • Adjusted linear and logistic regression

Main finding

SAPS II score at admission

Mean difference

0.87 points

95% CI 0.65–1.09

P < 0.001

By group

Morning

39.0

mean · SD 17.9

Other times

37.6

mean · SD 17.2

Morning vs Other times
mean difference 0.87 points (95% CI 0.65–1.09); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeMorningOther timesOR (95% CI)P value
In-hospital mortalityAdjusted for patient characteristics; p unadjusted17.5%13.9%1.17 (1.13–1.21)P < 0.001
  • In-hospital mortality: overall in-hospital mortality 14.7%

Original publication

Severity of Illness and Mortality According to Time of Admission to Intensive Care. Acta Anaesthesiol Scand. Published 26 March 2026. doi:10.1111/aas.70229

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