ICU sedation, delirium & recovery
Strain on Scarce Intensive Care Beds Drives Reduced Patient Volumes, Patient Selection, and Worse Outcome: A National Cohort Study*
Authors' conclusion
In non-COVID-19 patients the strain on healthcare has driven lower patient volume, selection of fewer comorbid patients who required more intensive support, and a modest increase in the case-mix adjusted mortality.
Study context
- Population
- Non-COVID-19 patients admitted to 71 Dutch ICUs71 Dutch ICUs
- Participants
- 120,393 vs 164,737
- Exposure
- Pandemic non-COVID-19 cohort vs prepandemic cohort
- Pandemic non-COVID-19n = 120,393
- Prepandemicn = 164,737reference
- Outcome
- Volume, patient characteristics and mortality
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Case-mix adjusted mortality
Pandemic non-COVID-19 vs PrepandemicOdds ratio (95% CI)
Pandemic period
1.08(1.05–1.11)
Pandemic peaks
1.10(1.07–1.13)
Observational data: associations, not effects.
Further findings
Medical patients
Patients with comorbidities
Mechanical ventilation
Vasoactive medication
Number of admitted non-COVID-19 patients
- Lower vs prepandemic cohort, pandemic period
- 26.9%
- Lower vs prepandemic cohort, pandemic peaks
- 34.2%
Original publication
Strain on Scarce Intensive Care Beds Drives Reduced Patient Volumes, Patient Selection, and Worse Outcome: A National Cohort Study*. Crit Care Med. Published 14 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →