Perioperative medicine & outcomes

The Association of ICU Acuity and Organizational Factors With Outcomes of Low-Risk Patients

Crit Care MedPublished Retrospective cohort study

Main finding · Hospital mortalityResult — go to the resultOdds ratio 1.095 CI 0.942–1.274

Authors' conclusion

ICU acuity was not associated with outcomes in low-risk patients.

Study context

Population
Low-risk patients (SAPS 3 probability of death < 3%) admitted to 134 ICUs in Brazil and Uruguay, 2016–2018low risk, of 285,553
Participants
69,675 patients
Exposure
ICU acuity and organizational factors
Outcome
Hospital mortality
Methodological detailsmulticentre, multilevel multivariable regression
  • Multicentre
  • Multilevel multivariable regression

Main finding

As reported in the abstract

Odds ratio

1.095

CI 0.942–1.274

ICU acuity
OR 1.095 (CI 0.942–1.274)

Observational data: associations, not effects.

Secondary outcomes

Hospital mortality by dedicated ICU pharmacists

OR (CI)
Dedicated pharmacistsIndependently associated with lower hospital mortality0.531 (0.365–0.773)

Hospital mortality by number of implemented clinical protocols

OR (CI)
Number of clinical protocolsIndependently associated with lower hospital mortality0.817 (0.688–0.970)

ICU mortality, ICU and hospital lengths of stay (LOS) by ICU acuity

ICU acuity not associated with any secondary outcome

ICU and hospital LOS by clinical protocols

Clinical protocols associated with shorter ICU and hospital LOS

Original publication

The Association of ICU Acuity and Organizational Factors With Outcomes of Low-Risk Patients. Crit Care Med. Published 7 February 2025. doi:10.1097/ccm.0000000000006592

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