Audit of 2431 admissions to the Surgical Intensive Care Unit, Singapore General Hospital.
A prospective analysis of 2431 patients admitted to the Surgical Intensive Care Unit (SICU) of Singapore General Hospital was conducted between January 1994 and June 1997. All patients were followed up until hospital discharge. This ongoing project serves as both audit and quality assurance in the SICU. The mean APACHE II score of patients was 12.67 +/- 8.36 and the mean age was 59.17 +/- 17.82 years. There were 157 re-admissions, giving a re-admission rate of 6.46%. Mortality rate for re-admitted patients was 48.4%. One hundred and four (4%) patients stayed in the SICU for more than 2 weeks. Thirty (29%) died before the SICU discharge. SICU mortality was 9.46%, hospital mortality was 10.86% and standardised mortality ratio was 1.95. Computerised tools that analyse ICU utilisation patterns and outcomes have the potential to better target resources and so lower hospital costs, reducing futile medical care by selecting patients for appropriate expensive ICU care.
Lim
B L
BL
Department of Anaesthesia & Surgical Intensive Care, Singapore General Hospital.
Chan
Y W
YW
D018806:APACHE; D000328:Adult; D017677:Age Distribution; D000368:Aged; D005260:Female; D017052:Hospital Mortality; D006769:Hospitals, General / Q000706:statistics & numerical data; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010343:Patient Admission / Q000706:statistics & numerical data*; D011446:Prospective Studies; D017678:Sex Distribution; D012846:Singapore; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data*; D016019:Survival Analysis