title: Outcome evaluation in a surgical intensive care unit in Barbados.
abstract: The performance of the Acute Physiology and Chronic Health Evaluation II scoring system was prospectively assessed in the surgical intensive care unit at the Queen Elizabeth Hospital, Barbados. A total of 309 patients admitted consecutively during a 2-year period (1999-2001) were evaluated. Demographic data, diagnosis, Acute Physiology and Chronic Health Evaluation II score, duration of stay and hospital outcome were recorded. The predicted mortality for every patient and the costs incurred were also calculated. The overall observed mortality rate was 15.9% while the mean predicted mortality rate for our case-mix was 16.4%, which is comparable to results from developed countries. The cost incurred per patient was much lower at $13,636 (Barbados), compared to the patients' cost in North America ($60,000 Barbados).
authors.affiliation: Department of Anaesthesia and Surgical Intensive Care, Queen Elizabeth Hospital, Barbados.
authors.forename: S
authors.initials: S
authors.lastname: Hariharan
authors.forename: H S L
authors.initials: HS
authors.lastname: Moseley
authors.forename: A Y
authors.initials: AY
authors.lastname: Kumar
mesh_terms: D018806:APACHE; D000368:Aged; D001460:Barbados; D003906:Developing Countries; D005260:Female; D005544:Forecasting; D017721:Hospital Costs / Q000706:statistics & numerical data; D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units / Q000191:economics / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D011336:Probability; D011446:Prospective Studies; D016896:Treatment Outcome