Studio sequenziale per giorno indice dell'attività di reparti di Terapia intensiva. GiViTI. Gruppo Italiano per la Valutazione degli Interventi in Terapia Intensiva.

Translated title of the contribution: An index of daily intensive care unit activity

S. Rotelli, G. Iapichino, A. Colombo, G. Apolone, L. Brazzi, E. Calappi, C. Leonetti

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

OBJECTIVE: To set up an index for the evaluation of type of interventions and procedures applied a prerequisite for the evaluation of appropriateness of ICU's activity. DESIGN: Observation prospective study. PATIENTS: 2507 patients out of the 5030 enrolled in the cohort study. MEASUREMENTS: A cross-sectional assessment of the volume and intensity of treatment--level of care--delivered to patients was performed at a preidentified index day. A check list of procedures was utilized. Intensive high level treatment was demonstrated by the application of procedures suggesting one or more organs or vital functions intensively supported. Sub-intensive treatment was defined by the application of procedures indicating monitoring or treatments not exclusively performed in intensive environment. RESULTS: 3955 samples were collected over 9 index days; 2707 (68.3%) resulted in intensive, 1227 (30.7%) subintensive or intermediate and 41 (1%) ward treatments. Out of the intensive samples, 63.4% received only one intensive procedure, while 27.9% two. Ventilatory support was the most frequently (90.4%) utilized intensive procedure. Overall 99% of the samples were characterized by treatments/procedures too invasive for normal ward. CONCLUSIONS: The proposed method gives the opportunity to easily evaluate the level of care and then the appropriateness of ICU care.

Original languageItalian
Pages (from-to)371-377
Number of pages7
JournalMinerva Anestesiologica
Volume63
Issue number11
Publication statusPublished - Nov 1997

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Intensive Care Units
Therapeutics
Cohort Studies
Observation
Prospective Studies

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Studio sequenziale per giorno indice dell'attività di reparti di Terapia intensiva. GiViTI. Gruppo Italiano per la Valutazione degli Interventi in Terapia Intensiva. / Rotelli, S.; Iapichino, G.; Colombo, A.; Apolone, G.; Brazzi, L.; Calappi, E.; Leonetti, C.

In: Minerva Anestesiologica, Vol. 63, No. 11, 11.1997, p. 371-377.

Research output: Contribution to journalArticle

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