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

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.

Translated title of the contributionAn index of daily intensive care unit activity
Original languageItalian
Pages (from-to)371-377
Number of pages7
JournalMinerva Anestesiologica
Volume63
Issue number11
Publication statusPublished - Nov 1997

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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