open access

Vol 47, No 2 (2015)
Original and clinical articles
Published online: 2015-03-16
Submitted: 2014-10-20
Accepted: 2014-12-05
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The differences between two selected intensive care units located in central and northern Europe — preliminary observation

Jan Adamski, Radosław Goraj, Dariusz Onichimowski, Ewa Gawlikowska, Wojciech Weigl
DOI: 10.5603/AIT.a2015.0010
·
Anaesthesiol Intensive Ther 2015;47(2):117-124.

open access

Vol 47, No 2 (2015)
Original and clinical articles
Published online: 2015-03-16
Submitted: 2014-10-20
Accepted: 2014-12-05

Abstract

BACKGROUND: The aim of this study was to evaluate possible differences in the functioning of two selected intensive care units in Poland and Finland. The activity of the units was analysed over a period of one year.

METHODS: The following parameters were compared: demography of treated populations, site of admission, category of illness, severity of illness (APACHE-II scale), mean length of stay, demanded workload (TISS-28 scale), mortality (both ICU and hospital) and standardized mortality ratio (SMR).

RESULTS: The results of this study indicated that most of the patients in the Polish ICU, regardless of age, diagnosis and APACHE II score, presented significantly longer lengths of stay (14.65 ± 13.6 vs 4.1 ± 4.7 days, P = 0.0001), higher mean TISS-28 score (38.9 ± 9.1 vs 31.2 ± 6.1, P = 0.0001) and higher ICU and hospital mortality (41.5% vs 10.2% and 44.7% vs 21.8%, respectively, P = 0.0001). The values of SMR were 0.9 and 0.85 for the Finnish and Polish ICUs, respectively.

CONCLUSION: The collected data indicate huge differences in the utilisation of critical care resources. Treatment in Polish ICU is concentrated on much more severely ill patients which might be sometimes accompanied by futility of care. In order to verify and correctly interpret the presented phenomena, further studies are needed.

Abstract

BACKGROUND: The aim of this study was to evaluate possible differences in the functioning of two selected intensive care units in Poland and Finland. The activity of the units was analysed over a period of one year.

METHODS: The following parameters were compared: demography of treated populations, site of admission, category of illness, severity of illness (APACHE-II scale), mean length of stay, demanded workload (TISS-28 scale), mortality (both ICU and hospital) and standardized mortality ratio (SMR).

RESULTS: The results of this study indicated that most of the patients in the Polish ICU, regardless of age, diagnosis and APACHE II score, presented significantly longer lengths of stay (14.65 ± 13.6 vs 4.1 ± 4.7 days, P = 0.0001), higher mean TISS-28 score (38.9 ± 9.1 vs 31.2 ± 6.1, P = 0.0001) and higher ICU and hospital mortality (41.5% vs 10.2% and 44.7% vs 21.8%, respectively, P = 0.0001). The values of SMR were 0.9 and 0.85 for the Finnish and Polish ICUs, respectively.

CONCLUSION: The collected data indicate huge differences in the utilisation of critical care resources. Treatment in Polish ICU is concentrated on much more severely ill patients which might be sometimes accompanied by futility of care. In order to verify and correctly interpret the presented phenomena, further studies are needed.

Get Citation

Keywords

intensive care unit; ICU; critical care; length of stay; mortality

About this article
Title

The differences between two selected intensive care units located in central and northern Europe — preliminary observation

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 47, No 2 (2015)

Pages

117-124

Published online

2015-03-16

DOI

10.5603/AIT.a2015.0010

Bibliographic record

Anaesthesiol Intensive Ther 2015;47(2):117-124.

Keywords

intensive care unit
ICU
critical care
length of stay
mortality

Authors

Jan Adamski
Radosław Goraj
Dariusz Onichimowski
Ewa Gawlikowska
Wojciech Weigl

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