Outcomes comparison in patients admitted to low complexity rural and urban intensive care units in the Veterans Health Administration

To evaluate mortality, length of stay, and inter-hospital transfer in the Veteran Health Administration (VHA) among low complexity Intensive Care Unit (ICU) patients. Retrospective study of adult ICU admissions identified in VHA Medical SAS®; 2010–2015 at Veterans Affairs (VA) Medical Centers. Facil...

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Veröffentlicht in:	Journal of critical care 2019-02, Vol.49, p.64-69
Hauptverfasser:	O'Shea, Amy M.J., Fortis, Spyridon, Vaughan Sarrazin, Mary, Moeckli, Jane, Yarbrough, W.C., Schacht Reisinger, Heather
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Clinical outcomes Critical care Female Hospital administration Hospitals Hospitals, Rural - standards Hospitals, Urban - standards Hospitals, Veterans - standards Humans Illnesses Inpatients Intensive care Intensive Care Units - standards Length of stay Length of Stay - statistics & numerical data Male Middle Aged Mortality Outcome Assessment, Health Care Patient Transfer - statistics & numerical data Patients Retrospective Studies Rural Rural areas Rural health care United States Veterans
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Zusammenfassung:	To evaluate mortality, length of stay, and inter-hospital transfer in the Veteran Health Administration (VHA) among low complexity Intensive Care Unit (ICU) patients. Retrospective study of adult ICU admissions identified in VHA Medical SAS®; 2010–2015 at Veterans Affairs (VA) Medical Centers. Facilities classified by the Rural Urban Commuting Area code algorithm as large rural (referred to as rural) (N = 6) or urban (N = 33). In rural hospitals, patients (N = 9665) were less likely to have a respiratory (12.9% v. 18.9%; p
ISSN:	0883-9441 1557-8615
DOI:	10.1016/j.jcrc.2018.10.013