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Multidisciplinary intensive care in Bloemfontein, 1981-1984.

C H Badenhorst

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |November 22, 1986
    PubMed
    Summary
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    This study analyzed 1,720 critical care patients in multidisciplinary intensive care units (MDICUs) from 1981-1984. High in-unit mortality (IUM) was observed, especially for short stays, highlighting critical care challenges.

    Area of Science:

    • Critical Care Medicine
    • Health Services Research

    Background:

    • Multidisciplinary intensive care units (MDICUs) are crucial for managing critically ill patients.
    • Understanding patient demographics, referral patterns, and outcomes is vital for optimizing critical care services.

    Purpose of the Study:

    • To analyze patient data, outcomes, and resource utilization in MDICUs over a four-year period.
    • To identify challenges in critical care delivery, including staffing and patient flow.

    Main Methods:

    • Retrospective analysis of 1,720 patients admitted to two MDICUs between 1981 and 1984.
    • Data collection included patient demographics, referral sources, length of stay, and in-unit mortality (IUM).

    Main Results:

    • The majority of patients (61%) were referred from outside the metropolitan area, with surgery and medicine as primary referral specialties.

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  • Average in-unit mortality (IUM) was 27%, with significantly higher mortality for patients with shorter stays (1-4 days) compared to longer stays (>14 days).
  • Consultant and resident coverage was often inadequate, and demand for MDICU care increased by 40% during the study period.

    • Conclusions:

    • Critical care delivery in MDICUs faced challenges with staffing and referral patterns.
    • Shorter patient stays correlated with higher in-unit mortality, suggesting potential for improved early management.
    • The findings underscore the need for robust critical care infrastructure and staffing models to meet increasing demand.