IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0166933.html
   My bibliography  Save this article

Risk of Death Influences Regional Variation in Intensive Care Unit Admission Rates among the Elderly in the United States

Author

Listed:
  • Colin R Cooke

Abstract

Rationale: The extent to which geographic variability in ICU admission across the United States is driven by patients with lower risk of death is unknown. Objectives: To determine whether patients at low to moderate risk of death contribute to geographic variation in ICU admission. Methods: Retrospective cohort of hospitalizations among Medicare beneficiaries (age > 64 years) admitted for ten common medical and surgical diagnoses (2004 to 2009). We examined population-adjusted rates of ICU admission per 100 hospitalizations in 304 health referral regions (HRR), and estimated the relative risk of ICU admission across strata of regional ICU and risk of death, adjusted for patient and regional characteristics. Measurement and Main Results: ICU admission rates varied nearly two-fold across HRR quartiles (quartile 1 to 4: 13.6, 17.3, 20.0, and 25.2 per 100 hospitalizations, respectively). Observed mortality for patients in regions (quartile 4) with the greatest ICU use was 17% compared to 21% in regions with lowest ICU use (quartile 1) (p

Suggested Citation

  • Colin R Cooke, 2016. "Risk of Death Influences Regional Variation in Intensive Care Unit Admission Rates among the Elderly in the United States," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-12, November.
    • Handle: RePEc:plo:pone00:0166933
    DOI: 10.1371/journal.pone.0166933
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0166933
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0166933&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0166933?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. repec:mpr:mprres:2802 is not listed on IDEAS
    2. Derek C. Angus & Mark A. Kelley & Robert Schmitz & Alan White & John Popovich, "undated". "Current and Projected Workforce Requirements for Care of the Critically Ill and Patients with Pulmonary Disease," Mathematica Policy Research Reports 33f21cd28e424d729fc73da7e, Mathematica Policy Research.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Maria Victoria V. Bongar & Frederick C. Pangan & John Rey B. Macindo, 2019. "Characteristics of a critical care clinical placement programme affecting critical care nursing competency of baccalaureate nursing students: A structural equation modelling," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1760-1770, May.
    2. Ronny Enger & Birgitta Andershed, 2018. "Nurses’ experience of the transfer of ICU patients to general wards: A great responsibility and a huge challenge," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 186-194, January.
    3. Vagts, Dierk A., 2006. "Ärztliche Personalbedarfsermittlung in der Intensivmedizin," Wismar Discussion Papers 10/2006, Hochschule Wismar, Wismar Business School.
    4. Shehadeh, Karmel S. & Padman, Rema, 2021. "A distributionally robust optimization approach for stochastic elective surgery scheduling with limited intensive care unit capacity," European Journal of Operational Research, Elsevier, vol. 290(3), pages 901-913.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0166933. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.