Profiling and Benchmarking Central Nervous System Infections in an Infectious Diseases Intensive Care Unit
BACKGROUND: There is little information comparing the performance of community acquired central nervous system infections (CNSI) treatment by intensive care units (ICUs) specialized in infectious diseases with treatment at other ICUs. Our objective was to reduce these gaps, creating bases for benchmarking and future case-mix classification.
METHODS: This is a retrospective observational cohort of 785 admissions with 82 cases of CNSI admitted to the ICU of an important Brazilian referral center for infectious diseases (INI) between January 2012 and January 2019. Comparisons were made to data retrospectively collected from the 303,500 intensive care admissions from the Brazilian state health care system included in the Epimed Monitor database. Clinical, epidemiologic, and performance indicators: the standardized mortality rate (SMR) and the standardized resource use rate per ICU surviving patient (SRU) were collected.
RESULTS: Case-mix infections profile and SMR/SRU data. SUS Mixed medical/surgical ICUs: SMR = 1.26, SRU = 1.59; SUS Neurological ICUs: SMR = 1.17, SRU = 2.23; INI ICU: SMR = 1.1, SRU = 1.1; INI ICU CNSI patients: SMR = 0.95, SRU = 1.01.
CONCLUSIONS: Severe patients with CNSI can be efficiently and effectively treated in an ICU specialized in infectious diseases when compared to mixed medical/surgical and neurological ICUs from the public health system. At the same time, we provided profiling and a case-mix that can help and encourage benchmarking by other institutions and other countries.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 2023 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:39 |
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| Enthalten in: |
Journal of intensive care medicine - 39(2023), 1 vom: 17. Jan., Seite 59-68 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Andrade, Hugo Boechat [VerfasserIn] |
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| Links: |
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| Themen: |
Benchmarking |
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| Anmerkungen: |
Date Completed 21.11.2023 Date Revised 21.11.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/08850666231188665 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM359560970 |
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| 520 | |a BACKGROUND: There is little information comparing the performance of community acquired central nervous system infections (CNSI) treatment by intensive care units (ICUs) specialized in infectious diseases with treatment at other ICUs. Our objective was to reduce these gaps, creating bases for benchmarking and future case-mix classification | ||
| 520 | |a METHODS: This is a retrospective observational cohort of 785 admissions with 82 cases of CNSI admitted to the ICU of an important Brazilian referral center for infectious diseases (INI) between January 2012 and January 2019. Comparisons were made to data retrospectively collected from the 303,500 intensive care admissions from the Brazilian state health care system included in the Epimed Monitor database. Clinical, epidemiologic, and performance indicators: the standardized mortality rate (SMR) and the standardized resource use rate per ICU surviving patient (SRU) were collected | ||
| 520 | |a RESULTS: Case-mix infections profile and SMR/SRU data. SUS Mixed medical/surgical ICUs: SMR = 1.26, SRU = 1.59; SUS Neurological ICUs: SMR = 1.17, SRU = 2.23; INI ICU: SMR = 1.1, SRU = 1.1; INI ICU CNSI patients: SMR = 0.95, SRU = 1.01 | ||
| 520 | |a CONCLUSIONS: Severe patients with CNSI can be efficiently and effectively treated in an ICU specialized in infectious diseases when compared to mixed medical/surgical and neurological ICUs from the public health system. At the same time, we provided profiling and a case-mix that can help and encourage benchmarking by other institutions and other countries | ||
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a benchmarking | |
| 650 | 4 | |a case-mix | |
| 650 | 4 | |a critical care | |
| 650 | 4 | |a nervous system infection | |
| 650 | 4 | |a profiling | |
| 700 | 1 | |a Rocha Ferreira da Silva, Ivan |e verfasserin |4 aut | |
| 700 | 1 | |a Espinoza, Rodolfo |e verfasserin |4 aut | |
| 700 | 1 | |a da Silva, Mayara Secco Torres |e verfasserin |4 aut | |
| 700 | 1 | |a Theodoro, Pedro Henrique Nascimento |e verfasserin |4 aut | |
| 700 | 1 | |a Ferreira, Marcel Treptow |e verfasserin |4 aut | |
| 700 | 1 | |a Soares, Jesus |e verfasserin |4 aut | |
| 700 | 1 | |a Belay, Ermias D |e verfasserin |4 aut | |
| 700 | 1 | |a Sejvar, James J |e verfasserin |4 aut | |
| 700 | 1 | |a Bozza, Fernando Augusto |e verfasserin |4 aut | |
| 700 | 1 | |a Cerbino-Neto, José |e verfasserin |4 aut | |
| 700 | 1 | |a Japiassú, André Miguel |e verfasserin |4 aut | |
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