Send to

Choose Destination

Links from PubMed

Chest. 1989 Jul;96(1):127-9.

Effect on ICU mortality of a full-time critical care specialist.

Author information

Faculty of Medicine, Section of Respiratory Diseases, University of Manitoba, Winnipeg, Canada.


APACHE II scoring was obtained retrospectively on patients admitted to the ICU of a university hospital for two consecutive years. During the first year the patients were treated by their attending physician (group 1); during the second year, by a trained critical care specialist in cooperation with the attending physician (group 2). There were 223 patients in group 1 and 216 in group 2. The mean APACHE II scores were equivalent (group 1, 19.0 +/- 9.1 vs group 2, 18.3 +/- 8.2, p = NS). ICU mortality was reduced by 52 percent (group 1, 27.8 percent mortality vs group 2, 13.4 percent mortality p less than 0.01) and overall hospital mortality was reduced 31.0 percent (group 1, 35.5 percent vs group 2, 24.5 percent, p less than 0.01). No increased significance in ICU or hospital mortality reduction could be shown between subgroups of patients with APACHE II scores of 0 to 14, 15 to 24, and greater than 25. This retrospective analysis suggests that a full-time, trained critical care specialist may have made a significant impact on the management of critically ill patients at our institution.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center