Utilisation of Intermediate Care Units: A Systematic Review
Background. The diversity in formats of Intermediate Care Units (IMCUs) makes it difficult to compare data from different settings. The purpose of this article was to describe and quantify these different formations and utilisation. Methods. We performed a systematic review extracting geographic loc...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2017/8038460 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832549782004957184 |
|---|---|
| author | Joost D. J. Plate Luke P. H. Leenen Marijn Houwert Falco Hietbrink |
| author_facet | Joost D. J. Plate Luke P. H. Leenen Marijn Houwert Falco Hietbrink |
| author_sort | Joost D. J. Plate |
| collection | DOAJ |
| description | Background. The diversity in formats of Intermediate Care Units (IMCUs) makes it difficult to compare data from different settings. The purpose of this article was to describe and quantify these different formations and utilisation. Methods. We performed a systematic review extracting geographic location, nomenclature used, admitting specialties, open (admitting specialist in charge) or closed (intensivist/generalist in charge) management format, location in hospital, number of beds, nursing workload, medical staff to patient ratios, and modalities—possibilities and limitations—implemented. Results. Nomenclature used was High Dependency Unit (56.8%) or Intermediate Care Unit (24.3%), with the latter one increasingly being used recently. The median number of beds was 6 (IQR 4–10). Location (p<0.001) and admitting specialties (p=0.03) were related to the management format. IMCUs integrated or adjacent to Intensive Care Units were more often capable of using single vasoactive medication (p=0.025). The mean nurse to patient ratio was 1 to 2.5. Conclusions. IMCUs often have a specific task in a hospital, which is reflected in location, format, and utilisation. The management format depends on location and admitting specialist while incorporated supportive treatment modules reflect its function. Common IMCU denominators are continuous monitoring and respiratory support, without mechanical ventilation and multiple vasoactive medications. |
| format | Article |
| id | doaj-art-3eb69841df5a4d589490631e0dc3b71d |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-3eb69841df5a4d589490631e0dc3b71d2025-02-03T06:08:36ZengWileyCritical Care Research and Practice2090-13052090-13132017-01-01201710.1155/2017/80384608038460Utilisation of Intermediate Care Units: A Systematic ReviewJoost D. J. Plate0Luke P. H. Leenen1Marijn Houwert2Falco Hietbrink3Division of Surgery, University Medical Centre Utrecht, Utrecht, NetherlandsDivision of Surgery, University Medical Centre Utrecht, Utrecht, NetherlandsDivision of Surgery, University Medical Centre Utrecht, Utrecht, NetherlandsDivision of Surgery, University Medical Centre Utrecht, Utrecht, NetherlandsBackground. The diversity in formats of Intermediate Care Units (IMCUs) makes it difficult to compare data from different settings. The purpose of this article was to describe and quantify these different formations and utilisation. Methods. We performed a systematic review extracting geographic location, nomenclature used, admitting specialties, open (admitting specialist in charge) or closed (intensivist/generalist in charge) management format, location in hospital, number of beds, nursing workload, medical staff to patient ratios, and modalities—possibilities and limitations—implemented. Results. Nomenclature used was High Dependency Unit (56.8%) or Intermediate Care Unit (24.3%), with the latter one increasingly being used recently. The median number of beds was 6 (IQR 4–10). Location (p<0.001) and admitting specialties (p=0.03) were related to the management format. IMCUs integrated or adjacent to Intensive Care Units were more often capable of using single vasoactive medication (p=0.025). The mean nurse to patient ratio was 1 to 2.5. Conclusions. IMCUs often have a specific task in a hospital, which is reflected in location, format, and utilisation. The management format depends on location and admitting specialist while incorporated supportive treatment modules reflect its function. Common IMCU denominators are continuous monitoring and respiratory support, without mechanical ventilation and multiple vasoactive medications.http://dx.doi.org/10.1155/2017/8038460 |
| spellingShingle | Joost D. J. Plate Luke P. H. Leenen Marijn Houwert Falco Hietbrink Utilisation of Intermediate Care Units: A Systematic Review Critical Care Research and Practice |
| title | Utilisation of Intermediate Care Units: A Systematic Review |
| title_full | Utilisation of Intermediate Care Units: A Systematic Review |
| title_fullStr | Utilisation of Intermediate Care Units: A Systematic Review |
| title_full_unstemmed | Utilisation of Intermediate Care Units: A Systematic Review |
| title_short | Utilisation of Intermediate Care Units: A Systematic Review |
| title_sort | utilisation of intermediate care units a systematic review |
| url | http://dx.doi.org/10.1155/2017/8038460 |
| work_keys_str_mv | AT joostdjplate utilisationofintermediatecareunitsasystematicreview AT lukephleenen utilisationofintermediatecareunitsasystematicreview AT marijnhouwert utilisationofintermediatecareunitsasystematicreview AT falcohietbrink utilisationofintermediatecareunitsasystematicreview |