TY - JOUR
T1 - Epidemiological trends in the neurological intensive care unit from 2000 to 2008
AU - Zacharia, Brad E.
AU - Vaughan, Kerry A.
AU - Bruce, Samuel S.
AU - Grobelny, Bartosz T.
AU - Narula, Reshma
AU - Khandji, Joyce
AU - Carpenter, Amanda M.
AU - Hickman, Zachary L.
AU - Ducruet, Andrew F.
AU - Sander Connolly, E.
N1 - Funding Information:
Funding provided by the Department of Neurological Surgery, Columbia University, which did not have any involvement in the study or manuscript preparation beyond the authors listed. This work was supported by a grant from the Doris Duke Charitable Foundation to Columbia University to fund Clinical Research Fellow Kerry Vaughan. The authors have no conflicts of interest to report.
PY - 2012/12
Y1 - 2012/12
N2 - Intensive care units (ICU) specializing in the treatment of patients with neurological diseases (Neuro-ICU) have become increasingly common. However, there are few data on the longitudinal demographics of this patient population. Identifying admission trends may provide targets for improving resource utilization. We performed a retrospective analysis of admission logs for primary diagnosis, age, sex, and length of stay, for all patients admitted to the Neuro-ICU at Columbia University Medical Center (CUMC) between 2000 and 2008. From 2000 to 2008, inclusive, the total number of Neuro-ICU admissions increased by 49.9%. Overall mean patient age (54.6 ± 17.4 to 56.2 ± 18.0 years, p = 0.041) and gender (55.9-50.3% female, p = 0.005) changed significantly, while median length of stay (2 days) did not. When comparing the time period prior to construction of a larger Neuro-ICU (2000-2004) to that after completion (2005-2008), patient age (56.0 ± 17.6 compared to 56.9 ± 17.5 years, p = 0.012) and median length of stay (1 compared to 2 days, p < 0.001) both significantly increased. Construction of a newer, larger Neuro-ICU at CUMC led to a substantial increase in admissions and changes in diagnoses from 2000 to 2008. Advances in neurocritical care, neurosurgical practices, and the local and global expansion and utilization of ICU resources likely led to differences in lengths of stay.
AB - Intensive care units (ICU) specializing in the treatment of patients with neurological diseases (Neuro-ICU) have become increasingly common. However, there are few data on the longitudinal demographics of this patient population. Identifying admission trends may provide targets for improving resource utilization. We performed a retrospective analysis of admission logs for primary diagnosis, age, sex, and length of stay, for all patients admitted to the Neuro-ICU at Columbia University Medical Center (CUMC) between 2000 and 2008. From 2000 to 2008, inclusive, the total number of Neuro-ICU admissions increased by 49.9%. Overall mean patient age (54.6 ± 17.4 to 56.2 ± 18.0 years, p = 0.041) and gender (55.9-50.3% female, p = 0.005) changed significantly, while median length of stay (2 days) did not. When comparing the time period prior to construction of a larger Neuro-ICU (2000-2004) to that after completion (2005-2008), patient age (56.0 ± 17.6 compared to 56.9 ± 17.5 years, p = 0.012) and median length of stay (1 compared to 2 days, p < 0.001) both significantly increased. Construction of a newer, larger Neuro-ICU at CUMC led to a substantial increase in admissions and changes in diagnoses from 2000 to 2008. Advances in neurocritical care, neurosurgical practices, and the local and global expansion and utilization of ICU resources likely led to differences in lengths of stay.
KW - Admissions
KW - Critical care
KW - Diagnosis
KW - Epidemiology
KW - Neurological intensive care unit
UR - http://www.scopus.com/inward/record.url?scp=84868302125&partnerID=8YFLogxK
U2 - 10.1016/j.jocn.2012.04.011
DO - 10.1016/j.jocn.2012.04.011
M3 - Article
C2 - 23062793
AN - SCOPUS:84868302125
SN - 0967-5868
VL - 19
SP - 1668
EP - 1672
JO - Journal of Clinical Neuroscience
JF - Journal of Clinical Neuroscience
IS - 12
ER -