Augier, R.; Hambleton, Ian R.; Harding, Hyacinth E.
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
Requests for Admission to the Intensive Care Unit, the University Hospital of the West Indies [Abstract]
West Indian Medical Journal
Date of Publication
52 Suppl. 5
Objective: To assess the demand for Intensive Care Unit (ICU) admission and identify and differences between the admitted and non-admitted populations. Design: Prospective, descriptive, analytical study. Interventions: During a one year period all patients triaged for admission to a multidisciplinary ICU at the University Hospital of the West Indies, were studied. Information was compiled on patients' name, age, diagnosis, department making the request, reason for admission, urgency, operative status, major organ system affected, Acute Physiological and Chronic Health Evaluation (APACHE) II score, and mortality. The number of patients in ICU and the reason for refusal of admission were obtained. Conclusion: Triage decisions were based predominantly on severity of disease. The demand for ICU space was greater than the supply. There were patients who might have benefitted from ICU admission but who were not admitted, due to unavailability of space. We recommend enlargement of the present ICU and improving the conditions for staff.....