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Organization of int...
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Claeys, M. J.Antwerp Univ Hosp, Dept Cardiol, Wilrijkstr Edegem 10, B-2650 Antwerp, Belgium.
(author)
Organization of intensive cardiac care units in Europe : Results of a multinational survey
- Article/chapterEnglish2020
Publisher, publication year, extent ...
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2020-12-01
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Oxford University Press (OUP),2020
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printrdacarrier
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LIBRIS-ID:oai:DiVA.org:uu-454576
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-454576URI
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https://doi.org/10.1177/2048872619883997DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Background: The present survey aims to describe the intensive cardiac care unit organization and admission policies in Europe. Methods: A total of 228 hospitals (61% academic) from 27 countries participated in this survey. In addition to the organizational aspects of the intensive cardiac care units, including classification of the intensive cardiac care unit levels, data on the admission diagnoses were gathered from consecutive patients who were admitted during a two-day period. Admission policies were evaluated by comparing illness severity with the intensive cardiac care unit level. Gross national income was used to differentiate high-income countries (n=13) from middle-income countries (n=14). Results: A total of 98% of the hospitals had an intensive cardiac care unit: 70% had a level 1 intensive cardiac care unit, 76% had a level 2 intensive cardiac care unit, 51% had a level 3 intensive cardiac care unit, and 60% of the hospitals had more than one intensive cardiac care unit level. High-income countries tended to have more level 3 intensive cardiac care units than middle-income countries (55% versus 41%, p=0.07). A total of 5159 admissions were scored on illness severity: 63% were low severity, 24% were intermediate severity, and 12% were high severity. Patients with low illness severity were predominantly admitted to level 1 intensive cardiac care units, whereas patients with high illness severity were predominantly admitted to level 2 and 3 intensive cardiac care units. A policy mismatch was observed in 12% of the patients; some patients with high illness severity were admitted to level 1 intensive cardiac care units, which occurred more often in middle-income countries, whereas some patients with low illness severity were admitted to level 3 intensive cardiac care units, which occurred more frequently in high-income countries. Conclusion: More than one-third of the admitted patients were considered intermediate or high risk. Although patients with higher illness severity were mostly admitted to high-level intensive cardiac care units, an admission policy mismatch was observed in 12% of the patients; this mismatch was partly related to insufficient logistic intensive cardiac care unit capacity.
Subject headings and genre
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Roubille, F.Univ Hosp Montpellier, Dept Cardiol, Montpellier, France.
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Casella, G.Osped Maggiore Bologna, Dept Cardiol, Bologna, Italy.
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Zukermann, R.Rambam Med Hlth Ctr, Haifa, Israel.
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Nikolaou, N.Konstantopouleio Gen Hosp, Dept Cardiol, Nea Ionia, Greece.
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De Luca, L.S Giovanni Evangelista Hosp, Dept Cardiol, Tivoli, Italy.
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Gierlotkaa, M.Univ Opole, Dept Cardiol, Opole, Poland.
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Iakobishvili, Z.Holon Med Ctr, Heart Inst, Holon, Israel.
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Thiele, H.Univ Hosp, Heart Ctr Leipzig, Leipzig, Germany.
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Koutouzis, M.Red Cross Gen Hosp, Athens, Greece.
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Sionis, A.Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Barcelona, Spain.
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Monteiro, S.Coimbra Univ Hosp, Coimbra, Portugal.
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Beauloye, C.UCLouvain, Clin Univ St Luc, Louvain La Neuve, Belgium.
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Held, Claes,1956-Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)clahe947
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Tint, D.Transilvania Univ, ICCO Clin, Brasov, Romania.
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Zakke, IPauls Stradins Clin Univ Hosp, Riga, Latvia.
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Serpytis, P.Vilnius Univ, Fac Med, Vilnius, Lithuania.
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Babic, Z.Univ Hosp Ctr Sisters Mercy, Zagreb, Croatia.
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Belohlavev, J.Charles Univ Prague, Dept Med 2, Prague, Czech Republic.
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Magdy, A.Natl Heart Inst, Cairo, Egypt.
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Rasalingam, M. SivagowryAarhus Univ Hosp, Dept Cardiol, Aarhus, Denmark.
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Daly, K.Univ Coll Hosp, Galway, Ireland.
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Arroyo, D.Hop Cantonal Fribourg, Fribourg, Switzerland.
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Vavlukis, M.PHO Univ Clin Cardiol, Skopje, North Macedonia.
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Radovanovic, N.Clin Ctr Serbia, Emergency Ctr, Belgrade, Serbia.
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Trendafilova, E.Natl Cardiol Hosp, ICCU, Sofia, Bulgaria.
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Marandi, T.North Estonia Med Ctr, Tallinn, Estonia.;Univ Tartu, Dept Cardiol, Tartu, Estonia.
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Hassenger, C.Rigshosp, Dept Cardiol, Copenhagen, Denmark.;Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark.
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Lettino, M.San Gerardo Hosp, Div Cardiol, Monza, Italy.
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Price, S.Royal Brompton Hosp, Adult Intens Care Unit, London, England.
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Bonnefoy, E.Hosp Civils Lyon, Intens Cardiac Care Unit, Lyon, France.
(author)
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Antwerp Univ Hosp, Dept Cardiol, Wilrijkstr Edegem 10, B-2650 Antwerp, Belgium.Univ Hosp Montpellier, Dept Cardiol, Montpellier, France.
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In:European Heart Journal: Oxford University Press (OUP)9:8, s. 993-10012048-87262048-8734
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Claeys, M. J.
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Roubille, F.
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Casella, G.
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Zukermann, R.
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Nikolaou, N.
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De Luca, L.
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Gierlotkaa, M.
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Iakobishvili, Z.
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Thiele, H.
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Koutouzis, M.
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Sionis, A.
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Monteiro, S.
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Beauloye, C.
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Held, Claes, 195 ...
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Tint, D.
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Zakke, I
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Serpytis, P.
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Babic, Z.
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Belohlavev, J.
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Magdy, A.
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Rasalingam, M. S ...
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Daly, K.
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Arroyo, D.
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Vavlukis, M.
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Radovanovic, N.
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Trendafilova, E.
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Marandi, T.
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Hassenger, C.
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Lettino, M.
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Price, S.
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Bonnefoy, E.
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