Epidemiological trends in the neurological intensive care unit from 2000 to 2008
Document Type
Article
Abstract
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.
Medical Subject Headings
Female; Humans; Intensive Care Units (statistics & numerical data, trends); Length of Stay; Male; Middle Aged; Nervous System Diseases (diagnosis, epidemiology, therapy); Neurology (statistics & numerical data, trends); Patient Admission (statistics & numerical data, trends); Retrospective Studies
Publication Date
12-1-2012
Publication Title
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
E-ISSN
1532-2653
Volume
19
Issue
12
First Page
1668
Last Page
72
PubMed ID
23062793
Digital Object Identifier (DOI)
10.1016/j.jocn.2012.04.011
Recommended Citation
Zacharia, Brad E.; Vaughan, Kerry A.; Bruce, Samuel S.; Grobelny, Bartosz T.; Narula, Reshma; Khandji, Joyce; Carpenter, Amanda M.; Hickman, Zachary L.; Ducruet, Andrew F.; and Sander Connolly, E, "Epidemiological trends in the neurological intensive care unit from 2000 to 2008" (2012). Translational Neuroscience. 2091.
https://scholar.barrowneuro.org/neurobiology/2091