Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/20315
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dc.contributor.authorRamos, Joao Gabriel Rosa-
dc.contributor.authorRanzani, Otavio T-
dc.contributor.authorPerondi, Beatriz-
dc.contributor.authorDias, Roger Daglius-
dc.contributor.authorJones, Daryl A-
dc.contributor.authorCarvalho, Carlos Roberto Ribeiro-
dc.contributor.authorVelasco, Irineu Tadeu-
dc.contributor.authorForte, Daniel Neves-
dc.date2019-02-04-
dc.date.accessioned2019-03-04T22:04:16Z-
dc.date.available2019-03-04T22:04:16Z-
dc.date.issued2019-06-
dc.identifier.citationJournal of Critical Care 2019; 51: 77-83-
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/20315-
dc.description.abstractIntensive care unit (ICU) admission triage occurs frequently and often involves highly subjective decisions that may lead to potentially inappropriate ICU admissions. In this study, we evaluated the effect of implementing a decision-aid tool for ICU triage on ICU admission decisions. This was a prospective, before-after study. Urgent ICU referrals to ten ICUs in a tertiary hospital in Brazil were assessed before and after the implementation of the decision-aid tool. Our primary outcome was the proportion of potentially inappropriate ICU referrals (defined as priority 4B or 5 referrals, accordingly to the Society of Critical Care Medicine guidelines of 1999 and 2016, respectively) admitted to the ICU within 48 h. We conducted multivariate analyses to adjust for potential confounders and evaluated the interaction between phase and triage priority. Of the 2201 patients analyzed, 1184 (53.8%) patients were admitted to the ICU. After adjustment for confounders, implementation of the decision-aid tool was associated with a reduction in potentially inappropriate ICU admissions using either the 1999 [adjOR (95% CI) = 0.36 (0.13-0.97)] or 2016 [adjOR (95%CI) = 0.35 (0.13-0.96)] definitions. Implementation of a decision-aid tool for ICU triage was associated with a reduction in potentially inappropriate ICU admissions.-
dc.language.isoeng-
dc.subjectCritically ill-
dc.subjectDecision-making-
dc.subjectDecision-support tool-
dc.subjectIntensive care resource allocation-
dc.subjectIntensive care triage-
dc.subjectIntensive care unit admission-
dc.titleA decision-aid tool for ICU admission triage is associated with a reduction in potentially inappropriate intensive care unit admissions.-
dc.typeJournal Article-
dc.identifier.journaltitleJournal of Critical Care-
dc.identifier.affiliationPulmonary Division, Heart Institute (InCor), Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil-
dc.identifier.affiliationEmergency Department, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, Brazil-
dc.identifier.affiliationEmergency Department, Brigham and Women's Hospital, Harvard Medical School, Boston, USA-
dc.identifier.affiliationMedical Sciences PhD program, Faculdade de Medicina FMUSP, Universidade de São Paulo, Sao Paulo, Brazil-
dc.identifier.affiliationPulmonary Division, Heart Institute (InCor), Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazilen
dc.identifier.affiliationMonash University, School of Public Health and Preventive Medicine, Australiaen
dc.identifier.affiliationIntensive Care Unit, Hospital Sao Rafael, Salvador, Brazilen
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationUniversity of Melbourne, Australiaen
dc.identifier.affiliationEmergency Medicine Discipline, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, Brazilen
dc.identifier.affiliationTeaching and Research on Palliative Care Program, Hospital Sirio-Libanes, Sao Paulo, Brazil-
dc.identifier.doi10.1016/j.jcrc.2019.02.002-
dc.identifier.pubmedid30769294-
dc.type.austinJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.openairetypeJournal Article-
item.languageiso639-1en-
item.fulltextNo Fulltext-
crisitem.author.deptIntensive Care-
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