Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Are specialized ICUs so special? | Available online at http content 13 5 314 Evidence-Based Medicine Journal Club EBM Journal Club Section Editor Eric B. Milbrandt MD MPH Journal club critique Are specialized ICUs so special Yên-Lan C. Nguyen1 and Eric B. Milbrandt2 1 Research Fellow Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 2 Assistant Professor Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Published online 12th October 2009 This article is online at http content 13 5 314 2009 BioMed Central Ltd Critical Care 2009 13 314 DOI cc8116 Expanded Abstract Citation Lott JP Iwashyna TJ Christie JD Asch DA Kramer AA Kahn JM Critical illness outcomes in specialty versus general intensive care units. Am J Respir Crit Care Med 2009 179 676-683 1 . Background General intensive care units ICUs provide care across a wide range of diagnoses whereas specialty ICUs provide diagnosis-specific care. Risk-adjusted outcome differences across such units are unknown. Methods Objective To determine the association between specialty ICU care and the outcome of critical illness. Design Retrospective cohort study. Setting 124 ICUs participating in the Acute Physiology and Chronic Health Evaluation IV from January 2002 to December 2005. Subjects 84 182 patients admitted to specialty and general ICUs with an admitting diagnosis or procedure of acute coronary syndrome ischemic stroke intracranial hemorrhage pneumonia abdominal surgery or coronaryartery bypass graft surgery. ICU type was determined by a local data coordinator at each site. Patients were classified by admission to a general ICU a diagnosis-appropriate ideal specialty ICU or a diagnosis-inappropriate nonideal specialty ICU. Intervention None. Outcomes The primary outcomes were in-hospital mortality and ICU length of stay. Results After adjusting for important confounders there were no significant .
