• Eur J Anaesthesiol · Dec 2018

    Observational Study

    ICU mortality and variables associated with ICU survival in Poland: A nationwide database study.

    • Wojciech Weigl, Jan Adamski, Paweł Goryński, Andrzej Kański, and Michael Hultström.
    • From the Anaesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, Akademiska Hospital, Uppsala, Sweden (WW, MH), Department of Anaesthesia and Intensive Care, Satakunta Central Hospital, Pori, Finland (JA), Centre for Monitoring and Analyses of Population Health Status, National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland (PG), Second Department of Anaesthesiology and Intensive Care, Central Teaching Hospital, Medical University of Warsaw, Warsaw, Poland (AK) and Integrative Physiology, Department of Medical Cell Biology, Uppsala University, Uppsala, Sweden (MH).
    • Eur J Anaesthesiol. 2018 Dec 1; 35 (12): 949-954.

    BackgroundRecently published international comparison data across European countries revealed high mortality rates in Polish ICUs.ObjectivesEstimation of the rate of ICU mortality and identification of variables associated with ICU survival in Poland.DesignRetrospective analyses of a database reporting ICU stays in Poland.Settings And PatientsThe study included data from all adult patients admitted to an ICU in Poland from 1 January 2012 to 31 December 2012.Main Outcome MeasuresICU mortality and variables associated with ICU survival.ResultsA total of 48 282 patients were treated in 347 ICUs (mean age 63.1 ± 16.8 years, 59% men) with 20 278 deaths (42.0%). Variables associated with ICU survival were: tertiary level of hospital care [relative risk (RR) 0.86, 95% confidence interval (CI) 0.80 to 0.92, P < 0.001]; high annual patient volume in the ICU (RR 0.9995 patient year, 95% CI 0.9994 to 0.9996, P < 0.001); younger patient age (RR 1.025 year, 95% CI 1.024 to 1.026, P < 0.001); female sex (RR 0.92, 95% CI 0.88 to 0.96; P < 0.001); and lower number of comorbidities (RR 1.33, 95% CI 1.31 to 1.35, P < 0.001).ConclusionICU mortality was high in Poland. Structural variables, such as the level of hospital care and annual patient volume, may be associated with ICU survival.

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