Boarding ICU patients: Are our rounding practices subpar? Am J Surg 2018 Apr;215(4):669-674
Date
06/15/2017Pubmed ID
28610934DOI
10.1016/j.amjsurg.2017.04.019Scopus ID
2-s2.0-85020421838 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
INTRODUCTION: Surgical Intensive Care Unit (SICU) patients "boarding" in ICUs other than the designated home unit have been shown to suffer increased rates of complications. We hypothesized that ICU rounding practices are different when SICU patients are housed in home vs. boarding ICUs.
MATERIAL AND METHODS: SICU rounds were observed at an academic quaternary medical center. Individual patient rounding time and order seen on rounds along with patient data and demographics were recorded. Multivariable regression analysis was used for comparison between patients.
RESULTS: Non-boarders were older, observed on a later post ICU admission day and were more likely to be mechanically ventilated. Boarded patients were often seen at the end of rounds and for less time. Not being a boarder, age, APACHE II score on admission, vasopressor use, and positive pressure ventilation all predicted increased rounding time.
CONCLUSIONS: Surgical ICU patients boarding in non-preferred units are often seen at the end of rounds, result in a greater reliance upon telephone communication, and receive less bedside attention from ICU provider teams.
Author List
Nunn AM, Hatchimonji JS, Holena DN, Seamon MJ, Smith BP, Kaplan LJ, Martin ND, Reilly PM, Schwab CW, Pascual JLAuthor
Daniel N. Holena MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
APACHEAcademic Medical Centers
Age Factors
Aged
Female
Humans
Intensive Care Units
Length of Stay
Male
Middle Aged
Pennsylvania
Postoperative Complications
Respiration, Artificial
Risk Factors
Teaching Rounds
Time Factors
Vasoconstrictor Agents
