Epidemiological trends in the neurological intensive care unit from 2000 to 2008

Brad Zacharia, Kerry A. Vaughan, Samuel S. Bruce, Bartosz T. Grobelny, Reshma Narula, Joyce Khandji, Amanda M. Carpenter, Zachary L. Hickman, Andrew F. Ducruet, E. Sander Connolly

Research output: Contribution to journalArticle

4 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1668-1672
Number of pages5
JournalJournal of Clinical Neuroscience
Volume19
Issue number12
DOIs
StatePublished - Dec 1 2012

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Intensive Care Units
Length of Stay
Demography
Population

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

Cite this

Zacharia, B., Vaughan, K. A., Bruce, S. S., Grobelny, B. T., Narula, R., Khandji, J., ... Sander Connolly, E. (2012). Epidemiological trends in the neurological intensive care unit from 2000 to 2008. Journal of Clinical Neuroscience, 19(12), 1668-1672. https://doi.org/10.1016/j.jocn.2012.04.011
Zacharia, Brad ; Vaughan, Kerry A. ; Bruce, Samuel S. ; Grobelny, Bartosz T. ; Narula, Reshma ; Khandji, Joyce ; Carpenter, Amanda M. ; Hickman, Zachary L. ; Ducruet, Andrew F. ; Sander Connolly, E. / Epidemiological trends in the neurological intensive care unit from 2000 to 2008. In: Journal of Clinical Neuroscience. 2012 ; Vol. 19, No. 12. pp. 1668-1672.
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Zacharia, B, Vaughan, KA, Bruce, SS, Grobelny, BT, Narula, R, Khandji, J, Carpenter, AM, Hickman, ZL, Ducruet, AF & Sander Connolly, E 2012, 'Epidemiological trends in the neurological intensive care unit from 2000 to 2008', Journal of Clinical Neuroscience, vol. 19, no. 12, pp. 1668-1672. https://doi.org/10.1016/j.jocn.2012.04.011

Epidemiological trends in the neurological intensive care unit from 2000 to 2008. / Zacharia, Brad; Vaughan, Kerry A.; Bruce, Samuel S.; Grobelny, Bartosz T.; Narula, Reshma; Khandji, Joyce; Carpenter, Amanda M.; Hickman, Zachary L.; Ducruet, Andrew F.; Sander Connolly, E.

In: Journal of Clinical Neuroscience, Vol. 19, No. 12, 01.12.2012, p. 1668-1672.

Research output: Contribution to journalArticle

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AU - Zacharia, Brad

AU - Vaughan, Kerry A.

AU - Bruce, Samuel S.

AU - Grobelny, Bartosz T.

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AU - Khandji, Joyce

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AU - Hickman, Zachary L.

AU - Ducruet, Andrew F.

AU - Sander Connolly, E.

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N2 - 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.

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