Navigation Links
Patients More Likely to Die While in ICU in U.S. Than in England
Date:10/30/2009

More study needed to discern if difference is due to intensive care overuse or underuse

FRIDAY, Oct. 30 (HealthDay News) -- Dying hospital patients in the United States are nearly five times more likely to spend their last days in the intensive care unit than patients in England, finds a new study, and U.S. patients over age 85 are eight times more likely to be in the ICU when they die.

That's the conclusion of Columbia University researchers who compared data from England and from seven states (Florida, Massachusetts, New Jersey, New York, Texas, Virginia and Washington).

Of all patients discharged from the hospital, 2.2 percent in England received intensive care, compared to 19.3 percent in the United States, according to the report published in the Nov. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

The death rate among patients who received intensive care in England was nearly three times higher than in the United States (19.6 percent versus 7.4 percent). However, only 10.6 percent of hospital deaths in England involved the ICU, compared with 47.1 percent in the United States. Among patients over 85, 1.3 percent in England received ICU care, compared with 11 percent of those in the United States, the researchers found. Rates of ICU care for young adults and children were similar in both countries.

"These numbers need to be interpreted with caution as the differences in mortality for ICU patients likely reflect the higher severity of illness of patients admitted in the first place in England," lead author Dr. Hannah Wunsch, an assistant professor of anesthesiology and critical care medicine, said in a news release from the American Thoracic Society. "The data do bring up the interesting question of how much intensive care is beneficial. Doing more may not always be better," she added.

"In England, there is universal health care through the National Health Service, and there is also much lower per-capita expenditure on intensive care services when compared to the U.S.," Wunsch said. "The use of intensive care in England is limited by supply to a greater degree than it is in the U.S. and there are consequently implicit and explicit decisions regarding who gets those limited services. We wished to examine what different decisions are made," she explained.

"Whether less intensive care for very elderly patients who are dying is a form of rationing or is actually better recognition of what constitutes appropriate care at the end of life warrants further research," Wunsch said. "These findings highlight the urgent need to understand whether there is overuse of intensive care in the U.S., or under-use in England."

More information

The American Thoracic Society has more about critical care.



-- Robert Preidt



SOURCE: American Thoracic Society, news release, Oct. 23, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Fluctuating eye pressure associated with visual field deterioration in glaucoma patients
2. Comparison of obstetric outcomes between on-call and patients own obstetricians
3. Vision restoration therapy shown to improve brain activity in brain injured patients
4. Diabetes appears to increase risk of death for patients with acute coronary syndromes
5. Ambulatory oxygen rarely a benefit in COPD patients without resting hypoxemia
6. Restricting Blood Flow May Help Heart Bypass Patients
7. Patients with Medicaid and those lacking insurance have higher risk of advanced laryngeal cancer
8. Study provides hope that some transplant patients could live free of antirejection drugs
9. Study provides hope that some transplant patients could live free of anti-rejection drugs
10. Longer ambulance journeys boost death risk for seriously ill patients
11. Expenses Overshadow Optimism for Kidney Failure Patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... , ... PawPaws brand pet supplements owned by Whole Health Supply ... health of felines. The formula is all-natural and is made from Chinese herbs that ... Cat Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root ...
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from the ... AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center in ... topics including advance care planning, healthcare costs and patient and family engagement. , ...
(Date:6/25/2016)... ... 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users can ... CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn ... X . Simply select a ProHand generator and drag it above media or text ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... athletes and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as ... City area —Johnson is one of the first doctors to perform the treatment. ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article ... are unfamiliar with. The article goes on to state that individuals are now more ... these less common operations such as calf and cheek reduction. The Los Angeles area ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... -- Research and Markets has announced the addition ... report to their offering. ... The World Market for Companion Diagnostics covers the world ... in the report includes the following: , ... by Region (N. America, EU, ROW), 2015-2020 , World ...
(Date:6/23/2016)... June 23, 2016  MedSource announced today that ... e-clinical software solution of choice.  This latest decision ... value to their clients by offering a state-of-the-art ... relationship establishes nowEDC as the EDC platform of ... full-service clients.  "nowEDC has long been a preferred ...
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
Breaking Medicine Technology: