Designing and Evaluating the Establishment of Admission Criteria for Patients in an Intensive Care Unit: A Descriptive Study in Iran

Background: A few studies have reviewed and revised ICU admission criteria based on specific circumstances and local conditions. The aim was to develop ICU admission criteria and compare the cost, mortality, and length of stay among identified admission priorities. Methods: This was a cross-sectional study conducted in an intensive care unit of a training hospital in Qazvin, Iran. The study was conducted among ۱۲۷ patients admitted to ICU from July to September ۲۰۱۹. The data collection tool was a self-designed checklist, which included items regarding patientschr('۳۹') clinical data and their billing, type of diagnosis, level of consciousness at the time of hospitalization based on GCS scale or Glasgow Coma Scale, length of stay, and patient status at the time of discharge. Descriptive statistical tests were used to describe study variables, and in order to determine the relationship between study variables, ANOVA and Chi-square test were used. Results: A set of criteria were designed to prioritize patient admissions in ICU. Based on the defined criteria, patients were categorized into four groups based on patientchr('۳۹')s stability, hemodynamic, and respiration. Study findings revealed that a significant percentage of patients were admitted to the ward while in the second and third priorities of hospitalization (۲۶.۸ % and ۳۲.۳ %, respectively). There was a statistically significant difference in the four groups in terms of patientschr('۳۹') age, total cost, and insurance share of the total cost (P-value < ۰.۰۵). Conclusion: Study results emphasize the necessity to classify patients based on defined criteria to efficiently use available resources.

کلیدواژه ها:

ICU admission ، Prioritization ، Cost ، Mortality ، Length of stay