The association of closed-collaborative SICU modeling on emergency general surgery patient outcomes
•When compared to the open model, despite a sicker cohort of patients, a closed-collaborative SICU care model showed.•Higher mortality.•Similar clinical outcomes and rates of complications.•Reduction in hospital LOS. Surgical intensive care unit (SICU) optimization is a critical factor impacting pat...
Uložené v:
| Vydané v: | Surgery in practice and science Ročník 14; s. 100194 |
|---|---|
| Hlavní autori: | , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
England
Elsevier Ltd
01.09.2023
Elsevier |
| Predmet: | |
| ISSN: | 2666-2620, 2666-2620 |
| On-line prístup: | Získať plný text |
| Tagy: |
Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
|
| Abstract | •When compared to the open model, despite a sicker cohort of patients, a closed-collaborative SICU care model showed.•Higher mortality.•Similar clinical outcomes and rates of complications.•Reduction in hospital LOS.
Surgical intensive care unit (SICU) optimization is a critical factor impacting patient outcomes and resource utilization. SICUs operate using an open or closed model, where the surgeon or intensivist, respectively, manages critically-ill patients. In 2017, we adopted a closed-collaborative model. This study aimed to compare patient outcomes in the closed-collaborative model vs. the previous open model in a cohort of emergency general surgery (EGS) patients.
A retrospective review of EGS SICU patients from August 2015 to July 2019 was performed. Patients were divided into "Open" and "Closed" cohorts before or after closed-collaborative model implementation on August 1, 2017. Demographic variables and clinical outcomes were analyzed.
We identified 434 patients (O:191; C:243). While no significant demographic differences were observed, there was a higher proportion of patients with qSOFA scores greater than 2 in the closed cohort. There were no differences regarding sepsis, cerebrovascular accident, myocardial infarction, venous thromboembolism, anemia, SICU length of stay (LOS), SICU costs, ventilation requirements, or ventilator duration; mortality rate was higher, but hospital LOS was shorter in the closed cohort.
Overall, outcomes were not statistically different between the two models, despite sicker patients in the closed group, which we suspect accounts for the higher mortality in this group. We expect the decreased hospital LOS observed in the closed cohort improved bed management, patient flow, and ultimately led to institutional cost savings. Further investigation is warranted to examine SICU modeling effects in other surgical specialties and to evaluate potential hospital-level administrative benefits. |
|---|---|
| AbstractList | Objective: Surgical intensive care unit (SICU) optimization is a critical factor impacting patient outcomes and resource utilization. SICUs operate using an open or closed model, where the surgeon or intensivist, respectively, manages critically-ill patients. In 2017, we adopted a closed-collaborative model. This study aimed to compare patient outcomes in the closed-collaborative model vs. the previous open model in a cohort of emergency general surgery (EGS) patients. Methods: A retrospective review of EGS SICU patients from August 2015 to July 2019 was performed. Patients were divided into ''Open'' and ''Closed'' cohorts before or after closed-collaborative model implementation on August 1, 2017. Demographic variables and clinical outcomes were analyzed. Results: We identified 434 patients (O:191; C:243). While no significant demographic differences were observed, there was a higher proportion of patients with qSOFA scores greater than 2 in the closed cohort. There were no differences regarding sepsis, cerebrovascular accident, myocardial infarction, venous thromboembolism, anemia, SICU length of stay (LOS), SICU costs, ventilation requirements, or ventilator duration; mortality rate was higher, but hospital LOS was shorter in the closed cohort. Conclusion: Overall, outcomes were not statistically different between the two models, despite sicker patients in the closed group, which we suspect accounts for the higher mortality in this group. We expect the decreased hospital LOS observed in the closed cohort improved bed management, patient flow, and ultimately led to institutional cost savings. Further investigation is warranted to examine SICU modeling effects in other surgical specialties and to evaluate potential hospital-level administrative benefits. •When compared to the open model, despite a sicker cohort of patients, a closed-collaborative SICU care model showed.•Higher mortality.•Similar clinical outcomes and rates of complications.•Reduction in hospital LOS. Surgical intensive care unit (SICU) optimization is a critical factor impacting patient outcomes and resource utilization. SICUs operate using an open or closed model, where the surgeon or intensivist, respectively, manages critically-ill patients. In 2017, we adopted a closed-collaborative model. This study aimed to compare patient outcomes in the closed-collaborative model vs. the previous open model in a cohort of emergency general surgery (EGS) patients.ObjectiveSurgical intensive care unit (SICU) optimization is a critical factor impacting patient outcomes and resource utilization. SICUs operate using an open or closed model, where the surgeon or intensivist, respectively, manages critically-ill patients. In 2017, we adopted a closed-collaborative model. This study aimed to compare patient outcomes in the closed-collaborative model vs. the previous open model in a cohort of emergency general surgery (EGS) patients.A retrospective review of EGS SICU patients from August 2015 to July 2019 was performed. Patients were divided into "Open" and "Closed" cohorts before or after closed-collaborative model implementation on August 1, 2017. Demographic variables and clinical outcomes were analyzed.MethodsA retrospective review of EGS SICU patients from August 2015 to July 2019 was performed. Patients were divided into "Open" and "Closed" cohorts before or after closed-collaborative model implementation on August 1, 2017. Demographic variables and clinical outcomes were analyzed.We identified 434 patients (O:191; C:243). While no significant demographic differences were observed, there was a higher proportion of patients with qSOFA scores greater than 2 in the closed cohort. There were no differences regarding sepsis, cerebrovascular accident, myocardial infarction, venous thromboembolism, anemia, SICU length of stay (LOS), SICU costs, ventilation requirements, or ventilator duration; mortality rate was higher, but hospital LOS was shorter in the closed cohort.ResultsWe identified 434 patients (O:191; C:243). While no significant demographic differences were observed, there was a higher proportion of patients with qSOFA scores greater than 2 in the closed cohort. There were no differences regarding sepsis, cerebrovascular accident, myocardial infarction, venous thromboembolism, anemia, SICU length of stay (LOS), SICU costs, ventilation requirements, or ventilator duration; mortality rate was higher, but hospital LOS was shorter in the closed cohort.Overall, outcomes were not statistically different between the two models, despite sicker patients in the closed group, which we suspect accounts for the higher mortality in this group. We expect the decreased hospital LOS observed in the closed cohort improved bed management, patient flow, and ultimately led to institutional cost savings. Further investigation is warranted to examine SICU modeling effects in other surgical specialties and to evaluate potential hospital-level administrative benefits.ConclusionOverall, outcomes were not statistically different between the two models, despite sicker patients in the closed group, which we suspect accounts for the higher mortality in this group. We expect the decreased hospital LOS observed in the closed cohort improved bed management, patient flow, and ultimately led to institutional cost savings. Further investigation is warranted to examine SICU modeling effects in other surgical specialties and to evaluate potential hospital-level administrative benefits. •When compared to the open model, despite a sicker cohort of patients, a closed-collaborative SICU care model showed.•Higher mortality.•Similar clinical outcomes and rates of complications.•Reduction in hospital LOS. Surgical intensive care unit (SICU) optimization is a critical factor impacting patient outcomes and resource utilization. SICUs operate using an open or closed model, where the surgeon or intensivist, respectively, manages critically-ill patients. In 2017, we adopted a closed-collaborative model. This study aimed to compare patient outcomes in the closed-collaborative model vs. the previous open model in a cohort of emergency general surgery (EGS) patients. A retrospective review of EGS SICU patients from August 2015 to July 2019 was performed. Patients were divided into "Open" and "Closed" cohorts before or after closed-collaborative model implementation on August 1, 2017. Demographic variables and clinical outcomes were analyzed. We identified 434 patients (O:191; C:243). While no significant demographic differences were observed, there was a higher proportion of patients with qSOFA scores greater than 2 in the closed cohort. There were no differences regarding sepsis, cerebrovascular accident, myocardial infarction, venous thromboembolism, anemia, SICU length of stay (LOS), SICU costs, ventilation requirements, or ventilator duration; mortality rate was higher, but hospital LOS was shorter in the closed cohort. Overall, outcomes were not statistically different between the two models, despite sicker patients in the closed group, which we suspect accounts for the higher mortality in this group. We expect the decreased hospital LOS observed in the closed cohort improved bed management, patient flow, and ultimately led to institutional cost savings. Further investigation is warranted to examine SICU modeling effects in other surgical specialties and to evaluate potential hospital-level administrative benefits. Surgical intensive care unit (SICU) optimization is a critical factor impacting patient outcomes and resource utilization. SICUs operate using an open or closed model, where the surgeon or intensivist, respectively, manages critically-ill patients. In 2017, we adopted a closed-collaborative model. This study aimed to compare patient outcomes in the closed-collaborative model vs. the previous open model in a cohort of emergency general surgery (EGS) patients. A retrospective review of EGS SICU patients from August 2015 to July 2019 was performed. Patients were divided into "Open" and "Closed" cohorts before or after closed-collaborative model implementation on August 1, 2017. Demographic variables and clinical outcomes were analyzed. We identified 434 patients (O:191; C:243). While no significant demographic differences were observed, there was a higher proportion of patients with qSOFA scores greater than 2 in the closed cohort. There were no differences regarding sepsis, cerebrovascular accident, myocardial infarction, venous thromboembolism, anemia, SICU length of stay (LOS), SICU costs, ventilation requirements, or ventilator duration; mortality rate was higher, but hospital LOS was shorter in the closed cohort. Overall, outcomes were not statistically different between the two models, despite sicker patients in the closed group, which we suspect accounts for the higher mortality in this group. We expect the decreased hospital LOS observed in the closed cohort improved bed management, patient flow, and ultimately led to institutional cost savings. Further investigation is warranted to examine SICU modeling effects in other surgical specialties and to evaluate potential hospital-level administrative benefits. |
| ArticleNumber | 100194 |
| Author | Kimbrough, Mary K. Jensen, Hanna K. Bennett, Judy L. Bennett, Joshua W. Yao, Tianyuan Karim, Saleema A. Bhavaraju, Avi Schlortt, Kiley R. Reif, Rebecca J. |
| Author_xml | – sequence: 1 givenname: Joshua W. surname: Bennett fullname: Bennett, Joshua W. organization: College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States – sequence: 2 givenname: Kiley R. surname: Schlortt fullname: Schlortt, Kiley R. organization: College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States – sequence: 3 givenname: Tianyuan surname: Yao fullname: Yao, Tianyuan organization: College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States – sequence: 4 givenname: Hanna K. surname: Jensen fullname: Jensen, Hanna K. organization: Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences, 4301 West Markham St. Slot 520-1, Little Rock, AR 72205, United States – sequence: 5 givenname: Rebecca J. surname: Reif fullname: Reif, Rebecca J. organization: Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences, 4301 West Markham St. Slot 520-1, Little Rock, AR 72205, United States – sequence: 6 givenname: Judy L. surname: Bennett fullname: Bennett, Judy L. organization: Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences, 4301 West Markham St. Slot 520-1, Little Rock, AR 72205, United States – sequence: 7 givenname: Saleema A. surname: Karim fullname: Karim, Saleema A. organization: College of Health Professions, Virginia Commonwealth University, Richmond, VA 23298, United States – sequence: 8 givenname: Mary K. surname: Kimbrough fullname: Kimbrough, Mary K. organization: Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences, 4301 West Markham St. Slot 520-1, Little Rock, AR 72205, United States – sequence: 9 givenname: Avi orcidid: 0000-0003-2396-2280 surname: Bhavaraju fullname: Bhavaraju, Avi email: avi99@uams.edu organization: Department of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences, 4301 West Markham St. Slot 520-1, Little Rock, AR 72205, United States |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/39845846$$D View this record in MEDLINE/PubMed |
| BookMark | eNp9Uk1v1DAUjFAR_aC_AAn5yCWLv2LHB4TQCuhKlTjQni3n5WXrVRIvdrLS_nu8TanaCxfbGs_M83uey-JsDCMWxQdGV4wy9Xm3Sn7v0opTLjJCmZFviguulCq54vTsxfm8uE5pRynldSZW8l1xLkwtq1qqiwLuHpC4lAJ4N_kwktAR6EPCtoTQ964JMeMHJL8363syhBZ7P25JJuKAcYsjHEleMbqepDkD8Uj2WYHjRMI8QRgwvS_edq5PeP20XxX3P77frW_K218_N-tvtyVIrabSMAbUaMEMaq41441zjRAGKGjRacqw7iS0ToJxlDPXiaZToKTEBl1luLgqNotvG9zO7qMfXDza4Lx9BELcWhcnDz1aNLWrKJPUuEpSVTvB2trpSmmWES2y19fFaz83A7aQ-8ktvjJ9fTP6B7sNB8uYlobp02s-PTnE8GfGNNnBJ8A80xHDnKxgVa1VlTvJ1I8viz1X-fdNmSAWAsSQUsTumcKoPeXB7uxjHuwpD3bJQ1Z9WVSYh37wGG2C_DGArY8IU56K_6_-Ly8hvys |
| Cites_doi | 10.1097/MD.0000000000016261 10.1097/CCM.0000000000000099 10.1001/jama.1996.03540040066035 10.1097/MD.0000000000002861 10.1097/00003246-199302000-00022 10.1097/CCM.0b013e31818f2269 10.1164/ajrccm.157.5.9708039 10.1177/000313481608200128 10.1177/0003134820972084 10.1016/j.jss.2022.11.015 10.1016/j.jss.2013.03.091 10.21037/jtd.2017.03.125 10.1007/s00068-020-01558-z 10.1164/rccm.200809-1394CP |
| ContentType | Journal Article |
| Copyright | 2023 The Author(s) 2023 The Author(s). 2023 The Author(s) 2023 |
| Copyright_xml | – notice: 2023 The Author(s) – notice: 2023 The Author(s). – notice: 2023 The Author(s) 2023 |
| DBID | 6I. AAFTH AAYXX CITATION NPM 7X8 5PM DOA |
| DOI | 10.1016/j.sipas.2023.100194 |
| DatabaseName | ScienceDirect Open Access Titles Elsevier:ScienceDirect:Open Access CrossRef PubMed MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef PubMed MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic PubMed |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 2666-2620 |
| ExternalDocumentID | oai_doaj_org_article_e98a501409a54068a31d8a756719a573 PMC11749172 39845846 10_1016_j_sipas_2023_100194 S2666262023000402 |
| Genre | Journal Article |
| GroupedDBID | .1- .FO 1P~ 6I. AAEDW AAFTH AAXUO ACHIH AFRHN AJUYK ALMA_UNASSIGNED_HOLDINGS AMRAJ EBS FDB GROUPED_DOAJ M41 M~E OK1 ROL Z5R 0R~ AALRI AAYWO AAYXX ACVFH ADCNI ADVLN AEUPX AFJKZ AFPUW AIGII AITUG AKBMS AKRWK AKYEP APXCP CITATION RPM NPM 7X8 5PM |
| ID | FETCH-LOGICAL-c476t-911c097319e727712baab339c0c73f701e8f4cda4c9a021af3bf6c644ebea5923 |
| IEDL.DBID | DOA |
| ISICitedReferencesCount | 0 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001056532800001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 2666-2620 |
| IngestDate | Fri Oct 03 12:42:15 EDT 2025 Tue Sep 30 17:06:05 EDT 2025 Wed Oct 01 13:54:48 EDT 2025 Thu Jan 30 12:28:22 EST 2025 Thu Nov 20 00:56:23 EST 2025 Tue Jul 25 20:57:28 EDT 2023 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Keywords | Surgical ICU EGS Collaborative ICU SICU Closed ICU |
| Language | English |
| License | This is an open access article under the CC BY-NC-ND license. 2023 The Author(s). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c476t-911c097319e727712baab339c0c73f701e8f4cda4c9a021af3bf6c644ebea5923 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ORCID | 0000-0003-2396-2280 |
| OpenAccessLink | https://doaj.org/article/e98a501409a54068a31d8a756719a573 |
| PMID | 39845846 |
| PQID | 3158765021 |
| PQPubID | 23479 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_e98a501409a54068a31d8a756719a573 pubmedcentral_primary_oai_pubmedcentral_nih_gov_11749172 proquest_miscellaneous_3158765021 pubmed_primary_39845846 crossref_primary_10_1016_j_sipas_2023_100194 elsevier_sciencedirect_doi_10_1016_j_sipas_2023_100194 |
| PublicationCentury | 2000 |
| PublicationDate | 2023-09-01 |
| PublicationDateYYYYMMDD | 2023-09-01 |
| PublicationDate_xml | – month: 09 year: 2023 text: 2023-09-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | England |
| PublicationPlace_xml | – name: England |
| PublicationTitle | Surgery in practice and science |
| PublicationTitleAlternate | Surg Pract Sci |
| PublicationYear | 2023 |
| Publisher | Elsevier Ltd Elsevier |
| Publisher_xml | – name: Elsevier Ltd – name: Elsevier |
| References | Nathens, Rivara, MacKenzie, Maier, Wang, Egleston (bib0005) 2006; 244 Lissauer, Galvagno, Rock, Narayan, Shah, Spencer, Hong, Diaz (bib0007) 2014; 42 Carson, Stocking, Podsadecki, Christenson, Pohlman, MacRae, Jordan, Humphrey, Siegler, Hall (bib0011) 1996; 276 Kalina (bib0009) 2016; 82 Matsushima, Goldwasser, Schaefer, Armen, Indeck (bib0016) 2013; 184 Bugaev, Hojman, Breeze, Nasraway, Arabian, Holewinski, Johnson (bib0013) 2020; 86 (bib0019) 2009; 179 Groeger, Guntupalli, Strosberg, Halpern, Raphaely, Cerra, Kaye (bib0010) 1993; 21 . Fernandez-Martinez, Martin-Roman, Fernandez-Vasquez, Rey-Valcarcel, Perez-Diaz, Turegano-Fuentes (bib0012) 2021; 47 LaFerney, Jensen, Reif, Bennett, Kimbrough (bib0003) 2020 Yang, Du, Shao (bib0002) 2019; 98 Marik, Taeb (bib0006) 2017 Yao, Jensen, Reif, Kimbrough, Schlortt, Bennett, Bhavaraju (bib0015) 2022; 283 Multz, Chalfin, Samson, Dantzker, Fein, Steinberg (bib0001) 1998; 157 Chittawatanarat, Pamorsinlapathum (bib0004) 2009; 92 Diaz, Norris, Gunter, Collier, Riordan, Morris (bib0008) 2011; 71 Hardy, Metcalfe, Clouston, Vergis (bib0014) 2019; 11 (bib0018) 2008; 36 Chang, H., Chen, P., Yang, C., Su, Y., and Lee, C. Comparison of Elixhauser and Charlson methods for predicting oral cancer survival. 2016 Medicine (Baltimore), Volume 95(7), Page e2861. doi Carson (10.1016/j.sipas.2023.100194_bib0011) 1996; 276 Kalina (10.1016/j.sipas.2023.100194_bib0009) 2016; 82 Bugaev (10.1016/j.sipas.2023.100194_bib0013) 2020; 86 Nathens (10.1016/j.sipas.2023.100194_bib0005) 2006; 244 Lissauer (10.1016/j.sipas.2023.100194_bib0007) 2014; 42 Diaz (10.1016/j.sipas.2023.100194_bib0008) 2011; 71 Yao (10.1016/j.sipas.2023.100194_bib0015) 2022; 283 Multz (10.1016/j.sipas.2023.100194_bib0001) 1998; 157 Fernandez-Martinez (10.1016/j.sipas.2023.100194_bib0012) 2021; 47 Marik (10.1016/j.sipas.2023.100194_bib0006) 2017 Hardy (10.1016/j.sipas.2023.100194_bib0014) 2019; 11 Chittawatanarat (10.1016/j.sipas.2023.100194_bib0004) 2009; 92 Matsushima (10.1016/j.sipas.2023.100194_bib0016) 2013; 184 (10.1016/j.sipas.2023.100194_bib0018) 2008; 36 (10.1016/j.sipas.2023.100194_bib0019) 2009; 179 LaFerney (10.1016/j.sipas.2023.100194_bib0003) 2020 10.1016/j.sipas.2023.100194_bib0017 Groeger (10.1016/j.sipas.2023.100194_bib0010) 1993; 21 Yang (10.1016/j.sipas.2023.100194_bib0002) 2019; 98 |
| References_xml | – volume: 276 start-page: 322 year: 1996 end-page: 328 ident: bib0011 article-title: Effects of organizational change in the medical intensive care unit of a teaching hospital: a comparison of ‘open’ and ‘closed’ formats publication-title: JAMA – volume: 98 start-page: e16261 year: 2019 ident: bib0002 article-title: Mortality rate and other clinical features observed in open vs closed format intensive care units: a systematic review and meta-analysis publication-title: Medicine – volume: 42 start-page: 910 year: 2014 end-page: 917 ident: bib0007 article-title: Increased ICU resource needs for an academic emergency general surgery service publication-title: Crit Care Med – volume: 82 start-page: 79 year: 2016 end-page: 84 ident: bib0009 article-title: Implementation of an acute care surgery service in a community hospital: impact on hospital efficiency and patient outcomes publication-title: Am Surgeon – volume: 11 start-page: e5036 year: 2019 ident: bib0014 article-title: The impact of an acute care surgical service on the quality and efficiency of care outcome indicators for patients with general surgical emergencies publication-title: Cureus – start-page: 943 year: 2017 end-page: 945 ident: bib0006 article-title: SIRS, qSOFA and new sepsis definition publication-title: J Thorac Dis – volume: 21 start-page: 279 year: 1993 end-page: 291 ident: bib0010 article-title: Descriptive analysis of critical care units in the United States: patient characteristics and intensive care unit utilization publication-title: Crit Care Med – reference: . – reference: Chang, H., Chen, P., Yang, C., Su, Y., and Lee, C. Comparison of Elixhauser and Charlson methods for predicting oral cancer survival. 2016 Medicine (Baltimore), Volume 95(7), Page e2861. doi: – volume: 92 start-page: 1627 year: 2009 end-page: 1634 ident: bib0004 article-title: The impact of closed ICU model on mortality in general surgical intensive care unit publication-title: J Med Assoc Thai – volume: 47 start-page: 693 year: 2021 end-page: 702 ident: bib0012 article-title: Overall management of emergency general surgery patients during the surge of the COVID-19 pandemic: an analysis of procedures and outcomes from a teaching hospital at the worst hit area in Spain publication-title: Eur J of Trauma Emerg Surg – year: 2020 ident: bib0003 article-title: The impact of a closed surgical intensive care unit on patient outcomes following open-heart surgery publication-title: Proceedings of the Conference Abstract, Academic Surgical Congress on February 6 – volume: 71 start-page: 442 year: 2011 end-page: 446 ident: bib0008 article-title: Does regionalization of acute care surgery decrease mortality? publication-title: J Trauma – volume: 244 start-page: 545 year: 2006 end-page: 554 ident: bib0005 article-title: The impact of an intensivist-model ICU on trauma-related mortality publication-title: Ann Surg – volume: 157 start-page: 1468 year: 1998 end-page: 1473 ident: bib0001 article-title: A “closed” medical intensive care unit (MICU) improves resource utilization when compared with an “open” MICU publication-title: Am J Respir Crit Care Med – volume: 86 start-page: 1629 year: 2020 end-page: 1635 ident: bib0013 article-title: Acute care surgery service is essential during a nonsurgical catastrophic event, the COVID-19 pandemic publication-title: Am Surg – volume: 283 start-page: 494 year: 2022 end-page: 499 ident: bib0015 article-title: closed-collaborative SICU modeling and its association with trauma patient outcomes publication-title: J Surg Res – volume: 184 start-page: 577 year: 2013 end-page: 581 ident: bib0016 article-title: The impact of intensivists' base specialty of training on care process and outcomes of critically ill trauma patients publication-title: J Surg Res – volume: 36 start-page: 3184 year: 2008 end-page: 3189 ident: bib0018 article-title: Clinical and economic outcomes of involving pharmacists in the direct care of critically ill patients with infections publication-title: Crit Care Med – volume: 179 start-page: 434 year: 2009 end-page: 438 ident: bib0019 article-title: Antimicrobial stewardship in the intensive care unit: advances and obstacles publication-title: Am J Respir Crit Care Med – volume: 11 start-page: e5036 issue: 6 year: 2019 ident: 10.1016/j.sipas.2023.100194_bib0014 article-title: The impact of an acute care surgical service on the quality and efficiency of care outcome indicators for patients with general surgical emergencies publication-title: Cureus – volume: 98 start-page: e16261 issue: 27 year: 2019 ident: 10.1016/j.sipas.2023.100194_bib0002 article-title: Mortality rate and other clinical features observed in open vs closed format intensive care units: a systematic review and meta-analysis publication-title: Medicine doi: 10.1097/MD.0000000000016261 – volume: 42 start-page: 910 issue: 4 year: 2014 ident: 10.1016/j.sipas.2023.100194_bib0007 article-title: Increased ICU resource needs for an academic emergency general surgery service publication-title: Crit Care Med doi: 10.1097/CCM.0000000000000099 – volume: 276 start-page: 322 issue: 4 year: 1996 ident: 10.1016/j.sipas.2023.100194_bib0011 article-title: Effects of organizational change in the medical intensive care unit of a teaching hospital: a comparison of ‘open’ and ‘closed’ formats publication-title: JAMA doi: 10.1001/jama.1996.03540040066035 – ident: 10.1016/j.sipas.2023.100194_bib0017 doi: 10.1097/MD.0000000000002861 – volume: 21 start-page: 279 issue: 2 year: 1993 ident: 10.1016/j.sipas.2023.100194_bib0010 article-title: Descriptive analysis of critical care units in the United States: patient characteristics and intensive care unit utilization publication-title: Crit Care Med doi: 10.1097/00003246-199302000-00022 – volume: 36 start-page: 3184 issue: 12 year: 2008 ident: 10.1016/j.sipas.2023.100194_bib0018 article-title: Clinical and economic outcomes of involving pharmacists in the direct care of critically ill patients with infections publication-title: Crit Care Med doi: 10.1097/CCM.0b013e31818f2269 – year: 2020 ident: 10.1016/j.sipas.2023.100194_bib0003 article-title: The impact of a closed surgical intensive care unit on patient outcomes following open-heart surgery – volume: 157 start-page: 1468 year: 1998 ident: 10.1016/j.sipas.2023.100194_bib0001 article-title: A “closed” medical intensive care unit (MICU) improves resource utilization when compared with an “open” MICU publication-title: Am J Respir Crit Care Med doi: 10.1164/ajrccm.157.5.9708039 – volume: 82 start-page: 79 issue: 1 year: 2016 ident: 10.1016/j.sipas.2023.100194_bib0009 article-title: Implementation of an acute care surgery service in a community hospital: impact on hospital efficiency and patient outcomes publication-title: Am Surgeon doi: 10.1177/000313481608200128 – volume: 86 start-page: 1629 issue: 12 year: 2020 ident: 10.1016/j.sipas.2023.100194_bib0013 article-title: Acute care surgery service is essential during a nonsurgical catastrophic event, the COVID-19 pandemic publication-title: Am Surg doi: 10.1177/0003134820972084 – volume: 92 start-page: 1627 year: 2009 ident: 10.1016/j.sipas.2023.100194_bib0004 article-title: The impact of closed ICU model on mortality in general surgical intensive care unit publication-title: J Med Assoc Thai – volume: 283 start-page: 494 year: 2022 ident: 10.1016/j.sipas.2023.100194_bib0015 article-title: closed-collaborative SICU modeling and its association with trauma patient outcomes publication-title: J Surg Res doi: 10.1016/j.jss.2022.11.015 – volume: 244 start-page: 545 year: 2006 ident: 10.1016/j.sipas.2023.100194_bib0005 article-title: The impact of an intensivist-model ICU on trauma-related mortality publication-title: Ann Surg – volume: 184 start-page: 577 issue: 1 year: 2013 ident: 10.1016/j.sipas.2023.100194_bib0016 article-title: The impact of intensivists' base specialty of training on care process and outcomes of critically ill trauma patients publication-title: J Surg Res doi: 10.1016/j.jss.2013.03.091 – start-page: 943 issue: 9 year: 2017 ident: 10.1016/j.sipas.2023.100194_bib0006 article-title: SIRS, qSOFA and new sepsis definition publication-title: J Thorac Dis doi: 10.21037/jtd.2017.03.125 – volume: 71 start-page: 442 issue: 2 year: 2011 ident: 10.1016/j.sipas.2023.100194_bib0008 article-title: Does regionalization of acute care surgery decrease mortality? publication-title: J Trauma – volume: 47 start-page: 693 year: 2021 ident: 10.1016/j.sipas.2023.100194_bib0012 article-title: Overall management of emergency general surgery patients during the surge of the COVID-19 pandemic: an analysis of procedures and outcomes from a teaching hospital at the worst hit area in Spain publication-title: Eur J of Trauma Emerg Surg doi: 10.1007/s00068-020-01558-z – volume: 179 start-page: 434 issue: 6 year: 2009 ident: 10.1016/j.sipas.2023.100194_bib0019 article-title: Antimicrobial stewardship in the intensive care unit: advances and obstacles publication-title: Am J Respir Crit Care Med doi: 10.1164/rccm.200809-1394CP |
| SSID | ssj0002810054 |
| Score | 2.2306545 |
| Snippet | •When compared to the open model, despite a sicker cohort of patients, a closed-collaborative SICU care model showed.•Higher mortality.•Similar clinical... Surgical intensive care unit (SICU) optimization is a critical factor impacting patient outcomes and resource utilization. SICUs operate using an open or... Objective: Surgical intensive care unit (SICU) optimization is a critical factor impacting patient outcomes and resource utilization. SICUs operate using an... |
| SourceID | doaj pubmedcentral proquest pubmed crossref elsevier |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Publisher |
| StartPage | 100194 |
| SubjectTerms | Closed ICU Collaborative ICU EGS SICU Surgical ICU |
| Title | The association of closed-collaborative SICU modeling on emergency general surgery patient outcomes |
| URI | https://dx.doi.org/10.1016/j.sipas.2023.100194 https://www.ncbi.nlm.nih.gov/pubmed/39845846 https://www.proquest.com/docview/3158765021 https://pubmed.ncbi.nlm.nih.gov/PMC11749172 https://doaj.org/article/e98a501409a54068a31d8a756719a573 |
| Volume | 14 |
| WOSCitedRecordID | wos001056532800001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 2666-2620 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0002810054 issn: 2666-2620 databaseCode: DOA dateStart: 20200101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources (ISSN International Center) customDbUrl: eissn: 2666-2620 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0002810054 issn: 2666-2620 databaseCode: M~E dateStart: 20200101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwEB6VigMX1IpXgFZG4khEHCd-HEvVikpQIZWivVm248BWVVI1uz32t3dsJ2UDUrlwycGxkszDns_x-BuA9w1XCtcddd4K7vLKSJ5LyWlulZMIj2pqYzmgH1_E6alcLNS3jVJfIScs0QMnxX30Spqw91Uog-CCS8NoI42ouaDYIiLPJ6KejcXURfxlRAMYCZXlEJ_ngXV9ohyKyV3D8soEsu6SRRIiVc3CUmTvn0Wnv9Hnn0mUG1HpeAeejnCSHCQxdmHLd8_Aoe2J-a130rfEXfaDb_INs994cnZyeE5iLRwMYAQ7-ukwJvmZ6KjJkI5Nk5F_lfTrFfqoH57D-fHR98PP-VhMIXeV4KswqblAzUOVR8giaGmNsYwpVzjBWlFQL9vKNaZyymDcNy2zLXeIltDKpkYY-AK2u77zr4AUzknnbOC2dxVvmC0st5WvysLidGXLDD5MutRXiTNDT8lkFzqqXgfV66T6DD4Ffd93DYTXsQHdQI9uoP_lBhnwyVp6xA4JE-Cjlg-__d1kW40jK2yXmM7360EzWmOoqFEZGbxMtr7_RqZk2GDmGciZF8yEmN_plr8iezfFNSCukcvX_0PsN_AkyJKS3t7C9up67ffgsbtZLYfrfXgkFnI_jgy8fr09ugOEFxCA |
| linkProvider | Directory of Open Access Journals |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+association+of+closed-collaborative+SICU+modeling+on+emergency+general+surgery+patient+outcomes&rft.jtitle=Surgery+in+practice+and+science&rft.au=Bennett%2C+Joshua+W.&rft.au=Schlortt%2C+Kiley+R.&rft.au=Yao%2C+Tianyuan&rft.au=Jensen%2C+Hanna+K.&rft.date=2023-09-01&rft.issn=2666-2620&rft.eissn=2666-2620&rft.volume=14&rft.spage=100194&rft_id=info:doi/10.1016%2Fj.sipas.2023.100194&rft.externalDBID=n%2Fa&rft.externalDocID=10_1016_j_sipas_2023_100194 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2666-2620&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2666-2620&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2666-2620&client=summon |