In this observational trial of patients with community acquired pneumonia (CAP) admitted to the ICU within 3 days of admission, researchers compared mortality and length of stay (LOS) in those directly admitted to the ICU (from the ED) versus those with delayed ICU admission (from another unit). After propensity score adjustment, they found the delayed ICU group had a higher 28 day mortality (OR 2.07, CI 1.12-3.85) and longer median LOS (13 vs 7 days). Delays in ICU transfer in CAP patients can result in longer LOS and higher mortality (abstract). Better risk stratification tools may help guide which patients would benefit from early ICU transfer.
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.