Key PointsQuestionDo hospitals have similar patterns of intensive care unit (ICU) utilization across 4 common medical conditions, and is increased ICU utilization associated with better clinical outcomes? FindingsIn this retrospective cohort study, 94 hospitals were ranked by their predicted ICU utilization rates for diabetic ketoacidosis, pulmonary embolism, upper gastrointestinal bleeding, and congestive heart failure, and consistent patterns were found across all 4 conditions. Hospitals that used ICUs more frequently were more likely to perform invasive procedures and have higher costs but have no improvement in mortality. MeaningOptimizing the value of ICU care will require assessments of systematic institutional factors that may lead clinicians to overutilize ICU care.
JAMA Internal Medicine – American Medical Association
Published: Oct 8, 2016