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The Intermediate Coronary Care Unit

The Intermediate Coronary Care Unit Abstract To the Editor. —The editorial by Weinberg in the October Archives (1982; 142:1794-1795) on the intermediate coronary care unit (ICCU) is misleading. He compares the cost of intermediate coronary care with the cost of standard rooms, while, in fact, a major purpose of the ICCU is to relieve pressure on the coronary care units (CCUs) that are increasingly overcrowded. In other words, a legitimate comparison would be between the cost of ICCU and CCU care, and here the ICCU is clearly a money saver. Indeed, as our study1 indicates, a major reason for establishing ICCUs was to increase the availability of CCU beds by allowing earlier transfer of patients with acute infarctions and ischemic episodes from the CCU. In addition, Weinberg's numbers are wrong. A ten-bed monitored unit requires one additional nurse per shift when compared with standard floor care, which implies an additional annual cost of approximately $60,000. References 1. Frieden J, Cooper JA: The role of the intermediate cardiac care unit. JAMA 1976;235: 816-818.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

The Intermediate Coronary Care Unit

The Intermediate Coronary Care Unit

Abstract

Abstract To the Editor. —The editorial by Weinberg in the October Archives (1982; 142:1794-1795) on the intermediate coronary care unit (ICCU) is misleading. He compares the cost of intermediate coronary care with the cost of standard rooms, while, in fact, a major purpose of the ICCU is to relieve pressure on the coronary care units (CCUs) that are increasingly overcrowded. In other words, a legitimate comparison would be between the cost of ICCU and CCU care, and here the ICCU is...
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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1983.00350020218046
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —The editorial by Weinberg in the October Archives (1982; 142:1794-1795) on the intermediate coronary care unit (ICCU) is misleading. He compares the cost of intermediate coronary care with the cost of standard rooms, while, in fact, a major purpose of the ICCU is to relieve pressure on the coronary care units (CCUs) that are increasingly overcrowded. In other words, a legitimate comparison would be between the cost of ICCU and CCU care, and here the ICCU is clearly a money saver. Indeed, as our study1 indicates, a major reason for establishing ICCUs was to increase the availability of CCU beds by allowing earlier transfer of patients with acute infarctions and ischemic episodes from the CCU. In addition, Weinberg's numbers are wrong. A ten-bed monitored unit requires one additional nurse per shift when compared with standard floor care, which implies an additional annual cost of approximately $60,000. References 1. Frieden J, Cooper JA: The role of the intermediate cardiac care unit. JAMA 1976;235: 816-818.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Feb 1, 1983

References