Should We Agree to Disagree on Who May Benefit From ICU Admission?

doi:10.1097/CCM.0000000000003495

Editorial

. 2019 Jan;47(1):133-135.

doi: 10.1097/CCM.0000000000003495.

Should We Agree to Disagree on Who May Benefit From ICU Admission?

Anica C Law¹, Allan J Walkey

Affiliations

Affiliation

¹ Center for Healthcare Delivery Science; and Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA The Pulmonary Center, and Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University School of Medicine; and Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA.

PMID: 30557247
PMCID: PMC6300054
DOI: 10.1097/CCM.0000000000003495

Editorial

Should We Agree to Disagree on Who May Benefit From ICU Admission?

Anica C Law et al. Crit Care Med. 2019 Jan.

. 2019 Jan;47(1):133-135.

doi: 10.1097/CCM.0000000000003495.

Authors

Anica C Law¹, Allan J Walkey

Affiliation

¹ Center for Healthcare Delivery Science; and Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA The Pulmonary Center, and Evans Center for Implementation and Improvement Sciences, Department of Medicine, Boston University School of Medicine; and Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA.

PMID: 30557247
PMCID: PMC6300054
DOI: 10.1097/CCM.0000000000003495

No abstract available

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Figures

**FIGURE 1.**
We present three theoretical patterns of belief regarding benefits of ICU admission. Future characterization of patterns of perceived benefit of ICU admission as a function of illness severity may reveal patterns that provide greatest value to patients and healthcare systems, and further inform guidelines on ICU admission criteria.

See this image and copyright information in PMC

Comment on

Estimating ICU Benefit: A Randomized Study of Physicians.
Valley TS, Admon AJ, Zahuranec DB, Garland A, Fagerlin A, Iwashyna TJ. Valley TS, et al. Crit Care Med. 2019 Jan;47(1):62-68. doi: 10.1097/CCM.0000000000003473. Crit Care Med. 2019. PMID: 30303839 Free PMC article.

References

1. Wennberg J, Gittelsohn. Small area variations in health care delivery. Science. 1973;182(4117):1102–1108. - PubMed
1. Wennberg JE. Unwarranted variations in healthcare delivery: implications for academic medical centres. BMJ. 2002;325(7370):961–964. - PMC - PubMed
1. Seymour CW, Iwashyna TJ, Ehlenbach WJ, Wunsch H, Cooke CR. Hospital-level variation in the use of intensive care. Health Serv Res. 2012;47(5):2060–2080. - PMC - PubMed
1. Gershengorn HB, Iwashyna TJ, Cooke CR, Scales DC, Kahn JM, Wunsch H. Variation in use of intensive care for adults with diabetic ketoacidosis*. Crit Care Med. 2012;40(7):2009–2015. - PMC - PubMed
1. Admon AJ, Seymour CW, Gershengorn HB, Wunsch H, Cooke CR. Hospital-level variation in ICU admission and critical care procedures for patients hospitalized for pulmonary embolism. Chest. 2014;146(6):1452–1461. - PMC - PubMed

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[1] Wennberg J, Gittelsohn. Small area variations in health care delivery. Science. 1973;182(4117):1102–1108. - PubMed

[2] Wennberg J, Gittelsohn. Small area variations in health care delivery. Science. 1973;182(4117):1102–1108. - PubMed

[3] Wennberg JE. Unwarranted variations in healthcare delivery: implications for academic medical centres. BMJ. 2002;325(7370):961–964. - PMC - PubMed

[4] Wennberg JE. Unwarranted variations in healthcare delivery: implications for academic medical centres. BMJ. 2002;325(7370):961–964. - PMC - PubMed

[5] Seymour CW, Iwashyna TJ, Ehlenbach WJ, Wunsch H, Cooke CR. Hospital-level variation in the use of intensive care. Health Serv Res. 2012;47(5):2060–2080. - PMC - PubMed

[6] Seymour CW, Iwashyna TJ, Ehlenbach WJ, Wunsch H, Cooke CR. Hospital-level variation in the use of intensive care. Health Serv Res. 2012;47(5):2060–2080. - PMC - PubMed

[7] Gershengorn HB, Iwashyna TJ, Cooke CR, Scales DC, Kahn JM, Wunsch H. Variation in use of intensive care for adults with diabetic ketoacidosis*. Crit Care Med. 2012;40(7):2009–2015. - PMC - PubMed

[8] Gershengorn HB, Iwashyna TJ, Cooke CR, Scales DC, Kahn JM, Wunsch H. Variation in use of intensive care for adults with diabetic ketoacidosis*. Crit Care Med. 2012;40(7):2009–2015. - PMC - PubMed

[9] Admon AJ, Seymour CW, Gershengorn HB, Wunsch H, Cooke CR. Hospital-level variation in ICU admission and critical care procedures for patients hospitalized for pulmonary embolism. Chest. 2014;146(6):1452–1461. - PMC - PubMed

[10] Admon AJ, Seymour CW, Gershengorn HB, Wunsch H, Cooke CR. Hospital-level variation in ICU admission and critical care procedures for patients hospitalized for pulmonary embolism. Chest. 2014;146(6):1452–1461. - PMC - PubMed

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Should We Agree to Disagree on Who May Benefit From ICU Admission?

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Should We Agree to Disagree on Who May Benefit From ICU Admission?

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