Table 1. Characteristics of Patients Refused for ICU Admission.
1) Number of patients | 94 (56.9%) |
2) Location: | |
a) OR/PACU | 9 patients (69.2%) |
b) Surgery ward | 4 patients (66.6%) |
c) ED | 60 patients (56.6%) |
d) Medicine ward | 21 patients (52.5%) |
3) Median age: 60 years (range 20 - 97) | |
a) 20 - 30 years | 6 patients (6.4%) |
b) 31 - 40 years | 8 patients (8.5%) |
c) 41 - 50 years | 16 patients (17.0%) |
d) 51 - 64 years | 22 patients (23.4%) |
e) > 65 years | 42 patients (44.7%) |
4) Gender | |
Males | 54 patients (57.4%) |
Females | 40 patients (42.6%) |
5) Active advance directives and/or PCM evaluation or follow up at the time of evaluation | 13 patients (13.8%) |
6) ICU beds available during the study period when these patients were evaluated | 488 (median 5, range 0 - 9) |
7) Diagnosis: | |
a) Respiratory failure | 15 patients |
b) Electrolyte imbalance | 11 patients |
c) Acute coronary syndrome/congestive heart failure | 10 patients |
d) Sepsis | 8 patients |
e) Drug overdose | 7 patients |
f) Gastrointestinal hemorrhage | 6 patients |
g) Hypertensive emergency | 6 patients |
h) Acute kidney injury | 4 patients |
i) Seizures | 4 patients |
j) Other | 23 patients |
8) Triage: | |
a) Step-down unit | 77 patients (81.9%) |
b) Medicine wards | 15 patients (16.0%) |
c) Telemetry unit | 2 patients (2.1%) |
9) APACHE-II score: | mean 13.9 (range 0 - 30) |
10) Reasons for refusal: | |
a) Too well | 81 patients (86.1%) |
b) Too ill | 11 patients (11.7%) |
c) Too ill, too old | 2 patients (2.1%) |
11) Mortality | 12 patients (12.8%) |