A nationwide analysis of intensive care unit admissions, 2009-2014-The Korean ICU National Data (KIND) study

作者：Park Jinkyeong; Jeon Kyeongman; Chung Chi Ryang; Yang Jeong Hoon; Cho Yang Hyun; Cho Joongbum; Park Chi Min; Park Hyejeong; Cho Juhee; Guallar Eliseo; Suh Gee Young^*

来源：Journal of Critical Care, 2018, 44: 24-30.

DOI：10.1016/j.jcrc.2017.09.017

• Critical care
• Hospital mortality
• Epidemiology
• Gender differences

Purpose: To evaluate unbiased information on the characteristics, procedures, and outcomes of intensive care unit (ICU) admissions in a long-term nationwide study.
Materials and methods: Cohort study of all ICU admissions in patients >18 years of age in Korea between August 1, 2009 and September 30, 2014 (1,553,673 ICU admissions in 1,265,509 patients).
Results: From August 2009 to September 2014, the age-standardized ICU admission rate was 744.6 per 100,000 person-years (869.5 per 100,000 person-years in men and 622.0 per 100,000 person-years in women). The overall in-hospital mortality was 13.8% (14.1% in men and 13.5% in women). Among all Koreans, the ICU mortality rate was 102.9 per 100,000 person-years (122.5 per 100,000 person years in men and 83.8 per 100,000 person years in women). The median ICU and hospital length of stay were 4 and 13 days, respectively. The median cost per ICU admission was $5051, which increased steadily over the study period. There were marked differences by gender in ICU admission rates, aggressive support, and outcomes.
Conclusions: Our study identified increasing trends in ICU admissions and utilization of advance life support systems that add to the burden of care in a developed society.

• 出版日期2018-4