Definition of a Critical Care Laptop Admission
For Medicine, see Definition of a Medicine Service admission
The definition of an "ICU patient" for the Regional ICU Database is:
- admitted under an ICU/CCU/CICU service attending physician, regardless of their physical location. If patient doesn't meet this definition then we don't collect data and enter into the ICU database.
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We need to update this to explicitly exclude ER pts. Yes, allegedly this "never happens", but since we explicitly exclude these, we should state so. This would also ensure consistency with pages like Length of Stay (ICU Report) which rely on this definition. |
A new database record will be created if a patient changes service, even if they don't physically change location.
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The following was written here, is it true? : For ICU patients collection starts at unit Arrive DtTm. |
See also Identifying ICU admissions.
Special cases
We include dialysis-only admissions
- If the patient is admitted under the care of the ICU Attending, then they should be entered into our database as an ICU admission.
- In ICD10, code patients who missed their dialysis tx and are admitted to ICU for urgent HD in the following way:
- Medical noncompliance in admit codes.
- Any other diagnosis that resulted in the ICU admission, in admit codes. Ex. Hyperkalemia, CHF, etc.
- Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 in comorbs.
- HD (Hemodialysis) from CCI picklist, in acquired codes, if they were dialyzed in your unit.
Overflow
See Category:Overflow for various special cases, and whether they would be included or not.
Related Articles
Legacy Content
This page contains Legacy Content.- Explanation: old short-stay resusc rule
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Short Stay
We used to exclude short stay patients (e.g. resuscitation failed and patient died after a few minutes in ICU). As of October 24, 2011 all patients that arrive in the ICU in the process of resuscitation should be included in the database, even if they are there for a short lenght of time and subsequently pass away. This has been recommended by the Task Team and approved by p:Dr. Dan Roberts from the Steering Committee.