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Admissions into the intensive care unit (ICU) deserve special attention since they account for most severe admission cases with a potential fatal threat.
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The severe admissions crunch caused by punishing cuts has been worsened by a near halving of clearing places to 18,000 from 32,000.
Estimates of attributable fractions among severe admissions were higher than the estimates for all admissions and were comparable to the attributable fractions estimated for malnutrition-associated deaths (Table 2).
Dead patients were significantly severe on admission and experienced more IEs than survivors.
Patients with IEs were significantly severe on admission, with a longer duration of MV and LOS in ICU.
The two populations clearly differed, the medical ICU patients being older, more severe at admission, with a higher mortality rate and a shorter length of stay.
There were no significant differences in severe outcomes (admission to the ICU, mechanical ventilation or death) between children <5 years old and persons ≥5 years old (data not shown).
None of the two patients with history of near drowning was severe on admission.
Despite this, upper gastrointestinal hemorrhage remains the most common acute severe medical admission for gastroenterology, and its incidence in population-based studies remains virtually unchanged.
This is consistent with earlier work by Snow and colleagues [14], [15] which showed that there was a space and time clustering of severe malaria admissions and that there were children who were admitted several times with severe malaria.
In situations where clinical data can be linked with location data it may be possible to map areas with a high prevalence of clinical disease, as has been done for severe malaria admissions in some hospitals in Africa [15], [20].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com