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Table 1 Clinical characteristics and outcomes of patients admitted to ICUs during off-hours vs. office-hours

From: Association between ICU admission during off-hours and in-hospital mortality: a multicenter registry in Japan

 

Total (n = 28,200)

Off-hour admission (n = 20,403)

Office-hour admission (n = 7797)

Age, median (IQR)

71 (59–80)

71 (59–80)

71 (60–80)

Female, n (%)

10,902 (38.7)

7986 (39.1)

2916 (37.4)

BMI, median (IQR)

22.2 (19.6 to 25.0)

22.2 (19.5 to 24.9)

22.3 (19.6 to 25.2)

APACHE II score, median (IQR)

18 (13 to 24)

17 (12 to 24)

18 (13 to 25)

Admission source, n (%)

 Emergency departments

13,588 (48.2)

9751 (47.8)

3837 (49.2)

 Operating rooms

7689 (27.3)

6465 (31.7)

1224 (15.7)

 Non-ICU wards

5739 (20.4)

3611 (17.7)

2128 (27.3)

 Transfer from other hospitals

617 (2.2)

273 (1.3)

344 (4.4)

 Other

567 (2.0)

303 (1.5)

264 (3.4)

Type of hospital, n (%)

 National/public hospitals

9564 (33.9)

6780 (33.2)

2784 (35.7)

 University hospitals

11,694 (41.5)

8453 (41.4)

3241 (41.6)

 Private hospitals

6942 (24.6)

5170 (25.3)

1772 (22.7)

Diagnosis at ICU admission, n (%)

 Cardiovascular

9839 (34.9)

6848 (33.6)

2991 (38.4)

 Respiratory

3531 (12.5)

2315 (11.3)

1216 (15.6)

 Neurologic

4105 (14.6)

3079 (15.1)

1026 (13.2)

 Trauma

1575 (5.6)

1227 (6.0)

348 (4.5)

Emergent surgery, n (%)

9517 (33.7)

7647 (37.5)

1870 (24.0)

After cardiac resuscitation, n (%)

1713 (6.1)

1178 (5.8)

535 (6.9)

Chronic organ insufficiency, n (%)

 Liver cirrhosis

602 (2.1)

420 (2.1)

182 (2.3)

 Renal dialysis

1638 (5.8)

1128 (5.5)

510 (6.5)

 Hematologic malignancy

652 (2.3)

416 (2.0)

236 (3.0)

 Solid tumor with metastasis

916 (3.2)

681 (3.3)

235 (3.0)

 Immunosuppression

1828 (6.5)

1,231 (6.0)

597 (7.7)

 One or more insufficiencies

5526 (19.6)

3819 (18.7)

1707 (21.9)

Invasive interventions in ICUs, n (%)

 Mechanical ventilation

13,234 (46.9)

9539 (46.8)

3695 (47.4)

 CRRT

1890 (6.7)

1273 (6.2)

617 (7.9)

 IABP

1131 (4.0)

750 (3.7)

381 (4.9)

 ECMO

556 (2.0)

378 (1.9)

178 (2.3)

In-hospital mortality, n (%)

5003 (17.7)

3399 (16.7)

1604 (20.6)

  1. APACHE II Acute Physiology and Chronic Health II, BMI body mass index, CRRT continuous renal replacement therapy, ECMO extracorporeal membrane oxygenation, IABP intra-aortic balloon pump, ICU intensive care unit, SD standard deviation