Case mix, outcome and length of stay for admissions to adult, general critical care units in England, Wales and Northern Ireland: the Intensive Care National Audit & Research Centre Case Mix Programme Database

Abstract

Introduction The present paper describes the methods of data collection and validation employed in the Intensive Care National Audit & Research Centre Case Mix Programme (CMP), a national comparative audit of outcome for adult, critical care admissions. The paper also describes the case mix, outcome and activity of the admissions in the Case Mix Programme Database (CMPD). Methods The CMP collects data on consecutive admissions to adult, general critical care units in England, Wales and Northern Ireland. Explicit steps are taken to ensure the accuracy of the data, including use of a dataset specification, of initial and refresher training courses, and of local and central validation of submitted data for incomplete, illogical and inconsistent values. Criteria for evaluating clinical databases developed by the Directory of Clinical Databases were applied to the CMPD. The case mix, outcome and activity for all admissions were briefly summarised. Results The mean quality level achieved by the CMPD for the 10 Directory of Clinical Databases criteria was 3.4 (on a scale of 1 = worst to 4 = best). The CMPD contained validated data on 129,647 admissions to 128 units. The median age was 63 years, and 59% were male. The mean Acute Physiology and Chronic Health Evaluation II score was 16.5. Mortality was 20.3% in the CMP unit and was 30.8% at ultimate discharge from hospital. Nonsurvivors stayed longer in intensive care than did survivors (median 2.0 days versus 1.7 days in the CMP unit) but had a shorter total hospital length of stay (9 days versus 16 days). Results for the CMPD were comparable with results from other published reports of UK critical care admissions. Conclusions The CMP uses rigorous methods to ensure data are complete, valid and reliable. The CMP scores well against published criteria for high-quality clinical databases.

References 46

1. 1.

   This reference’s wording can’t be shown under the paper’s licence.

   Not in our library10.1016/s0140-6736(99)00108-7

2. 2.

   This reference’s wording can’t be shown under the paper’s licence.

   Not in our library

3. 3.

   This reference’s wording can’t be shown under the paper’s licence.

   Not in our library10.1136/qhc.12.5.348

4. 4.

   This reference’s wording can’t be shown under the paper’s licence.

   Not in our library

5. 5.

   This reference’s wording can’t be shown under the paper’s licence.

   Not in our library10.1136/bmj.313.7063.1007c

6. 6.

   This reference’s wording can’t be shown under the paper’s licence.

   Not in our library

7. 7.

   This reference’s wording can’t be shown under the paper’s licence.

   Not in our library

8. 8.

   This reference’s wording can’t be shown under the paper’s licence.

   Not in our library

9. 9.

   This reference’s wording can’t be shown under the paper’s licence.

   Not in our library

10. 10.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library

11. 11.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1093/bja/87.4.543

12. 12.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1097/01.ccm.0000085141.75513.2b

13. 13.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library

14. 14.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1378/chest.100.6.1619

15. 15.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1001/jama.270.24.2957

16. 16.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1001/jama.270.20.2478

17. 17.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library

18. 18.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library

19. 19.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1007/s001340051207

20. 20.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1136/bmj.307.6910.972

21. 21.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1136/bmj.307.6910.977

22. 22.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1097/00003246-199508000-00005

23. 23.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1097/00003246-199808000-00017

24. 24.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1097/00003246-200006000-00023

25. 25.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1007/s00134-002-1607-9

26. 26.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1007/s00134-003-1959-9

27. 27.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1007/s001340050131

28. 28.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1007/s001340050513

29. 29.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library

30. 30.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1097/01.ccm.0000069347.78151.50

31. 31.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1016/s0025-7753(01)72141-0

32. 32.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1007/s001340050313

33. 33.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1378/chest.121.2.539

34. 34.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1097/00003246-199909000-00046

35. 35.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1007/bf01705416

36. 36.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1186/cc1886

37. 37.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1007/s001340101012

38. 38.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1097/00003246-200212000-00024

39. 39.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1136/bmj.315.7105.381

40. 40.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1136/jech.56.6.418

41. 41.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1007/s00134-004-2170-3

42. 42.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1016/s0140-6736(00)02062-6

43. 43.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1007/s00134-005-2644-y

44. 44.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1016/0140-6736(93)90706-m

45. 45.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library10.1016/j.jcrc.2004.04.008

46. 46.

    This reference’s wording can’t be shown under the paper’s licence.

    Not in our library

Cited by papers we hold 6

• Performance evaluation of a multinational data platform for critical care in Asia [version 1; peer review: 2 approved] · 2021
  Not checked
• An exploration of social and economic outcome and associated health-related quality of life after critical illness in general intensive care unit survivors: a 12-month follow-up study · 2013
  No notice
• Quality of life in the five years after intensive care: a cohort study · 2010
  No notice
• The epidemiology of severe sepsis in England, Wales and Northern Ireland, 1996 to 2004: secondary analysis of a high quality clinical database, the ICNARC Case Mix Programme Database · 2006
  No notice
• Identification and characterisation of the high-risk surgical population in the United Kingdom · 2006
  No notice
• Community-acquired pneumonia on the intensive care unit: secondary analysis of 17,869 cases in the ICNARC Case Mix Programme Database · 2006
  No notice

Reads

A person counts once a day per paper. We keep no cookie and no address: a reader is a hash that changes every day. Any month under five reads shows no number.