Use of intensive care unit priority model in directing intensive care unit admission in Sudan: A prospective cross-sectional study.

BACKGROUND

The shortage of specialized intensive care beds is one of the principal factors that limit intensive care unit (ICU) admissions. This study explores the utilization of priority criteria in directing ICU admission and predicting outcomes.

METHODS

This was a prospective cross-sectional study conducted in two ICUs in Sudan from April to December 2018. Patients were assessed for ICU admission and were ranked by priority into Groups 1, 2, 3, and 4 (1 highest priority and 4 lowest priority), and these groups were compared using independent -test, Chi-square, and ANOVA.

RESULTS

A total of 180 ICU admitted patients were enrolled, 53% were male. The prioritization categories showed that 86 (47.8%), 50 (27.8%), 13 (7.2%), and 31 (17.2%) were categorized as priority 1, 2, 3, and 4, respectively. Patients in priority groups 3 and 4had significantly higher ICU mortality rates compared to those in groups 1 and 2 ( < 0.001), were likely to be older ( < 0.001), had significantly more comorbidities ( = 0.001), were more likely to be dependent ( < 0.001), and had longer ICU length of stay ( = 0.028).

CONCLUSION

Patients classified as priority 3 and 4 were predominantly older and had many comorbidities. They were likely to be dependent, stay longer in ICU, and exhibit mortality.