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Table 1 Characteristics of participants by quartile

From: Case volume and specialization in critically ill emergency patients: a nationwide cohort study in Japanese ICUs

 

Total

First quartile

Second quartile

Third quartile

Fourth quartile

(n = 72,214)

(n = 18,335) (25.4%)

(n = 18,887) (26.2%)

(n = 17,843) (24.7%)

(n = 17,149) (23.8%)

Age (y), median (IQR)

71 (57–80)

71 (58–80)

71 (57–79)

70 (55–79)

72 (60–81)

Sex (male), n (%)

44,534 (61.7)

11,126 (60.68)

11,663 (61.8)

11,173 (62.6)

10,572 (61.7)

BMI category, n (%)

 < 18.5

10,360 (14.7)

2704 (15.1)

2525 (13.6)

2577 (14.8)

2554 (15.3)

 ≥ 18.5 to < 23

28,081 (39.8)

7136 (39.9)

7501 (40.5)

6760 (38.9)

6684 (40.0)

 ≥ 23 to < 27.5

22,151 (31.4)

5583 (31.2)

5847 (31.5)

5396 (31.1)

5325 (31.8)

 ≥ 27.5

9931 (14.1)

2453 (13.7)

2665 (14.4)

2648 (15.2)

2165 (12.9)

JROD, median (IQR)

0.05 (0.02–0.18)

0.05 (0.02–0.17)

0.06 (0.02–0.18)

0.05 (0.01–0.19)

0.05 (0.02–0.17)

Chronic organ insufficiency, n (%)

 Heart failure

1202 (1.7)

505 (2.8)

221 (1.2)

192 (1.1)

284 (1.7)

 Respiratory failure

1060 (1.5)

418 (2.3)

226 (1.2)

209 (1.2)

207 (1.2)

 Renal dialysis

3639 (5.0)

1006 (5.5)

1080 (5.7)

816 (4.6)

737 (4.3)

Type of hospital, n (%)

 University hospital

28,969 (40.1)

8999 (49.1)

8575 (45.4)

7855 (44.0)

3540 (20.6)

 Nonuniversity hospital

43,245 (59.9)

9336 (50.9)

10,312 (54.6)

9988 (56.0)

13,609 (79.4)

Admission source, n (%)

 Operating room

17,060 (23.6)

5912 (32.2)

4018 (21.3)

3813 (21.4)

3317 (19.3)

 Emergency department

44,682 (61.9)

8133 (44.4)

12,434 (65.8)

11,960 (67.0)

12,155 (70.9)

 Ward

5377 (7.5)

2397 (13.1)

1240 (6.6)

1032 (5.8)

708 (4.1)

 Transfer from another hospital

3737 (5.2)

1412 (7.7)

660 (3.5)

824 (4.6)

841 (4.9)

 Other care unit

1357 (1.9)

481 (2.6)

534 (2.8)

214 (1.2)

128 (0.8)

Emergency surgery, n (%)

22,421 (31.1)

7506 (40.9)

5614 (29.7)

5110 (28.6)

4191 (24.4)

Diagnosis at ICU admission, n (%)

 Cardiovascular disease

26,880 (37.2)

7384 (40.3)

7087 (37.5)

6563 (36.8)

5846 (34.1)

 Respiratory disease

9131 (12.6)

2409 (13.1)

2039 (10.8)

2241 (12.6)

2442 (14.2)

 GI and liver disease

9882 (13.7)

3252 (17.7)

2395 (12.7)

1908 (10.7)

2327 (13.6)

 Neurologic disease

10,603 (14.7)

2098 (11.4)

3464 (18.3)

2766 (15.5)

2275 (13.3)

 Sepsis

2607 (3.6)

674 (3.7)

685 (3.6)

500 (2.8)

748 (4.4)

 Trauma

5311 (7.4)

612 (3.3)

1367 (7.2)

1761 (9.9)

1571 (9.2)

After cardiac resuscitation, n (%)

4571 (6.3)

1004 (5.5)

1350 (7.2)

1369 (7.7)

848 (4.9)

IMV during the 1st ICU stay, n (%)

33,333 (46.2)

9039 (49.3)

8436 (44.7)

8365 (46.9)

7493 (43.7)

Venoarterial ECMO, n (%)

1563 (2.2)

498 (2.7)

452 (2.4)

413 (2.3)

200 (1.2)

Venovenous ECMO, n (%)

520 (0.7)

178 (1.0)

137 (0.7)

125 (0.7)

80 (0.5)

CRRT, n (%)

6350 (8.8)

2015 (11.0)

1841 (9.8)

1366 (7.7)

1128 (6.6)

In-hospital mortality, n (%)

10,704 (14.8)

2725 (14.9)

2768 (14.7)

2738 (15.3)

2473 (14.4)

  1. IQR interquartile range, BMI body mass index, JROD Japan Risk of Death, ICU intensive care unit, GI gastrointestinal, IMV invasive mechanical ventilation, ECMO extracorporeal membrane oxygenation, CRRT continuous renal replacement therapy