AI Article Synopsis
- This article studies how often patients act aggressively or violently while they're very sick in a hospital's intensive care unit (ICU).
- Between 2015 and 2020, there were 807 cases of such behavior out of 16,175 admissions, with more cases happening each year.
- Younger male patients, especially those coming from the emergency room with injuries, are more likely to show aggressive behavior in the ICU.
Article Abstract
Objective: This article aims to quantify prevalence of patient aggression or threatened/actual violence during critical illness.
Design: This is a retrospective cohort study.
Setting: This study was conducted in single adult trauma intensive care unit (ICU).
Participants: Patients aged 18 years or over, admitted between January 2015 and December 2020, who triggered a "Code Grey" response due to aggression or threatened/actual violence.
Main Outcome Measure: The primary outcome was prevalence of Code Grey events. Secondary outcomes included unadjusted and adjusted (logistic mixed model) effects of patient demographics, diagnoses and severity of illness on Code Grey events.
Results: There were 16175 ICU admissions relating to 14085 patients and 807 Code Grey events involving 379 (2.7%) patients. The observed count of events increased progressively from 2015 (n = 77) to 2020 (n = 204). For patients with a Code Grey, the median count of events was 3 (range 1-33). Independent predictors of at least one ICU Code Grey event included male sex (OR 2.5; 95% CI 1.8 to 3.4), young age (most elevated odds ratio in patients 20-30 years), admission from the emergency department (OR 2.8, 95% CI 2.1 to 3.6) and a trauma diagnosis (OR 1.4, 95% CI 1.1 to 1.9). Code Grey patients had longer admissions with a reduced risk of death.
Conclusions: The prevalence of Code Grey events in ICU appears to be increasing. Patients may have repeated events. Younger male patients admitted to ICU via the emergency department with a trauma or medical diagnosis are at greatest risk of a Code Grey event.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10581280 | PMC |
| http://dx.doi.org/10.1016/j.ccrj.2023.05.002 | DOI Listing |
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