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Relationship between volume and survival in closed intensive care units is weak and apparent only in mechanically ventilated patients.

Anesthesiology

October 2013

* Director, Intensive Care Unit, Fundació Althaia, Manresa, CIBERES, Universitat Internacional de Catalunya, Barcelona, Spain. † Intensive Care Unit, Hospital G.U., Castello, Castello, Spain. ‡ Intensive Care Unit, Hospital de Barcelona SCIAS, Barcelona, Spain. § Intensive Care Unit, Hospital de Sagunt, Sagunt, Spain. ‖ Intensive Care Unit, C.Hosp.U. de Santiago de Compostela, Santiago de Compostela, Spain. # Intensive Care Unit, Hospital del Mar, Barcelona, Spain. ** Intensive Care Unit, Hospital Virgen de la Luz, Cuenca, Spain. †† Intensive Care Unit, C. Hosp. de Vic, Vic, Spain. ‡‡ Intensive Care Unit, Hospital San Agustin, Aviles, Spain. §§ Intensive Care Unit, Hospital Mateu Orfila, Menorca, Spain. ‖‖ Intensive Care Unit, Hospital Moncloa, Madrid, Spain. ## Intensive Care Unit, Hospital U. Carlos Haya (Hospital Civil), Malaga, Spain. *** Intensive Care Unit, Hospital Virgen de las Nieves, Granada, Spain. ††† Statistical Department, Fundació Parc Taulí, Corporació Sanitaria Universitaria Parc Taulí, Universidad Autònoma de Barcelona, Sabadell, Spain. ‡‡‡ Members of the Sabadell Score Group are listed in the appendix. Hospital Xeral Cies, Vigo, Spain Hospital de Salamanca, Salamanca, Spain Clinica Universitaria de Navarra, Navarra, Spain Hospital Virgen Macarena, Sevilla, Spain Hospital Virgen de la Victoria, Malaga, Spain Hospital Son Llatzer, Mallorca, Spain Hospital Universitario de Getafe, Getafe, Spain, CIBER Enfermedades Respiratorias Hospital Severo Ochoa, Leganes, Spain Hospital Reina Sofia, Murcia, Spain Hospital Virgen de la Concha, Zamora, Spain Hospital Sant Joan de Reus, Reus, Spain Hospital Reina Sofia, Cordoba, Spain Hospital de Cruces, Baracaldo, Spain Hospital Morales Messeguer, Murcia, Spain Hospital General Yague, Burgos, Spain Hospital Universitario de A Coruña, A Coruña, Spain Hospital La Fe, Valencia, Spain Hospital Marques de Valdecilla, Santander, Spain Hospital Infanta Sofia, San Sebastian de los R

Background: Recent studies have found an association between increased volume and increased intensive care unit (ICU) survival; however, this association might not hold true in ICUs with permanent intensivist coverage. Our objective was to determine whether ICU volume correlates with survival in the Spanish healthcare system.

Methods: Post hoc analysis of a prospective study of all patients admitted to 29 ICUs during 3 months.

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