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Guidelines for intensive care unit admission, discharge, and triage

Special Articles

Objective To provide guidelines for admission, discharge, and triage of adult patients to the intensive care unit (ICU), based on expert opinion and the relevant literature.

Data Sources Publications relevant to the admission, discharge, and triage of patients to the ICU were obtained from the medical literature.

Study Selection Not applicable.

Data Extraction Articles were reviewed and the relevant information extracted for analysis by an expert panel.

Data Synthesis The articles were reviewed and graded levels of recommendation made based on a rating system described in the text.

Conclusions Although little scientifically rigorous data exist validating the criteria for admission, discharge, and triage of adult patients to the ICU, current literature and expert opinion support guidelines to streamline the admission, discharge, and triage process. (Crit Care Med 1999; 27:633-638)

Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine*.

The Task Force was comprised of: Andrew Egol, DO, FCCM; Robert Fromm, MD, FCCM; Kalpalatha K. Guntupalli, MD, FCCM; Melissa Fitzpatrick, RN, MSN, CCRN; David Kaufman, MD; Stanley Nasraway, MD, FCCM; David Ryon, MD; Jack Zimmerman, MD, FCCM.

These guidelines have been developed by the American College of Critical Care Medicine, Society of Critical Care Medicine, and thereafter reviewed by the Council of the Society of Critical Care Medicine. The opinions expressed herein reflect the official opinion of the Society of Critical Care Medicine, and should not be construed to reflect the views of the specialty boards or any other professional medical organization.

Editor's Note: As with previous guidelines published in this journal, these guidelines have not undergone traditional peer review. See Crit Care Med 1991; 19:137 and 1992; 21:447.

A comprehensive set of the Society of Critical Care Medicine's Guidelines and Practice Parameters are available for purchase through SCCM. For further information, please contact SCCM, 8101 East Kaiser Boulevard, Suite 300, Anaheim, CA 92808-2259. Phone (877) 291-7226.

© 1999 Lippincott Williams & Wilkins, Inc.