Max Rady College of Medicine

The Epidemiology and Outcomes of Critical Illness in Manitoba

Garland A, Fransoo R, Olafson K, Ramsey C, Yogendran M, Chateau D, McGowan K. Winnipeg, MB: Manitoba Centre for Health Policy, 2012.

This report provides a comprehensive, population-based evaluation of the epidemiology and outcomes of care provided in Intensive Care Units (ICUs) among people aged 17 and older in Manitoba, over from 1999/2000 to 2007/08. The care of critically ill patients occurs primarily in ICUs, and the report concentrates on that care. The report is organized into six Specific Aims; the first three aims describe the process of creating the data infrastructure needed to assess ICU use and outcomes, which are detailed in the final three aims. The value of this report derives from the importance of ICU care, the assessment of a broad range of endpoints relevant to patients and to society, and the nature of the data. Unlike the data used in most studies of critical illness or ICU care, our population-based data allow determination of incidence (not just number of cases) and mortality (as compared to case-fatality rates or the percent of people with a certain condition who die over a certain period of time); it eliminates concerns about selection bias. In addition, age- and sex-standardization can be performed to allow like-comparison among different regions and time periods.

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