BACKGROUND: Our @entity130 service recently transitioned from a pulmonary intensive care unit (ICU) service to a @entity954 ( @entity954 ) service. We hypothesized that a newly formed @entity954 service could provide comparable outcomes to the existing @entity358 . A specific aim of this study was to compare outcomes of @entity130 @entity1 admitted to the ICU before and after implementation of a @entity954 service. METHODS: We performed a retrospective study of @entity130 @entity1 admitted to the ICU of our urban, American College of Surgeons- verified, Level 1 @entity130 center during a 4-year period (2009-2012). @entity1 managed by the @entity358 (2009-2010) were compared with @entity1 managed by a @entity954 service (2011-2012). The primary outcome was mortality, while secondary outcomes included complications (pulmonary, infectious, cardiac, and @entity1031 ), hospital and ICU length of stay, ventilator days, and need for reintubation. RESULTS: There were 2,253 @entity130 @entity1 admitted to the ICU during the study period, 1,124 and 1,129 managed by the @entity358 and @entity954 services, respectively. When comparing outcomes for @entity954 and @entity358 @entity1 , there was no difference in mortality (11% vs. 13%, p = 0.41), but @entity1 managed by the @entity954 service had fewer @entity358 (3% vs. 6%, p < 0.001), fewer days on the ventilator (3 vs. 4, p = 0.002), and less often required reintubation after extubation (4% vs. 9%, p < 0.001). CONCLUSION: Transition from a @entity358 to a @entity954 service at our institution was associated with no change in mortality but an improvement in @entity358 , ventilator days, and reintubation rates. @entity130 centers currently staffed with a @entity358 should feel comfortable converting to @entity954 service and should expect comparable or improved outcomes for @entity130 @entity1 admitted to the ICU. LEVEL OF EVIDENCE: Therapeutic/care management study, level IV.

Implementation of a surgical intensive care unit service is associated with improved outcomes for @entity130 XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary complications', 'pulmonary ICU', 'pulmonary ICU service'] @entity1031 :: ('MESH:D013923', 'Disease') :: ['thromboembolic'] @entity954 :: ('MESH:D016063', 'Disease') :: ['surgical ICU', 'SICU'] @entity130 :: ('MESH:D014947', 'Disease') :: ['Trauma', 'trauma']
@entity1 :: (9606,Species) :: ['patients']
