Critical Care Medicine

Medical Intensive Care Unit

Medical Intensive Care Unit

The Respiratory Institute’ Department of Critical Care Medicine manages and staffs the Medical Intensive Care Unit (MICU) at Cleveland Clinic. With a total of 64 beds across 5 nursing units and >4300 admissions per year, it is one of the largest MICUs in the US. The unit is staffed by board-certified intensivists who provide in-house coverage 24 hours a day.

In 2023, the total number of admissions to the MICU at Cleveland Clinic main campus was 4353. An average of about 12 critically ill patients were admitted every day, with 27% of patients transferred from outside hospitals to receive advanced specialized critical care at the MICU. Cleveland Clinic's critical care transport team is capable of bringing the sickest of patients from anywhere in the world.

Podcasts

Cleveland Clinic Respiratory Medicine hosts podcasts series available on all major platforms including Apple, Google, Soundcloud and Spotify. Click on a link below to find and listen to the following podcasts:

‘The Critical Role Families Play in the ICU’ hosted by Raed Dweik, MD, MBA, Institute Chief and Chair, Pulmonary & Critical Care Medicine with guest Hassan Khouli, MD, Director, Critical Care Center and Chair, Critical Care Medicine. Find it at Respiratory Inspirations.

‘Virtual ICU Rounding’ hosted by Hassan Khouli, MD, Director, Critical Care Center and Chair, Critical Care Medicine, with guest Adi Gerblich, MD. Find it at both Respiratory Exchange and Respiratory Inspirations.

‘Mechanical Ventilation’ hosted by Hassan Khouli, MD, Director, Critical Care Center and Chair, Critical Care Medicine, with guest Eduardo Mireles-Cabodevila, MD, FCCM, Director of the Critical Care Medicine Department at Cleveland Clinic Main Campus and Director, Simulation Center. Find it at both Respiratory Exchange and Respiratory Inspirations.

‘Post-Intensive-Care Syndrome (PICS)’ hosted by Hassan Khouli, MD, Director, Critical Care Center and Chair, Critical Care Medicine, with guest Michelle Biehl, MD, MS. Find it at Respiratory Inspirations.

‘Respiratory Support in the ICU’ hosted by Eduardo Mireles-Cabodevila, MD, FCCM, Director of the Critical Care Medicine Department at Cleveland Clinic Main Campus and Director, Simulation Center, with guest Umur Hatipoğlu, MD, MBA, Medical Director, Enterprise Respiratory Therapy, Section Head of Respiratory Therapy in the Department of Critical Care Medicine, Director, COPD Center. Find it at Respiratory Inspirations.

“Opioids and Respiratory Toxicity’ and ‘Opioids and Lung Health’ hosted by Eduardo Mireles-Cabodevila, MD, FCCM, Director of the Critical Care Medicine Department at Cleveland Clinic Main Campus and Director, Simulation Center, with guests Deborah Rathz, MD, PhD and Philippe Haouzi, MD, PhD, Director Physiology Program, Division of Pulmonary Medicine. Find both at Respiratory Exchange and Respiratory Inspirations.

'Diagnosing and Treating Delirium in the ICU' hosted by Abhijit Duggal MD MPH MSc FACP, Vice Chair, Department of Critical Care Medicine; Vice Chair of Research, Pulmonary Critical Care and Infectious Diseases, with guest Heather Torbic, PharmD, FCCM, BCCCP, BCPS; Medical ICU Clinical Pharmacist; Program Director, PGY2 Critical Care Pharmacy Residency.

Mean MICU APACHE® III Score

2021 – 2023

APACHE = Acute Physiology And Chronic Health Evaluation, a severity-of-disease classification system, MICU = Medical Intensive Care Unit

ᵃBenchmark is for national average for all critical care patients. The national average of 54.5 reflects the current practice of critical care in the US for a large adult population.

The acuity and complexity of the patient population remain high as demonstrated by the overall APACHE III acuity score. Cleveland Clinic's MICU APACHE III mean score of 67.93 is well above the national average of 54 from a large adult population that reflects the current practice of critical care in the US.¹

Reference

  1. Lilly CM, Zuckerman IH, Badawi O, Riker RR. Benchmark data from more than 240,000 adults that reflect the current practice of critical care in the United States. Chest. 2011 Nov;140(5):1232-1242.
MICU Standardized Mortality Ratio (Observed to Expected)

2021 – 2023

APACHE = Acute Physiology and Chronic Health Evaluation, a severity-of-disease classification system, MICU = Medical Intensive Care Unit

MICU Admissions – Main Campus

2021 – 2023

MICU = Medical Intensive Care Unit

MICU Admissions by Source - Main Campus

2021 – 2023

MICU = Medical Intensive Care Unit

The number of critically ill patients admitted has remained stable over the last 3 years. However, the proportion of MICU patients that arrive as transfers from outside institutions for the management of complex critical care conditions continues to increase.

MICU Length of Stay (Observed to Expected) Similar Hospitalsᵃ

2021 – 2023

LOS = length of stay, MICU = Medical Intensive Care Unit

ᵃSimilar hospitals (academic, quaternary care)

The length of stay in the MICU is slightly above the expected when compared with similar hospitals. MICU teams work daily to minimize patients' stay in the critical care environment and facilitate transitions to their next level of care and recovery.