Critical Care Medicine

Medical Intensive Care Unit

Medical Intensive Care Unit

The Respiratory Institute manages and staffs the MICU at Cleveland Clinic. With a total of 64 beds across 5 nursing units and > 4000 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 2020, the total number of admissions to the MICU at Cleveland Clinic main campus decreased from 4588 in 2019 to 4403 patients. An average of 12 critically ill patients were admitted every day, with 33% 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.

Mean MICU APACHE IV Score

2018 – 2020

APACHE IV = The Acute Physiology and Chronic Health Evaluation system, MICU = Medical Intensive Care Unit

The acuity and complexity of the patient population remain high as demonstrated by the overall APACHE IV acuity score. Cleveland Clinic’s MICU APACHE III mean score of 67.1 is well above the benchmark of 54.5 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)

2018 – 2020

APACHE IV = The Acute Physiology and Chronic Health Evaluation system, MICU = Medical Intensive Care Unit

MICU Admissions – Main Campus

2018 – 2020

MICU = Medical Intensive Care Unit

MICU Admissions by Source - Main Campus

2018 – 2020

MICU = Medical Intensive Care Unit

MICU Length of Stay (Observed to Expected) Similar Hospitalsᵃ

2018 – 2020

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

ᵃSimilar hospitals (academic, quaternary care)