Critical Care Medicine

Medical Intensive Care Unit

The Respiratory Institute manages and staffs the Medical Intensive Care Unit (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 United States. The unit is staffed by board-certified intensivists who provide in-house coverage 24 hours a day.

Total admissions to the MICU at Cleveland Clinic Main Campus increased from 4370 in 2016 to 4763 in 2017. An average of 13 critically ill patients were admitted every day, with 29% of patients being transferred from outside hospitals to receive advanced 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

2015 - 2017

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

MICU Standardized Mortality Ratio (Observed to Expected)

2015 - 2017

APACHE IV = The Acute Physiology, Age, 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 APACHE IV mean score of 65 is well above the benchmark of 54.5 from a large adult population that reflects the current practice of critical care in the United States.¹ The APACHE IV is used to risk-adjust the Respiratory Institute’s population of critical care patients.

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 Admissions – Main Campus

2015 - 2017

MICU = Medical Intensive Care Unit

MICU Admissions by Source - Main Campus

2015 - 2017

MICU = Medical Intensive Care Unit

MICU Length of Stay (Observed to Expected)

2015 – 2017

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