• Pablo Álvarez-Maldonado, Grisel Hernández-Ríos, Arturo Reding-Bernal, and Raúl Cicero-Sabido.
• Servicio de Neumología y Cirugía de Tórax. Secretaría de Salud, Hospital General de México "Dr. Eduardo Liceaga", Ciudad de México, México.
• Gac Med Mex. 2019 Jan 1; 155 (6): 613-618.

IntroductionNew hospitals are replacing old facilities. There is little information on the performance of an intensive care unit (ICU) when it is relocated in a new and equipped area.ObjectiveTo analyze the impact of the change of ICU facilities from a shared environment to individual beds on the occurrence of adverse events.MethodCross-sectional, comparative study, with prospectively collected data from patients admitted from March 01, 2014 to February 28, 2017 to the former ICU (f-ICU) and from July 17, 2017 to January 17, 2019 to the new ICU (n-ICU) of a public teaching hospital. The rate of adverse events was measured in events per 1,000 patient-days.ResultsAmong 1,188 patients (f-ICU, n = 681 vs. n-ICU, n = 507), a reduction in the rate of unforeseen cardiac arrest (rate ratio: 0.31; 95% confidence interval [CI] = 0.12-0.80) and an increase in the rate of unplanned extubation (rate ratio: 2.49; 95% CI = 1.24-5.01) were observed, with both being statistically significant. The other nine monitored adverse events showed no changes.ConclusionsIn comparison with the f-ICU, most of the monitored adverse events did not significantly change within the first 18 months of activities at the n-ICU.Copyright: © 2019 Permanyer.

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