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Admission to the ICU from 00:00–07:00 hours, and at weekends is associated with a higher mortality, as is discharge from the ICU to the ordinary ward at night . Reasons for ICU refusal include patient too well, patient too sick, lack of beds, and need for more information (161 162). Most people in an ICU have problems with 1 or more organs. More than two-thirds of very short ICU stay admissions were emergency admissions. The most common reasons were worsening of the problem for which the patient was admitted (48%) and development of a new problem (39%). Sixty-one (20.1%) patients had at least one chronic illness. Readmission to intensive care is associated with a hospital death rate 2–10 times that of non-readmitted patients [ 6 ]‌, and can be mitigated by intensive care outreach in the form of intensivist-led rapid response teams [ 7 ]. There are generally two broad reasons for ICU or HDU admission: 1. For example, they may be unable to breathe on their own. Some common reasons include: a serious accident – such as a road accident, a severe head injury, a serious fall or severe burns Reasons for admission Emergency admissions to ICU; Planned admissions to ICU; Experiences in intensive care Coming round and regaining consciousness in ICU; Sleep, dreams and hallucinations in ICU; Intensive care treatments; Physiotherapy in ICU; Emotional experiences in ICU; Nursing care in ICU; Death and bereavement; High Dependency Unit (HDUs) The following points deserve emphasizing. Mortality in this cohort is substantial, and advanced age should be regarded as a significant independent risk factor specifically for ICU patients older than 75. Objectives: To describe the case mix, activity, and outcome for admissions to intensive care units (ICUs) from emergency departments (EDs). There are many different conditions and situations that can mean someone needs intensive care. Primary prevention of prevalent reasons for elderly ICU admission such as falls and gastrointestinal bleeding may reduce elderly ICU admission. 2. Design: An observational study using data from a high quality clinical database, the Case Mix Programme Database, of intensive care admissions, coordinated at the Intensive Care National Audit & Research Centre (ICNARC). The most common reasons for admission to the ICU in this group were related to cardiovascular indications. An example would be ICU/HDU admission after major surgery. In a prospective evaluation of ICU refusals, Joynt et al demonstrated that denying ICU admission is common and that age, severity of illness, and diagnosis were important factors in making the decision. Errors in care accounted for 29 transfers (19%), 15 of which were due to incorrect triage at the time of admission, and 14 due to iatrogenic errors. Precautionary - for closer monitoring in anticipation of potential medical complications. 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