Table 1

Patient characteristics comparing baseline (first) year (before interventions) with third and fourth years (following introduction of interventions)

Preinterventions baseline year 1 (1 September 2005 to 31 August 2006)Year 3 (1 September 2007 to 31 August 2008)Statistical test results comparing year 1 with year 3Year 4 (1 September 2008 to 31 August 2009)Statistical test results comparing year 1 with year 4
Total patients admitted to ICU439465358
Percentage of patients ventilated697473
Median LOS2.22.5p=0.182.3p=0.72
ICU death rate (%)2022p=0.48*22.6p=0.38*
Study group255235225
Male143 (56.1%)127 (56.2%)125 (55.5%)
Deaths54 (21.2%)49 (21.7%)p=0.328*36 (16%)p=0.013*
Mean APACHE II (SD)19.8 (8.4)21.0 (7.3)p=0.8918.7 (8.7)p=0.38
Median LOS (Q1, Q3)9.7 days (4, 20)8.9 days (4, 13)p=0.64§6.0 (3, 11)p=0.63§
Mean LOS (SD)5.4 days (3.9)5.3 (3.7)p=0.655.9 days (3.7)p=0.13
No of patients with CVC (%)240 (93)226 (82)p=1178 (79)p=1
Days' duration CVC, mean (SD)4.94 (4.11)6.11 (3.6)p<0.0019.6 (8.46)p<0.001
Site of CVCs
 Internal Jugular (%)332 (80.2)283 (89.3)p<0.01*227 (91.1)p<0.01*
 Subclavian (%)63 (15.2)24 (7.6)p<0.01*15 (6.02)p<0.01*
 Femoral (%)19 (4.6)10 (3.1)p>0.33*7 (2.81)p<0.01*
Total CVCs used414317p<0.01*249p<0.01*
  • Interventions commenced halfway through year 2 and continued iteratively until the end of year 4.

  • * χ2 Test.

  • f Test.

  • t Test.

  • § Mann–Whitney U test.

  • APACHE II, Acute Physiological and Chronic Health Evaluation Version II; LOS, length of stay; Study group, patients who had a central venous catheter (CVC) during part or whole of admission and were in intensive care unit (ICU) for more than 2 calendar days.