High-dependency unit

For the New Zealand rock band, see High Dependency Unit (band). For the psychiatric facility, see High dependency unit (mental health).

A High-Dependency Unit (HDU) also known as High Care Unit (HCU)^[1] is an area in a hospital, usually located close to the intensive care unit, where patients can be cared for more extensively than on a normal ward, but not to the point of intensive care. It is appropriate for patients who have had major surgery and for those with single-organ failure. Many of these units were set up in the 1990s when hospitals found that a proportion of patients was requiring a level of care that could not be delivered in a normal ward setting.^[2] This is thought to be associated with a reduction in mortality.^[2] Patients may be admitted to an HDU bed because they are at risk of requiring intensive care admission, or as a step-down between intensive care and ward-based care.^[2]

In 2000 the UK Department of Health issued the Comprehensive Critical Care report, which set out the number of high dependency ("level 2") beds a hospital should have to deliver care appropriately. By this time, two thirds of UK hospitals had beds identified as "high dependency".^[3] The report defines level 2 care as "more detailed observations or intervention including support for a single failing organ system or postoperative care and those 'stepping down' from higher levels of care".^[3]

If positive airway pressure ventilation is used to treat respiratory failure, this may be administered in a high dependency unit or equivalent area.^[2][4]