Characteristics of patients readmitted to intensive care unit: a nested case-control study.
Hong Kong Med J
; 20(3): 194-204, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-24531500
ABSTRACT
OBJECTIVES:
To evaluate the pattern of unplanned readmissions to the intensive care unit and identify patients at risk of readmission.DESIGN:
Nested case-referent study.SETTING:
Tertiary hospital, Hong Kong. PATIENTS A total of 146 patients with unplanned intensive care unit readmission were compared with 292 control patients who were discharged from the intensive care unit alive and never readmitted. Cases and controls were matched for age, gender, and disease severity. MAIN OUTCOMEMEASURES:
Patient demographics, initial and pre-discharge clinical parameters, reasons for readmission, and outcomes were studied.RESULTS:
During the 30-month study period, the readmission rate was 5.1%. Readmitted patients had significantly higher mortality and longer mean hospital lengths of stay (both P<0.001). Most patients in this cohort (36.3%) were readmitted for a respiratory cause. Based on classification tree analysis, postoperative patients with sepsis (adjusted P=0.043), non-operative septic patients with fluid gain 24 hours pre-discharge (adjusted P=0.013), and non-septic patients with increased sputum quantity on discharge (adjusted P=0.006) were significantly associated with intensive care unit readmission.CONCLUSION:
Incomplete resolution of respiratory conditions remained an important reason for potentially preventable intensive care unit readmission. Attention to fluid balance and sputum quantity before intensive care unit discharge might prevent unplanned intensive care unit readmission.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Readmissão do Paciente
/
Unidades de Terapia Intensiva
Tipo de estudo:
Etiology_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Hong Kong Med J
Assunto da revista:
MEDICINA
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Hong Kong