[Unplanned admission or readmission to the intensive care unit : Avoidable or fateful?] / Ungeplante Aufnahmen oder Rückverlegungen auf die Intensivstation : Vermeidbar oder schicksalhaft?
Chirurg
; 89(4): 289-295, 2018 Apr.
Article
em De
| MEDLINE
| ID: mdl-29383403
ABSTRACT
BACKGROUND:
Unplanned admissions or readmissions to the intensive care unit lead to a poorer outcome and present medical, logistic and economic challenges for a clinic. How often and what are the reasons for readmission to the intensive care unit? Which strategies and guidelines to avoid readmission are recommended. MATERIAL ANDMETHODS:
Analysis and discussion of available studies and recommendations of national and international societies.RESULTS:
Many studies show that unplanned admissions and readmissions to the intensive care unit represent an independent risk factor for a poor outcome for patients. Different factors that increase the probability of readmission can be identified. Structural changes concerning the normal wards, intensive care unit or the clinic internal emergency service could positively effect readmission rates and/or patient outcome while other studies failed to show any effect of these arrangements.CONCLUSION:
Patient transition from the intensive care unit to a lower level of care is a critical point of time and has to be accompanied by a high quality handover. Unstable patients on normal wards have to be identified and treated as soon as possible but effects of standardized medical emergency teams are controversial.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Readmissão do Paciente
/
Unidades de Terapia Intensiva
Tipo de estudo:
Etiology_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Humans
Idioma:
De
Ano de publicação:
2018
Tipo de documento:
Article