PMID: 9176687May 1, 1997Paper

A study of unplanned readmissions to a coronary care unit

Heart & Lung : the Journal of Critical Care
S Stewart, D W Voss

Abstract

To determine the cause and frequency of unplanned readmissions to a coronary care unit (CCU) after initial transfer to a general cardiac unit, but before hospital discharge. Analysis of 1776 admissions to a CCU during a 16-month period. The CCU of a major teaching hospital in South Australia. All patients admitted to the CCU during the 16-month period. CCU readmissions before hospital discharge were categorized as either "planned" or "unplanned." The latter were investigated for determination of casualty and variations in patient characteristics (including age, sex, initial diagnosis, pharmacotherapy, and duration of stay in the CCU). Of the 1776 CCU admissions examined, 44 (2.5% of total) were unplanned readmissions before hospital discharge. Most of these (39 of 44) were related to "reactivation" of acute myocardial ischemia. Patients whose initial diagnosis was acute myocardial infarction or unstable angina pectoris were more likely to require a further unplanned CCU admission (p < 0.05); those with unstable angina pectoris had a second stay in CCU significantly longer than their first (p < 0.05). Six patients were readmitted within 6 hours of cessation of a heparin infusion (4 of the 6 without aspirin administration), and 1...Continue Reading

References

Nov 1, 1995·Heart & Lung : the Journal of Critical Care·T A Beery
Nov 1, 1995·Heart & Lung : the Journal of Critical Care·C D Warner
Nov 1, 1995·Heart & Lung : the Journal of Critical Care·S J DempseyD K Moser

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Citations

May 25, 2001·Critical Care Medicine·A L RosenbergC M Watts
Jan 8, 2011·Journal of Evaluation in Clinical Practice·Annemie VlayenNeree Claes
Apr 14, 2016·Critical Care Medicine·Mohammed J Al-JaghbeerJeremy M Kahn

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