Readmission to the Intensive Care Unit: Incidence, Risk Factors, Resource Use, and Outcomes. A Retrospective Cohort Study

Annals of the American Thoracic Society
Carolina R PonzoniGuilherme P P Schettino

Abstract

Readmission to the intensive care unit (ICU) is associated with poor clinical outcomes, increased length of ICU and hospital stay, and higher costs. Nevertheless, knowledge of epidemiology of ICU readmissions, risk factors, and attributable outcomes is restricted to developed countries. To determine the effect of ICU readmissions on in-hospital mortality, determine incidence of ICU readmissions, identify predictors of ICU readmissions and hospital mortality, and compare resource use and outcomes between readmitted and nonreadmitted patients in a developing country. This retrospective single-center cohort study was conducted in a 40-bed, open medical-surgical ICU of a private, tertiary care hospital in São Paulo, Brazil. The Local Ethics Committee at Hospital Israelita Albert Einstein approved the study protocol, and the need for informed consent was waived. All consecutive adult (≥18 yr) patients admitted to the ICU between June 1, 2013 and July 1, 2015 were enrolled in this study. Comparisons were made between patients readmitted and not readmitted to the ICU. Logistic regression analyses were performed to identify predictors of ICU readmissions and hospital mortality. Out of 5,779 patients admitted to the ICU, 576 (10%) were ...Continue Reading

References

Jan 24, 2007·Critical Care Medicine·Tracy R McMillan, Robert C Hyzy
Jul 31, 2008·Critical Care Medicine·Tarik HananeBekele Afessa
Aug 30, 2008·Journal of Critical Care·Kevin B LauplandH Thomas Stelfox
Oct 2, 2009·The Thoracic and Cardiovascular Surgeon·J LitmatheU Boeken
Sep 20, 2011·Critical Care Medicine·Andrew A KramerJack E Zimmerman
Jan 28, 2012·American Journal of Respiratory and Critical Care Medicine·Sydney E S BrownScott D Halpern
Nov 3, 2012·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·T K TimmersL P H Leenen
Nov 7, 2012·Critical Care Medicine·Andrew A KramerJack E Zimmerman
May 24, 2013·Medical Care·Sydney E S BrownScott D Halpern
May 31, 2013·Critical Care : the Official Journal of the Critical Care Forum·F Shaun HoseinHenry T Stelfox
Apr 11, 2014·Critical Care Medicine·Sydney E S BrownScott D Halpern
Apr 15, 2014·Annals of the American Thoracic Society·Uchenna R OfomaChristopher J Farmer
Jul 20, 2014·Statistical Methods in Medical Research·Peter C Austin
Aug 15, 2014·Intensive Care Medicine·Dashiell GantnerDavid Pilcher
Jan 20, 2015·Critical Care Medicine·Theis Skovsgaard Itenov, Jens-Ulrik Jensen
Feb 17, 2015·Yonsei Medical Journal·Yong Suk JoYoung-Jae Cho
Dec 26, 2015·Heart & Lung : the Journal of Critical Care·Evan G WongAlicia I Arbaje
Apr 14, 2016·Critical Care Medicine·Mohammed J Al-JaghbeerJeremy M Kahn

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Citations

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Jul 16, 2019·The Journal of International Medical Research·Leandro Utino TaniguchiJosé Mauro Vieira
Mar 28, 2020·The Journal of Trauma and Acute Care Surgery·Eric H BradburnFrederick B Rogers
Jan 23, 2020·International Journal of Environmental Research and Public Health·Marek GrochlaPiotr Knapik
Dec 14, 2018·PloS One·Thiago Domingos CorrêaDanilo Teixeira Noritomi
Jul 11, 2020·American Journal of Respiratory and Critical Care Medicine·Gareth Mitchell ForsterDavid Pilcher
Jan 24, 2021·Journal of General Internal Medicine·Nirav HaribhaktiAnthony T Scardella
Mar 31, 2021·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Youn-Jung SonJiYeon Choi
Mar 17, 2020·Computers in Biology and Medicine·Melina LoretoViviane P Moreira
Sep 19, 2021·Anaesthesia Critical Care & Pain Medicine·Enora AtchadePhilippe Montravers
Jan 2, 2022·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Rob BootsDavid Oddy

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