Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers.

BMJ Quality & Safety
Eddie DonaghyTimothy S Walsh

Abstract

Many intensive care (ICU) survivors experience early unplanned hospital readmission, but the reasons and potential prevention strategies are poorly understood. We aimed to understand contributors to readmissions from the patient/carer perspective. This is a mixed methods study with qualitative data taking precedence. Fifty-eight ICU survivors and carers who experienced early unplanned rehospitalisation were interviewed. Thematic analysis was used to identify factors contributing to readmissions, and supplemented with questionnaire data measuring patient comorbidity and carer strain, and importance rating scales for factors that contribute to readmissions in other patient groups. Data were integrated iteratively to identify patterns, which were discussed in five focus groups with different patients/carers who also experienced readmissions. Major patterns and contexts in which unplanned early rehospitalisation occurred in ICU survivors were described. Interviews suggested 10 themes comprising patient-level and system-level issues. Integration with questionnaire data, pattern exploration and discussion at focus groups suggested two major readmission contexts. A 'complex health and psychosocial needs' context occurred in patients w...Continue Reading

References

Mar 21, 2003·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Megan Thornton, Shirley S Travis
Aug 2, 2003·Qualitative Health Research·Lioness AyresKathleen A Knafl
May 10, 2005·Journal of Clinical Epidemiology·Dianne L GrollJames G Wright
Mar 27, 2009·BMJ : British Medical Journal·Toni TanUNKNOWN Guideline Development Group
Sep 15, 2010·Critical Care Medicine·Sandra G OeyenJohan M Decruyenaere
Feb 15, 2011·Intensive Care Medicine·Lotti OrweliusFolke Sjöberg
Mar 30, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Carl van WalravenAlan J Forster
Jun 21, 2012·Critical Care : the Official Journal of the Critical Care Forum·Bronwen ConnollyNicholas Hart
Aug 17, 2012·American Journal of Respiratory and Critical Care Medicine·Theodore J Iwashyna
Oct 12, 2012·Journal of General Internal Medicine·Linda Calvillo-KingEthan A Halm
Jan 11, 2013·The New England Journal of Medicine·Harlan M Krumholz
Nov 22, 2013·BMJ : British Medical Journal·Kumar DharmarajanHarlan M Krumholz
Jan 15, 2014·Critical Care Medicine·Juliane MehlhornJochen Gensichen
Apr 5, 2014·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Vincent LiuGabriel J Escobar
Nov 8, 2014·PloS One·Claudia FischerEwout W Steyerberg
Feb 6, 2015·Critical Care Medicine·Kimberley J HainesSue Berney
Feb 6, 2015·Critical Care Medicine·Ann M ParkerDale M Needham
Feb 11, 2015·JAMA Internal Medicine·Lauren E FerranteThomas M Gill
Mar 11, 2015·Critical Care Medicine·Nathan E BrummelE Wesley Ely
Jun 23, 2015·The Cochrane Database of Systematic Reviews·Bronwen ConnollyUNKNOWN ERACIP Group
Aug 15, 2015·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Abdulkarim Yousef AldehaimStuti Dang
Jan 14, 2016·Nursing Standard
Jan 23, 2016·Critical Care : the Official Journal of the Critical Care Forum·Ilse van BeusekomMarike van der Schaaf
Jan 28, 2016·American Journal of Respiratory and Critical Care Medicine·Nazir I LoneTimothy S Walsh
Feb 27, 2016·Journal of the American College of Cardiology·Adam D DeVoreAdrian F Hernandez
Mar 10, 2016·JAMA Internal Medicine·David Atkins, Devan Kansagara
May 10, 2016·Annals of the American Thoracic Society·Jason H MaleyMark E Mikkelsen
May 12, 2016·The New England Journal of Medicine·Jill I CameronUNKNOWN Canadian Critical Care Trials Group
Aug 11, 2016·Annals of the American Thoracic Society·Erin K Kross, Catherine L Hough
Oct 27, 2016·Critical Care : the Official Journal of the Critical Care Forum·Mohamed D HashemMichelle N Eakin
Nov 23, 2016·Journal of Clinical Nursing·Susanne KeanPamela Ramsay
Sep 14, 2017·The New England Journal of Medicine·Harlan M KrumholzSharon-Lise T Normand

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Citations

Jan 18, 2019·Critical Care Medicine·Carla M Sevin, James C Jackson
Sep 17, 2019·Critical Care Medicine·Owen Boyd
May 20, 2020·Anesthesia and Analgesia·Bijan TejaMatthias Eikermann
May 20, 2020·Critical Care Explorations·Joanne McPeakeCarla M Sevin
May 28, 2019·Critical Care : the Official Journal of the Critical Care Forum·J KingB Blackwood
Mar 20, 2021·Journal of Advanced Nursing·Corinne J RijpkemaBianca M Buurman
Apr 9, 2021·Journal of Clinical Nursing·Susanne KeanSheila Rodgers
May 25, 2021·Journal of Advanced Nursing·Robin Coatsworth-PuspokyKathleen Hunter
Jun 5, 2021·European Journal of Hospital Pharmacy. Science and Practice·Richard S BourneDaniele C Bryden
Aug 16, 2021·International Journal of Nursing Studies·Kat MillwardLeanne M Aitken
Oct 6, 2021·BMJ Open·Bronwen ConnollyUNKNOWN Faculty of Intensive Care Medicine Life After Critical Illness Working Group
Jun 7, 2021·Critical Care Medicine·Kimberley J HainesUNKNOWN Society of Critical Care Medicine’s Thrive Initiative

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