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Admission factors associated with intensive care unit readmission in critically ill oncohematological patients: a retrospective cohort study

OBJECTIVE: The purpose of our study was to determine the admission factors associated with intensive care unit readmission among oncohematological patients. METHODS: Retrospective cohort study using an intensive care unit database from a tertiary oncological center. The participants included 1,872 c...

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Autores principales: Rodrigues, Cinthia Mendes, Pires, Ellen Maria Campos, Feliciano, Jorge Patrick Oliveira, Vieira Jr., Jose Mauro, Taniguchi, Leandro Utino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Medicina Intensiva Brasileira - AMIB 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828089/
https://www.ncbi.nlm.nih.gov/pubmed/27096674
http://dx.doi.org/10.5935/0103-507X.20160011
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author Rodrigues, Cinthia Mendes
Pires, Ellen Maria Campos
Feliciano, Jorge Patrick Oliveira
Vieira Jr., Jose Mauro
Taniguchi, Leandro Utino
author_facet Rodrigues, Cinthia Mendes
Pires, Ellen Maria Campos
Feliciano, Jorge Patrick Oliveira
Vieira Jr., Jose Mauro
Taniguchi, Leandro Utino
author_sort Rodrigues, Cinthia Mendes
collection PubMed
description OBJECTIVE: The purpose of our study was to determine the admission factors associated with intensive care unit readmission among oncohematological patients. METHODS: Retrospective cohort study using an intensive care unit database from a tertiary oncological center. The participants included 1,872 critically ill oncohematological patients who were admitted to the intensive care unit from January 2012 to December 2014 and who were subsequently discharged alive. We used univariate and multivariate analysis to identify the admission risk factors associated with later intensive care unit readmission. RESULTS: One hundred seventy-two patients (9.2% of 1,872 oncohematological patients discharged alive from the intensive care unit) were readmitted after intensive care unit discharge. The readmitted patients were sicker compared with the non-readmitted group and had higher hospital mortality (32.6% versus 3.7%, respectively; p < 0.001). In the multivariate analysis, the independent risk factors for intensive care unit readmission were male sex (OR: 1.5, 95% CI: 1.07 - 2.12; p = 0.019), emergency surgery as the admission reason (OR: 2.91, 95%CI: 1.53 - 5.54; p = 0.001), longer hospital length of stay before intensive care unit transfer (OR: 1.02, 95%CI: 1.007 - 1.035; p = 0.003), and mechanical ventilation (OR: 2.31, 95%CI: 1.57 - 3.40; p < 0.001). CONCLUSIONS: In this cohort of oncohematological patients, we identified some risk factors associated with intensive care unit readmission, most of which are not amenable to interventions. The identification of risk factors at intensive care unit discharge might be a promising approach.
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spelling pubmed-48280892016-04-13 Admission factors associated with intensive care unit readmission in critically ill oncohematological patients: a retrospective cohort study Rodrigues, Cinthia Mendes Pires, Ellen Maria Campos Feliciano, Jorge Patrick Oliveira Vieira Jr., Jose Mauro Taniguchi, Leandro Utino Rev Bras Ter Intensiva Original Article OBJECTIVE: The purpose of our study was to determine the admission factors associated with intensive care unit readmission among oncohematological patients. METHODS: Retrospective cohort study using an intensive care unit database from a tertiary oncological center. The participants included 1,872 critically ill oncohematological patients who were admitted to the intensive care unit from January 2012 to December 2014 and who were subsequently discharged alive. We used univariate and multivariate analysis to identify the admission risk factors associated with later intensive care unit readmission. RESULTS: One hundred seventy-two patients (9.2% of 1,872 oncohematological patients discharged alive from the intensive care unit) were readmitted after intensive care unit discharge. The readmitted patients were sicker compared with the non-readmitted group and had higher hospital mortality (32.6% versus 3.7%, respectively; p < 0.001). In the multivariate analysis, the independent risk factors for intensive care unit readmission were male sex (OR: 1.5, 95% CI: 1.07 - 2.12; p = 0.019), emergency surgery as the admission reason (OR: 2.91, 95%CI: 1.53 - 5.54; p = 0.001), longer hospital length of stay before intensive care unit transfer (OR: 1.02, 95%CI: 1.007 - 1.035; p = 0.003), and mechanical ventilation (OR: 2.31, 95%CI: 1.57 - 3.40; p < 0.001). CONCLUSIONS: In this cohort of oncohematological patients, we identified some risk factors associated with intensive care unit readmission, most of which are not amenable to interventions. The identification of risk factors at intensive care unit discharge might be a promising approach. Associação de Medicina Intensiva Brasileira - AMIB 2016 /pmc/articles/PMC4828089/ /pubmed/27096674 http://dx.doi.org/10.5935/0103-507X.20160011 Text en http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Rodrigues, Cinthia Mendes
Pires, Ellen Maria Campos
Feliciano, Jorge Patrick Oliveira
Vieira Jr., Jose Mauro
Taniguchi, Leandro Utino
Admission factors associated with intensive care unit readmission in critically ill oncohematological patients: a retrospective cohort study
title Admission factors associated with intensive care unit readmission in critically ill oncohematological patients: a retrospective cohort study
title_full Admission factors associated with intensive care unit readmission in critically ill oncohematological patients: a retrospective cohort study
title_fullStr Admission factors associated with intensive care unit readmission in critically ill oncohematological patients: a retrospective cohort study
title_full_unstemmed Admission factors associated with intensive care unit readmission in critically ill oncohematological patients: a retrospective cohort study
title_short Admission factors associated with intensive care unit readmission in critically ill oncohematological patients: a retrospective cohort study
title_sort admission factors associated with intensive care unit readmission in critically ill oncohematological patients: a retrospective cohort study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828089/
https://www.ncbi.nlm.nih.gov/pubmed/27096674
http://dx.doi.org/10.5935/0103-507X.20160011
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