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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação de Medicina Intensiva Brasileira -
AMIB
2016
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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. |
format | Online Article Text |
id | pubmed-4828089 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Associação de Medicina Intensiva Brasileira -
AMIB |
record_format | MEDLINE/PubMed |
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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