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The outcomes and prognostic factors of the patients with unplanned intensive care unit readmissions

This retrospective cohort study investigated the outcomes of patients with unplanned intensive care unit (ICU) readmission. All of the patients readmitted to ICU within 48 hours between 2010 and 2016 were enrolled. A total of 99 patients early readmitted to ICU were identified and their mean age of...

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Autores principales: Lin, Wei-Ting, Chen, Wan-Ling, Chao, Chien-Ming, Lai, Chih-Cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039646/
https://www.ncbi.nlm.nih.gov/pubmed/29952954
http://dx.doi.org/10.1097/MD.0000000000011124
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author Lin, Wei-Ting
Chen, Wan-Ling
Chao, Chien-Ming
Lai, Chih-Cheng
author_facet Lin, Wei-Ting
Chen, Wan-Ling
Chao, Chien-Ming
Lai, Chih-Cheng
author_sort Lin, Wei-Ting
collection PubMed
description This retrospective cohort study investigated the outcomes of patients with unplanned intensive care unit (ICU) readmission. All of the patients readmitted to ICU within 48 hours between 2010 and 2016 were enrolled. A total of 99 patients early readmitted to ICU were identified and their mean age of the patients was 68.8 ± 14.8 years. Respiratory failure was the most common cause of ICU readmission (n = 48, 48.5%), followed by acute myocardial ischemia or worsening heart failure (n = 25, 25.3%), sepsis (n = 22, 22.2%), gastrointestinal disease (n = 16, 16.2%), and neurologic disease (n = 11, 11.1%). The median length of stay in the ICU and hospital was 7 (IQR, 4–11.5) and 32 (IQR, 15.5–48.5) days, respectively. A total of 34 patients died during the hospital stay and the rate of in-hospital mortality was 34.3%. Patients with higher APACHE II scores (adjusted odds ratio [OR], 1.17; 95% CI, 1.02–1.33), underlying malignancy (adjusted OR, 4.70; 95% CI, 1.19–18.57), and cardiovascular organ dysfunction (adjusted OR, 5.14; 95% CI, 1.24–21.38) were more likely to die. The mortality rate of ICU readmission patients was high, especially for those with higher APACHE II score, underlying malignancy and cardiovascular organ dysfunction.
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spelling pubmed-60396462018-07-16 The outcomes and prognostic factors of the patients with unplanned intensive care unit readmissions Lin, Wei-Ting Chen, Wan-Ling Chao, Chien-Ming Lai, Chih-Cheng Medicine (Baltimore) Research Article This retrospective cohort study investigated the outcomes of patients with unplanned intensive care unit (ICU) readmission. All of the patients readmitted to ICU within 48 hours between 2010 and 2016 were enrolled. A total of 99 patients early readmitted to ICU were identified and their mean age of the patients was 68.8 ± 14.8 years. Respiratory failure was the most common cause of ICU readmission (n = 48, 48.5%), followed by acute myocardial ischemia or worsening heart failure (n = 25, 25.3%), sepsis (n = 22, 22.2%), gastrointestinal disease (n = 16, 16.2%), and neurologic disease (n = 11, 11.1%). The median length of stay in the ICU and hospital was 7 (IQR, 4–11.5) and 32 (IQR, 15.5–48.5) days, respectively. A total of 34 patients died during the hospital stay and the rate of in-hospital mortality was 34.3%. Patients with higher APACHE II scores (adjusted odds ratio [OR], 1.17; 95% CI, 1.02–1.33), underlying malignancy (adjusted OR, 4.70; 95% CI, 1.19–18.57), and cardiovascular organ dysfunction (adjusted OR, 5.14; 95% CI, 1.24–21.38) were more likely to die. The mortality rate of ICU readmission patients was high, especially for those with higher APACHE II score, underlying malignancy and cardiovascular organ dysfunction. Wolters Kluwer Health 2018-06-29 /pmc/articles/PMC6039646/ /pubmed/29952954 http://dx.doi.org/10.1097/MD.0000000000011124 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Lin, Wei-Ting
Chen, Wan-Ling
Chao, Chien-Ming
Lai, Chih-Cheng
The outcomes and prognostic factors of the patients with unplanned intensive care unit readmissions
title The outcomes and prognostic factors of the patients with unplanned intensive care unit readmissions
title_full The outcomes and prognostic factors of the patients with unplanned intensive care unit readmissions
title_fullStr The outcomes and prognostic factors of the patients with unplanned intensive care unit readmissions
title_full_unstemmed The outcomes and prognostic factors of the patients with unplanned intensive care unit readmissions
title_short The outcomes and prognostic factors of the patients with unplanned intensive care unit readmissions
title_sort outcomes and prognostic factors of the patients with unplanned intensive care unit readmissions
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039646/
https://www.ncbi.nlm.nih.gov/pubmed/29952954
http://dx.doi.org/10.1097/MD.0000000000011124
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