Evaluation of Readmitted Patients After Intensive Care Unit Discharge (Retrospective Study)
Journal Title: Bagcilar Medical Bulletin - Year 2019, Vol 4, Issue 1
Abstract
Objective: Nearly %10 of the discharged patients are readmitted to intensive care unit (ICU) at the same hospital stay. Reduction of readmission rates could be used as a hospital performance indicator. Our aim is to analyse the reasons and results of readmissions of patients who were discharged to a general ward from ICU in a two-year period. Method: Readmissions of the patients who had been treated in our ICU between the dates of 01.01.2015-31.12.2016 were analysed retrospectively. Demographic characteristics of patients, readmission rates, initial admission indications and comorbidities, distribution of readmission indications, timing of readmission after discharge, distribution of patients in terms of mechanical ventilation need, discharge time of readmitted patients at initial admission to ICU after weaning, readmission mortality rates, Glasgow Coma Scale (GCS), APACHE-II and SOFA scores of patients at initial admission and readmission were analysed and compared. Results: 59 patients (3.55%) are readmitted to ICU after discharge at the same hospital stay. When examining the departments where the readmitted patients came from, it is seen that 19 patients (32.2%) were readmitted to ICU from department of general surgery. 22 of readmissions (37.29%) occurred within first 48 hours after discharge. The most common reasons of readmissions are for postoperative monitoring after revisional surgery (44.07%) and acute respiratory failure (40.68%). Conclusion: The patients who are discharged from ICU are at a high risk of being readmitted to ICU (35). Readmission to ICU is associated with higher mortality risk than the initial admission. The first step of reducing the rates of readmission to ICU process is to anticipate the patients who would be readmitted to ICU priorly and improve service wards healthcare quality.
Authors and Affiliations
Pınar Öngel Çayören, Kerem Erkalp, Mehmet Salih Sevdi, Serdar Demirgan, Hüseyin Çayören, Ayşin Selcan
Keywords
Related Articles
- EP ID EP48058
- DOI 10.4274/BMB.galenos.2019.19884
- Views 257
- Downloads 0
Management with Guidance of Minimally Invasive Cardiac Output Monitoring (PiCCO®) in Coronary Artery Bypass Surgery and Postoperative Results
Objective: Our study aimed to assess the correlation between the measured PiCCO® parameters and extubation time and intensive care unit (ICU) length of stay in patients who underwent coronary artery bypass grafting (CABG...
Anesthesia Management in Robinow Syndrome (A Case Report)
Robinow Syndrome (RS) is a rare disease characterized by anomalies in the face, head, external reproductive organs, and spine segmentation. The three main symptoms of the syndrome are fetal face appearance, genital hypop...
Anesthesia Experience in a Patient with Myotonia Congenita
Myotonia congenita (MC) was first described as a skeletal muscle disorder by Thomsen in 1876. As a result of the mutation of the chloride channel gene (CLCN1), which is on the 17th chromosome, patients suffer from muscle...
Comparing The Rate of Radiological and Clinical Adjacent Segment Degeneration After Simple Anterior Cervical Discectomy Versus Discectomy Plus Fusion
Objective: To evaluate and compare the radiological changes on adjacent mobile segments and clinical findings in patients having undergone single-segment simple anterior cervical discectomy versus discectomy plus interv...
Anesthetic Management in Premature Newborn with Huge Sacrococcygeal Teratoma: A Case Report
Sacrococcygeal teratomas are the most common congenital tumors in newborns. The primary treatment is early surgical resection. However, the risks of surgical procedures and tumor morphology, as well as the challenges of...