亲爱的研友该休息了!由于当前在线用户较少,发布求助请尽量完整地填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!身体可是革命的本钱,早点休息,好梦!

Predictors of Early and Late Unplanned Intensive Care Unit Readmission: A Retrospective Cohort Study

医学 重症监护室 回顾性队列研究 急诊医学 优势比 机械通风 病历 置信区间 逻辑回归 队列 队列研究 重症监护医学 内科学
作者
Youn‐Jung Son,Gi-Ock Kim,Yun Mi Lee,Minkyung Oh,JiYeon Choi
出处
期刊:Journal of Nursing Scholarship [Wiley]
卷期号:53 (4): 400-407 被引量:2
标识
DOI:10.1111/jnu.12657
摘要

Abstract Purpose Intensive care unit (ICU) readmission is considered one of the major quality indicators of critical care. Reducing ICU readmission can improve patients’ outcomes and optimize health resources, but there are limited data on the predictors of unplanned ICU readmission. This study aimed to identify the risk factors associated with unplanned ICU readmission within 48 hr (early) and after 48 hr (late) from ICU discharge. Design Retrospective cohort study. Methods Data were collected from patients’ electronic medical records in a 24‐bed medical ICU at a tertiary academic medical center in Busan, South Korea. Among all the patients admitted to the medical ICU ( n = 1,033) between January 2015 and December 2017, 739 eligible patients were analyzed. A multivariable multinomial logistic regression model was conducted to identify predictors of ICU readmission. Findings Out of the 739 patients analyzed, 66 (8.9%) were readmitted to the medical ICU: 13 (1.8%) as early readmission and 53 (7.1%) as late readmission. Two significant predictors were identified for early readmission: ICU admission from the ward (odds ratio [ OR ] = 4.14; 95% confidence interval [CI] 1.25, 13.67) and mechanical ventilation support >14 days ( OR = 13.25; 95% CI 1.78, 98.89). For late ICU admission, there were four risk factors: ICU admission from the ward ( OR = 2.69; 95% CI 1.44, 5.05), tracheostomy placement ( OR = 3.58; 95% CI 1.49, 8.59), mechanical ventilation support >14 days ( OR = 4.77; 95% CI 1.67, 13.63), and continuous renal replacement therapy ( OR = 4.57; 95% CI 2.42, 8.63). Conclusions To prevent unplanned ICU readmission in patients at high risk, it is necessary to investigate further the role of clinical judgment and communication within the ICU clinical team and institutional‐level support regarding ICU readmission events. Clinical Relevance Both ICU nurses and nurses in post‐ICU settings should be aware of the potential risk factors associated with early and late ICU readmission. Predictors and readmission strategies may be different for early and late readmissions. Prospective multicenter studies are needed to examine how these factors influence post‐ICU outcomes.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
13秒前
小张完成签到 ,获得积分10
18秒前
可耐的冰萍完成签到,获得积分10
25秒前
充电宝应助干净涵梅采纳,获得10
36秒前
38秒前
41秒前
44秒前
45秒前
李李发布了新的文献求助10
51秒前
科研通AI5应助李李采纳,获得10
58秒前
爱笑的毛衣完成签到,获得积分10
1分钟前
太叔丹翠完成签到 ,获得积分10
1分钟前
沉默白猫完成签到 ,获得积分10
1分钟前
1分钟前
sowhat完成签到 ,获得积分10
1分钟前
孙老师完成签到 ,获得积分10
1分钟前
盛事不朽完成签到 ,获得积分10
1分钟前
1分钟前
科研通AI2S应助科研通管家采纳,获得10
1分钟前
FashionBoy应助科研通管家采纳,获得10
1分钟前
羞涩的傲菡完成签到,获得积分10
1分钟前
1分钟前
Hung发布了新的文献求助10
1分钟前
1分钟前
Lyncon完成签到,获得积分10
1分钟前
Milton_z完成签到 ,获得积分0
1分钟前
Hung完成签到,获得积分10
1分钟前
tingyeh完成签到,获得积分10
2分钟前
2分钟前
两个我完成签到 ,获得积分10
2分钟前
2分钟前
2分钟前
2分钟前
务实书包完成签到,获得积分10
2分钟前
2分钟前
2分钟前
3分钟前
英姑应助科研通管家采纳,获得10
3分钟前
打打应助科研通管家采纳,获得10
3分钟前
3分钟前
高分求助中
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3990049
求助须知:如何正确求助?哪些是违规求助? 3532108
关于积分的说明 11256354
捐赠科研通 3270976
什么是DOI,文献DOI怎么找? 1805166
邀请新用户注册赠送积分活动 882270
科研通“疑难数据库(出版商)”最低求助积分说明 809228