1. Retrospective Analysis of Reasons for Early Readmission to the Intensive Care Unit.
- Author
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Sari, Ahmet and Sözüer, Esra Karatay
- Subjects
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PATIENT readmissions , *INTENSIVE care units , *CARDIAC intensive care , *ADULT respiratory distress syndrome , *HOSPITAL admission & discharge , *MEDICAL ethics committees - Abstract
Objectives: Readmission to intensive care unit (ICU) is associated with longer hospital stays, higher mortality, and increased health-care costs. In addition to the highly subjective nature of ICU discharge decisions, constraints in clinical resources and insufficient beds to admit all ICU patients may result in some patients being discharged from the ICU prematurely and readmitted. Methods: After obtaining approval from the local ethics committee of our hospital for our study, the files of ICU patients in 2019 and 2020 were retrospectively studied and data collected. Results: In 2020, the ICU bed rate was 43 (6.9%), 21 (3.4%) higher than in 2019. A total of 57 patients were readmitted per year. The readmission rate in 2019 was 40 (70.2%), 17 (29.8%) statistically significantly higher than in 2020. In 2019, mortality rate in readmitted patients (47.5%) was statistically significantly higher than ICU mortality rate (31.5%). No significant difference was found in 2020. Although mortality rates in readmissions in both years were higher than normal ICU mortality rate, there was no statistical difference between them. The most common reason for readmission in both years was acute respiratory failure and the most frequent readmissions were from general surgery and internal medicine wards. Conclusion: Overloading ICU capacity to treat critically ill patients can affect physician decision-making, leading to early discharge. Patients discharged from ICU always have the possibility for readmission. ICU readmissions are associated with much higher mortality rates than initial admission. Identifying high-risk patients and better ward care are key to reducing ICU readmission. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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