To: Admission factors associated with intensive care unit readmission in critically ill oncohematological patients: a retrospective cohort study

Autor: Cinthia Mendes Rodrigues, Leandro Utino Taniguchi, Ellen Maria Campos Pires, José Mauro Vieira, Jorge Patrick Oliveira Feliciano
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
medicine.medical_specialty
Multivariate analysis
medicine.medical_treatment
Critical Illness
Psychological intervention
Critical Care and Intensive Care Medicine
Patient Readmission
law.invention
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Sex Factors
law
Risk Factors
Medicine
Humans
Hospital Mortality
Intensive care medicine
Letters to the Editor
Aged
Retrospective Studies
Mechanical ventilation
business.industry
Critically ill
030208 emergency & critical care medicine
Retrospective cohort study
General Medicine
Length of Stay
Middle Aged
Intensive care unit
Respiration
Artificial
Patient Discharge
Hospitalization
Intensive Care Units
030228 respiratory system
Hematologic Neoplasms
Cohort
Emergency medicine
Oncology service
hospital
Multivariate Analysis
Original Article
Female
business
Cohort study
Zdroj: Revista Brasileira de Terapia Intensiva
ISSN: 1982-4335
0103-507X
Popis: 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.
Databáze: OpenAIRE
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