Yıl: 2022 Cilt: 20 Sayı: 2 Sayfa Aralığı: 93 - 101 Metin Dili: İngilizce DOI: 10.4274/tybd.galenos.2021.09709 İndeks Tarihi: 11-10-2022

A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units

Öz:
Objective: Intensive care unit (ICU) readmission is a common and unwanted situation. Mortality rates, length of stay in ICU and treatment expenses are also higher in readmitted patients. This study aimed to examine the hospital/ICU readmission rates and risk factors among patients discharged from the ICU. Materials and Methods: Patients older than 18 years who were hospitalised in the ICU between January 1, 2012 and October 31, 2016 and were re-admitted to the hospital/ICU within 30 days after discharge were retrospectively analysed. Results: A total of 510 patients met the inclusion criteria, of whom 91 (17.84%) patients were readmitted to the ICU. The average age was higher (p=0.002) among the readmitted patients. The acute physiology and chronic health evaluation-II and sequential organ failure assessment scores at admission and discharge, stability and workload index for transfer (SWIFT) scores at discharge and comorbid disease rates were higher among readmitted patients (p<0.05 for all). Patients discharged with mechanical ventilation support had higher readmission rates (p=0.041). In our risk analysis model, factors that increased the risk of readmission were identified as age [odds ratio (OR), 1.02; 95% confidence interval (CI), 1.01-1.03] and presence of renal disease (OR, 5.72; 95% CI, 2.81-11.65) among patient-related reasons. Conclusion: High acute physiology and chronic health evaluation and SWIFT scores during discharge as well as presence of comorbidities can predict hospital/ICU readmission.
Anahtar Kelime:

Yoğun Bakımdan Taburcu Edilen Hastaların Yoğun Bakıma ve Hastaneye Yeniden Başvurularının Geriye Dönük İncelenmesi

Öz:
Amaç: Yoğun bakım ünitesine (YBÜ) yeniden başvuru yaygın ve istenmeyen bir durumdur. Mortalite oranları, YBÜ’de kalış süresi ve tedavi giderleri yeniden yatırılan hastalarda daha yüksektir. Bu çalışmada, YBÜ’den taburcu edilen hastalarda hastane/YBÜ’ye yeniden başvuru oranlarının ve buna neden olan risk faktörlerinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: 1 Ocak 2012 ve 31 Ekim 2016 tarihleri arasında YBÜ’de yatmış ve taburculuk sonrası hastaneye/YBÜ’ye 30 gün içinde yeniden başvuran 18 yaşından büyük hastalar üzerinde retrospektif bir analiz yapıldı. Bulgular: Toplam 510 hasta çalışmaya dahil edildi. Bunların 91’i (%17,84) YBÜ’ye yeniden başvurdu. YBÜ’ye ilk başvuru ve taburculuk sırasında hesaplanan akut fizyoloji ve kronik sağlık değerlendirmesi-II ve sıralı organ yetmezliği değerlendirmesi skorları ile taburculuk sırasında hesaplanan stabilite ve iş yükü indeksi (SWIFT) skoru ve komorbid hastalık oranları yeniden başvuran hastalarda daha yüksekti (p<0,05). Yeniden başvuran hastaların yaş ortalaması daha yüksekti (p=0,002). Mekanik ventilasyon desteği ile taburcu edilen hastaların tekrar başvuru oranı daha yüksekti (p=0,041). Risk analizi modelimizde yaş [olasılık oranı (OR), 1,02; %95 güven aralığı (CI), 1,01-1,03] ve böbrek hastalığı varlığı (OR, 5,72; %95 CI, 2,81-11,65) yeniden yatış riskini artıran faktörler olarak belirlendi. Sonuç: Taburculuk sırasında hesaplanan yüksek akut fizyolojik skorlar ile SWIFT skoru ve komorbid hastalıkların varlığı hastaneye/YBÜ’ye yeniden yatışı öngörebilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ulusaloglu c, ceylan i, Kelebek Girgin N, Kahveci F, ISCIMEN R (2022). A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units. , 93 - 101. 10.4274/tybd.galenos.2021.09709
Chicago ulusaloglu ceyda,ceylan ilkay,Kelebek Girgin Nermin,Kahveci Ferda Sohret,ISCIMEN REMZI A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units. (2022): 93 - 101. 10.4274/tybd.galenos.2021.09709
MLA ulusaloglu ceyda,ceylan ilkay,Kelebek Girgin Nermin,Kahveci Ferda Sohret,ISCIMEN REMZI A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units. , 2022, ss.93 - 101. 10.4274/tybd.galenos.2021.09709
AMA ulusaloglu c,ceylan i,Kelebek Girgin N,Kahveci F,ISCIMEN R A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units. . 2022; 93 - 101. 10.4274/tybd.galenos.2021.09709
Vancouver ulusaloglu c,ceylan i,Kelebek Girgin N,Kahveci F,ISCIMEN R A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units. . 2022; 93 - 101. 10.4274/tybd.galenos.2021.09709
IEEE ulusaloglu c,ceylan i,Kelebek Girgin N,Kahveci F,ISCIMEN R "A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units." , ss.93 - 101, 2022. 10.4274/tybd.galenos.2021.09709
ISNAD ulusaloglu, ceyda vd. "A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units". (2022), 93-101. https://doi.org/10.4274/tybd.galenos.2021.09709
APA ulusaloglu c, ceylan i, Kelebek Girgin N, Kahveci F, ISCIMEN R (2022). A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units. Türk Yoğun Bakım Dergisi, 20(2), 93 - 101. 10.4274/tybd.galenos.2021.09709
Chicago ulusaloglu ceyda,ceylan ilkay,Kelebek Girgin Nermin,Kahveci Ferda Sohret,ISCIMEN REMZI A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units. Türk Yoğun Bakım Dergisi 20, no.2 (2022): 93 - 101. 10.4274/tybd.galenos.2021.09709
MLA ulusaloglu ceyda,ceylan ilkay,Kelebek Girgin Nermin,Kahveci Ferda Sohret,ISCIMEN REMZI A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units. Türk Yoğun Bakım Dergisi, vol.20, no.2, 2022, ss.93 - 101. 10.4274/tybd.galenos.2021.09709
AMA ulusaloglu c,ceylan i,Kelebek Girgin N,Kahveci F,ISCIMEN R A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units. Türk Yoğun Bakım Dergisi. 2022; 20(2): 93 - 101. 10.4274/tybd.galenos.2021.09709
Vancouver ulusaloglu c,ceylan i,Kelebek Girgin N,Kahveci F,ISCIMEN R A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units. Türk Yoğun Bakım Dergisi. 2022; 20(2): 93 - 101. 10.4274/tybd.galenos.2021.09709
IEEE ulusaloglu c,ceylan i,Kelebek Girgin N,Kahveci F,ISCIMEN R "A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units." Türk Yoğun Bakım Dergisi, 20, ss.93 - 101, 2022. 10.4274/tybd.galenos.2021.09709
ISNAD ulusaloglu, ceyda vd. "A Retrospective Analysis of Causes for Readmission to Hospital and Intensive Care Unit in Patients Discharged from Intensive Care Units". Türk Yoğun Bakım Dergisi 20/2 (2022), 93-101. https://doi.org/10.4274/tybd.galenos.2021.09709