지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 543 - 549 (7page)
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초록· 키워드
오류제보하기
Purpose: The objectives of this study were to find factors related to medical intensivecare unit (ICU) readmission and to develop a prediction index for determining patients who are likely to be readmitted to medical ICUs. Materials and Methods: We performed a retrospective cohort study of 343 consecutive patients who were admittedto the medical ICU of a single medical center from January 1, 2008 to December31, 2012. We analyzed a broad range of patients’ characteristics on the day of admission, extubation, and discharge from the ICU. Results: Of the 343 patients discharged from the ICU alive, 33 (9.6%) were readmitted to the ICU unexpectedly. Using logistic regression analysis, the verified factors associated with increased risk of ICU readmission were male sex [odds ratio (OR) 3.17, 95% confidence interval (CI) 1.29‒8.48], history of diabetes mellitus (OR 3.03, 95% CI 1.29‒7.09), applicationof continuous renal replacement therapy during ICU stay (OR 2.78, 95% CI 0.85‒9.09), white blood cell count on the day of extubation (OR 1.13, 95% CI 1.07‒1.21), and heart rate just before ICU discharge (OR 1.03, 95% CI 1.01‒1.06). We established a prediction index for ICU readmission using the five verified risk factors (area under the curve, 0.76, 95% CI 0.66‒0.86). Conclusion: By using specificrisk factors associated with increased readmission to the ICU, a numerical index could be established as an estimation tool to predict the risk of ICU readmission.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Badawi O / 2012 / Readmissions and death after ICU discharge: development and validation of two predictive models / PLoS One 7 : e48758 ~
Campbell AJ / 2008 / Predicting death and readmission after intensive care discharge / Br J Anaesth 10 : 656 ~ 662
Capuzzo M / 2010 / Admission and discharge of critically ill patients / Curr Opin Crit Care 16 : 499 ~ 504
Chrusch CA / 2009 / High occupancy increases the risk of early death or readmission after transfer from intensive care / Crit Care Med 37 : 2753 ~ 2758
Fernandez R / 2006 / A modified McCabe score for stratification of patients after intensive care unit discharge: the Sabadell score / Crit Care 10 : R179 ~
Campbell AJ / 2008 / Predicting death and readmission after intensive care discharge / Br J Anaesth 10 : 656 ~ 662
Capuzzo M / 2010 / Admission and discharge of critically ill patients / Curr Opin Crit Care 16 : 499 ~ 504
Chrusch CA / 2009 / High occupancy increases the risk of early death or readmission after transfer from intensive care / Crit Care Med 37 : 2753 ~ 2758
Fernandez R / 2006 / A modified McCabe score for stratification of patients after intensive care unit discharge: the Sabadell score / Crit Care 10 : R179 ~
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