Predictive Factors of Intensive Care Unit Readmission among Older Patients: A Retrospective Study.
Purpose: This study aimed to determine the rates of intensive care unit readmission and to identify the factors influencing readmission among intensive care unit patients aged≥65 years with internal medicine conditions. Methods: We retrospectively reviewed electronic medical records from a tertiary...
| Publicado en: | Korean Journal of Adult Nursing Vol. 37; no. 1; pp. 36 - 50 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Korean Society of Adult Nursing
Feb2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183309485&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183309485 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 12254886 BKLA jtl: Korean Journal of Adult Nursing issn: 12254886 maglogo: N pubinfo: dt: Feb2025 vid: 37 iid: 1 pid: 69073 pub: Korean Society of Adult Nursing artinfo: ui: 183309485 183309485 183309485 10.7475/kjan.2025.37.1.36 183309485 ppf: 36 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Predictive Factors of Intensive Care Unit Readmission among Older Patients: A Retrospective Study. aug: au: Sunhui Choi Kuem Sun Han Sung Reul Kim Hyemin Lim affil: Clinical Nurse Specialist, Medical Emergency Team, Asan Medical Center, Seoul, Korea sug: subj: Intensive Care Units Readmission Statistics and Numerical Data Risk Assessment Internal Medicine Critical Illness Therapy Critical Illness Prognosis Human Male Female Aged Aged, 80 and Over South Korea Retrospective Design Record Review Comparative Studies Nonparametric Statistics Descriptive Statistics Multiple Logistic Regression Mortality Data Analysis Software Tertiary Health Care Comorbidity Diabetes Mellitus Hyperbilirubinemia Blood Urea Nitrogen Glycated Hemoglobin Blood Kidney Function Tests Respiratory Function Tests Oxygen Hematologic Tests Liver Function Tests Creatinine Blood Sodium Blood Potassium Blood Glomerular Filtration Rate Neutrophils C-Reactive Protein Blood T-Tests Mann-Whitney U Test Fisher's Exact Test Glasgow Coma Scale Scales Critically Ill Patients Length of Stay Patient Discharge Braden Scale for Predicting Pressure Sore Risk Odds Ratio Confidence Intervals Univariate Statistics Multivariate Analysis Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: This study aimed to determine the rates of intensive care unit readmission and to identify the factors influencing readmission among intensive care unit patients aged≥65 years with internal medicine conditions. Methods: We retrospectively reviewed electronic medical records from a tertiary care hospital in Seoul, analyzing the characteristics of patients who were and were not readmitted between December 2020 and September 2022. Results: A total of 351 patients were included. The unplanned intensive care unit readmission rate was 4.8% within 7 days and 9.1% beyond 7 days after discharge. Comorbid diabetes, higher total bilirubin levels at intensive care unit admission, lower PaO2/FiO2 ratios at discharge, and elevated Blood Urea Nitrogen (BUN) levels at discharge were associated with an increased risk of readmission within 7 days. In contrast, hypertension, prolonged intensive care unit stays, and lower hemoglobin levels at discharge were associated with readmissions occurring after 7 days. Conclusion: Intensive care unit readmission among older patients is influenced by several clinical and hematological factors. Nurses should consider a patient's history of diabetes and hypertension, length of intensive care unit stay, and laboratory values-specifically total bilirubin at admission, and PaO2/FiO2 ratio, hemoglobin, and BUN levels at discharge-when making discharge decisions. These findings can inform the development of discharge guidelines. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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