Akademik Veri Yönetim Sistemi
Bağcılar Tıp Bülteni, cilt.4, sa.1, ss.10-15, 2019 (Hakemli Dergi)
Objective: Nearly %10 of the discharged patients are readmittedto intensive care unit (ICU) at the same hospital stay. Reduction ofreadmission rates could be used as a hospital performance indicator. Ouraim is to analyse the reasons and results of readmissions of patients whowere discharged to a general ward from ICU in a two-year period.Method: Readmissions of the patients who had been treated in our ICUbetween the dates of 01.01.2015-31.12.2016 were analysed retrospectively.Demographic characteristics of patients, readmission rates, initialadmission indications and comorbidities, distribution of readmissionindications, timing of readmission after discharge, distribution of patientsin terms of mechanical ventilation need, discharge time of readmittedpatients at initial admission to ICU after weaning, readmission mortalityrates, Glasgow Coma Scale (GCS), APACHE-II and SOFA scoresof patients at initial admission and readmission were analysed andcompared.Results: 59 patients (3.55%) are readmitted to ICU after dischargeat the same hospital stay. When examining the departments wherethe readmitted patients came from, it is seen that 19 patients (32.2%)were readmitted to ICU from department of general surgery. 22 ofreadmissions (37.29%) occurred within first 48 hours after discharge.The most common reasons of readmissions are for postoperativemonitoring after revisional surgery (44.07%) and acute respiratoryfailure (40.68%).Conclusion: The patients who are discharged from ICU are at a high riskof being readmitted to ICU (35). Readmission to ICU is associated withhigher mortality risk than the initial admission. The first step of reducing the rates of readmission to ICU process is to anticipate the patients whowould be readmitted to ICU priorly and improve service wards healthcarequality.