Izvorni znanstveni članak

Causes of SICU readmission and mortality: analysis of a 6-month period

ANIKA GALUNIĆ ; University Department of Anaesthesiology, Reanimatology and Intensive Care, Clinical Hospital Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Croatia
VIŠNJA NESEK ADAM ; University Department of Anaesthesiology, Reanimatology and Intensive Care, Clinical Hospital Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Croatia
ELVIRA GRIZELJ-STOJČIĆ ; University Department of Anaesthesiology, Reanimatology and Intensive Care, Clinical Hospital Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Croatia
DINKO TONKOVIĆ ; University Department of Anaesthesiology, Reanimatology and Intensive Care, Clinical Hospital Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Croatia
ALEKSANDRA SMILJANIĆ ; University Department of Anaesthesiology, Reanimatology and Intensive Care, Clinical Hospital Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Croatia
DAGMAR OBERHOFER ; University Department of Anaesthesiology, Reanimatology and Intensive Care, Clinical Hospital Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Croatia

Sažetak

Our aim was to evaluate the causes, risk factors and mortality rates associated with unexpected readmission to surgical
intensive care unit (ICU).
We performed a retrospective analysis of all adult patients readmitted to a 10-bed Surgical Intensive Care Unit (SICU)
between 1 October 2013 and 31 March 2014. The readmission cases were collected from the hospital electronic information
system. Data collected included rates, risk factor, causes and mortality associated with unexpected readmission to
surgical ICU.
Among the 333 patients admitted to the SICU during a six month period, 22 (7%) were readmitted. The most common
reasons for readmission in our SICU were respiratory complications (27%) and cardiovascular instability (13.6%). Factors
associated with a higher risk of readmission are older age and chronic health conditions, such as arterial hypertension
(54.5%) and diabetes (40.9%). The mortality rate of SICU readmission is 22.7%.
Intensive care is a very important part of postoperative care for most patients who undergo major surgery. As found in our
study ICU readmission has been associated with a greater risk of hospital mortality and it is therefore important to identify
patients at the highest risk of readmission.

Ključne riječi

readmission; ICU; mortality

Hrčak ID:

134152

URI

https://hrcak.srce.hr/134152

Datum izdavanja:

1.6.2014.

Posjeta: 774 *