Factors associated with increased risk of readmission to intensive care in Australia
Factors associated with increased risk of readmission to intensive care in Australia
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DOI：
10.1007/s00134-011-2318-x
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发表时间：
2011-11-01
影响因子：
38.9
通讯作者：
Duke, G.
中科院分区：
文献类型：
--
作者：
Renton, J.;Pilcher, D. V.;Duke, G.
目的：确定澳大利亚重症监护病房（ICU）再入院的流行病学、住院死亡率、趋势、患者特征和预测因素。研究方法：一项对从澳大利亚和新西兰重症监护协会成人患者数据库（ANZICS-ADP）中提取的2000-2007年38个澳大利亚ICU数据的回顾性纵向研究。分析了人口统计学、诊断、生理学和结局数据。构建多变量模型以确定ICU再入院的危险因素。检查的结果包括观察到的和风险调整后的住院死亡率。结果：共有247，103例患者从首次入住ICU时存活出院; 13，598例（5.5%）至少再入院一次。与再入院比值比大于1.05相关的变量（p
Purpose: To determine the epidemiology, in-hospital mortality, trends, patient characteristics and predictors of intensive care unit (ICU) readmission in Australia. Methods: A retrospective longitudinal study of data for 38 Australian ICUs extracted from the Australian and New Zealand Intensive Care Society Adult Patient Database (ANZICS-ADP) for the years 2000-2007. Demographic, diagnostic, physiological and outcome data were analysed. A multivariate model was constructed to identify risk factors for ICU readmission. Outcomes examined included observed and risk-adjusted in-hospital mortality. Results: A total of 247,103 patients were discharged alive from their first ICU admission; 13,598 (5.5%) were readmitted at least once. Variables associated with an odds ratio greater than 1.05 for readmission (p