Risk factor for ICU readmission

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  • Takeda Chikashi
    Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital
  • Mima Hiroyuki
    Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital
  • Kawakami Daisuke
    Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital
  • Asaka Yoko
    Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital
  • Jin Joo Woo
    Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital
  • Ueta Hiroshi
    Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital
  • Shimozono Takahiro
    Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital
  • Yamazaki Kazuo
    Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital

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Other Title
  • ICU再入室に関する危険因子の検討

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Background: Some patients who have received treatment in the ICU may be readmitted to the ICU after being discharged. This study aimed to investigate the frequency and cause of readmission to the ICU. Methods: We retrospectively collected data for 879 patients discharged from the ICU between 2012 and 2013 and applied the following exclusion criteria: dead on discharge, age < 18 years, or insufficient data. Results: There were 36 readmissions to the ICU. A multivariate analysis revealed independent predictors of readmission: APACHE II score [OR = 1.11 per point], a minitracheostomy [15.5], main clinical department (abdominal surgery [7.34], head and neck surgery [9.03], other surgery [4.74]). Of these, 25 patients were readmitted from the adjacent high care unit (HCU). Eighteen patients were readmitted with respiratory complications. Conclusion: Patients with high APACHE II scores and those who need minitracheostomy for sputum excretion should receive more attentive evaluation before discharge from the ICU and more effective care at step-down units such as the HCU.

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