Factors associated with readmissions to an adult intensive care unit at a university hospital

Rev Rene

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Title Factors associated with readmissions to an adult intensive care unit at a university hospital
Fatores associados às reinternações na unidade de terapia intensiva para adultos de hospital universitário
 
Creator Lopes, Daniele
Fernandes, Luciana Magnani
Alves, Débora Cristina Ignácio
Tonini, Nelsi Salete
Oliveira, João Lucas Campos de
 
Subject Patient Readmission; Intensive Care Units; Quality Indicators, Health Care; Length of Stay; Risk Factors.
Readmissão do Paciente; Unidades de Terapia Intensiva; Indicadores de Qualidade em Assistência à Saúde; Tempo de Internação; Fatores de Risco.
 
Description Objective: to verify the rate and factors associated with readmissions in the Intensive Care Unit. Methods: a documentary study, carried out with a sample (n=441) of medical records of adult patients admitted to the Intensive Care Unit of a university hospital. The descriptive and inferential statistical analysis was applied, using Pearson’s correlation, the chi-square test, and the t-student test, at a 5% confidence level. Results: most were men (66.2%), with 52.8±18.5 years of age and hospital stay of 10.2±10.8 days. Of these, 29 (6.5%) were readmitted. Death was similar (p=0.893) between readmitted (31.0%) and not readmitted (29.8%). There was no significant correlation between the readmission outcome and age, Nursing Activities Score and time on mechanical ventilation. By comparison, the hospital stay, and extubation were significantly longer (p<0.05) among those readmitted. Conclusion: the rate of readmission was slightly low. Only extubation time was negatively and significantly correlated with the readmission outcome.
Objetivo: verificar a taxa e fatores associados à reinternação na Unidade de Terapia Intensiva em hospital universitário. Métodos: estudo documental. Foi realizado com amostra (n=441) de prontuários de pacientes adultos internados na Unidade de Terapia Intensiva de hospital universitário. Aplicou-se análise estatística descritiva e inferencial, por meio de correlação de Person, teste qui-quadrado e t-student, em nível e significância de 5%. Resultados: eram homens (66,2%), com 52,8 ±18,5 anos de idade e tempo de internação de 10,2 ±10,8 dias. Destes, 29 (6,5%) foram reinternados. O óbito foi equânime (p-valor=0,893) entre reinternados (31%) e não reinternados (29,8%). Não houve correlação significativa pelo desfecho reinternação e idade, pontuação do Nursing Activities Score e tempo de ventilação mecânica. Por comparação, o tempo de internação e de extubação foram significativamente maiores (p-valor<0,05) entre reinternados. Conclusão: a taxa de reinternação foi discretamente baixa.  Apenas tempo de extubação foi correlacionado negativa e significativamente ao desfecho reinternação.
 
Publisher Universidade Federal do Ceará
 
Date 2020-07-17
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Original
 
Format application/pdf
application/pdf
 
Identifier http://periodicos.ufc.br/rene/article/view/43724
10.15253/2175-6783.20202143724
 
Source Rev Rene; Vol 21 (2020): Rev Rene; e43724
Rev Rene; v. 21 (2020): Rev Rene; e43724
2175-6783
1517-3852
 
Language por
eng
 
Relation http://periodicos.ufc.br/rene/article/view/43724/161800
http://periodicos.ufc.br/rene/article/view/43724/161801
 
Rights Copyright (c) 2020 Rev Rene
https://creativecommons.org/licenses/by/4.0
 

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