PMID- 22490802
OWN - NLM
STAT- MEDLINE
DCOM- 20121231
LR  - 20120411
IS  - 0376-2491 (Print)
IS  - 0376-2491 (Linking)
VI  - 92
IP  - 4
DP  - 2012 Jan 31
TI  - [Predictors and reasons for readmission into cardiac intensive care unit].
PG  - 272-5
AB  - OBJECTIVE: To evaluate the predictors and reasons for readmission into cardiac 
      intensive care unit (ICU). METHODS: A total of 4978 patients underwent cardiac 
      surgery between January 2008 and August 2010. The perioperative risk factors for 
      readmission were analyzed by multivariate regression. And the reasons, outcomes 
      and therapy were analyzed. RESULTS: Among them, 139 patients required ICU 
      readmission. There were 80 males and 59 females with a mean age of 50.3 years 
      (range: 9 - 78). Their median length of first and second stays were 2.00 (1.00 - 
      4.00) and 3.00 (1.00 - 5.00) days respectively. The median interval from ICU 
      discharge to ICU readmission was 3 (2.00 - 6.75) days and the median hospital 
      stay 24.00 (16.00 - 41.25) days. Readmitted patients had a higher mortality rate 
      than those requiring no readmission (9.4% vs 0.4%, P < 0.01). The major reasons 
      for readmission were respiratory (n = 69, 49.6%) and circulatory complications (n 
      = 33, 23.7%). Multivariate analysis showed that NYHA (New York Heart Association) 
      classification (95%CI: 1.091 - 3.176, P = 0.023) and the length of initial ICU 
      stay (95%CI: 1.105 - 1.251, P < 0.01) were independent risk factors of 
      readmission. CONCLUSION: NYHA classification and the length of first ICU stay are 
      independent risk factors of readmission. Respiratory complications are the most 
      common reasons for readmission.
FAU - Liu, Hua
AU  - Liu H
AD  - Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai 
      200032, China.
FAU - Wang, Chun-sheng
AU  - Wang CS
FAU - Liu, Lan
AU  - Liu L
FAU - Zhuang, Ya-min
AU  - Zhuang YM
FAU - Yang, Xiao-mei
AU  - Yang XM
FAU - Zhang, Ying
AU  - Zhang Y
LA  - chi
PT  - English Abstract
PT  - Journal Article
PL  - China
TA  - Zhonghua Yi Xue Za Zhi
JT  - Zhonghua yi xue za zhi
JID - 7511141
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Cardiac Surgical Procedures
MH  - Child
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - *Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - *Patient Readmission
MH  - Postoperative Period
MH  - Risk Factors
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2012/04/12 06:00
MHDA- 2013/01/01 06:00
CRDT- 2012/04/12 06:00
PHST- 2012/04/12 06:00 [entrez]
PHST- 2012/04/12 06:00 [pubmed]
PHST- 2013/01/01 06:00 [medline]
PST - ppublish
SO  - Zhonghua Yi Xue Za Zhi. 2012 Jan 31;92(4):272-5.