大韩民国重症监护室非计划再入院创伤患者的相关因素。

IF 1.7 Q3 CRITICAL CARE MEDICINE
Acute and Critical Care Pub Date : 2024-11-01 Epub Date: 2024-11-22 DOI:10.4266/acc.2024.00584
Yongwoong Lee, Byung Hee Kang
{"title":"大韩民国重症监护室非计划再入院创伤患者的相关因素。","authors":"Yongwoong Lee, Byung Hee Kang","doi":"10.4266/acc.2024.00584","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In trauma patients, unplanned intensive care unit (ICU) readmission (UIR) is associated with poor clinical outcomes. In this study, we aimed to analyze associated factors for UIR in trauma patients.</p><p><strong>Methods: </strong>This retrospective study was conducted on trauma patients admitted to the ICU at a trauma center from January 2016 to December 2022. Clinical information at admission, the first ICU hospitalization, first discharge from the ICU, and reasons for readmission were collected. Patients who were successfully discharge from the ICU were compared to UIR patients. Logistic regression was performed to determine the factors with a significant impact on ICU readmission.</p><p><strong>Results: </strong>Here, 5,529 patients were admitted to the ICU over 7 years, and 212 patients (3.8%) experienced UIR. Among patients who experienced UIR, 9 (4.2%) died. In the UIR patients, hospital stay (20 days [interquartile range, 13-35] vs. 45 days [28-67], P<0.001), total ICU stay (5 days [3- 11] vs. 17 days [9-35], P<0.001), and complications during the first ICU hospitalization were significantly higher. The most common reason for UIR was respiratory problem (53.8%). In multivariable analysis, cervical spine operation during the first ICU hospitalization (odds ratio, 6.56; 95% CI, 3.62-11.91; P<0.001), renal replacement therapy (RRT; 3.52, 2.06-5.99, P<0.001), and massive blood transfusion protocol (MTP; 1.74, 1.08-2.81, P=0.023) were most highly related with UIR.</p><p><strong>Conclusions: </strong>Because UIR patients had poor outcomes, trauma patients who underwent cervical spine operation, RRT, or MTP require monitoring in the general ward, especially for respiratory problems.</p>","PeriodicalId":44118,"journal":{"name":"Acute and Critical Care","volume":" ","pages":"583-592"},"PeriodicalIF":1.7000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617833/pdf/","citationCount":"0","resultStr":"{\"title\":\"Factors associated with unplanned intensive care unit readmission among trauma patients in Republic of Korea.\",\"authors\":\"Yongwoong Lee, Byung Hee Kang\",\"doi\":\"10.4266/acc.2024.00584\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>In trauma patients, unplanned intensive care unit (ICU) readmission (UIR) is associated with poor clinical outcomes. In this study, we aimed to analyze associated factors for UIR in trauma patients.</p><p><strong>Methods: </strong>This retrospective study was conducted on trauma patients admitted to the ICU at a trauma center from January 2016 to December 2022. Clinical information at admission, the first ICU hospitalization, first discharge from the ICU, and reasons for readmission were collected. Patients who were successfully discharge from the ICU were compared to UIR patients. Logistic regression was performed to determine the factors with a significant impact on ICU readmission.</p><p><strong>Results: </strong>Here, 5,529 patients were admitted to the ICU over 7 years, and 212 patients (3.8%) experienced UIR. Among patients who experienced UIR, 9 (4.2%) died. In the UIR patients, hospital stay (20 days [interquartile range, 13-35] vs. 45 days [28-67], P<0.001), total ICU stay (5 days [3- 11] vs. 17 days [9-35], P<0.001), and complications during the first ICU hospitalization were significantly higher. The most common reason for UIR was respiratory problem (53.8%). In multivariable analysis, cervical spine operation during the first ICU hospitalization (odds ratio, 6.56; 95% CI, 3.62-11.91; P<0.001), renal replacement therapy (RRT; 3.52, 2.06-5.99, P<0.001), and massive blood transfusion protocol (MTP; 1.74, 1.08-2.81, P=0.023) were most highly related with UIR.</p><p><strong>Conclusions: </strong>Because UIR patients had poor outcomes, trauma patients who underwent cervical spine operation, RRT, or MTP require monitoring in the general ward, especially for respiratory problems.</p>\",\"PeriodicalId\":44118,\"journal\":{\"name\":\"Acute and Critical Care\",\"volume\":\" \",\"pages\":\"583-592\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617833/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acute and Critical Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4266/acc.2024.00584\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/22 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CRITICAL CARE MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acute and Critical Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4266/acc.2024.00584","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/22 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
引用次数: 0

摘要

背景:在创伤患者中,非计划的重症监护室(ICU)再入院(UIR)与不良的临床预后有关。在这项研究中,我们旨在分析造成创伤患者再次入院的相关因素:这项回顾性研究针对的是 2016 年 1 月至 2022 年 12 月在一家创伤中心重症监护室住院的创伤患者。研究收集了患者入院时的临床信息、首次入住重症监护室、首次从重症监护室出院以及再次入院的原因。成功从重症监护室出院的患者与UIR患者进行了比较。通过逻辑回归确定对重症监护室再入院有显著影响的因素:7年间,共有5529名患者入住重症监护室,其中212名患者(3.8%)出现了UIR。在发生 UIR 的患者中,有 9 人(4.2%)死亡。UIR患者的住院时间(20天[四分位数间距,13-35]对45天[28-67],PConclusions:由于UIR患者的预后较差,因此接受颈椎手术、RRT或MTP的外伤患者需要在普通病房接受监测,尤其是呼吸系统问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with unplanned intensive care unit readmission among trauma patients in Republic of Korea.

Background: In trauma patients, unplanned intensive care unit (ICU) readmission (UIR) is associated with poor clinical outcomes. In this study, we aimed to analyze associated factors for UIR in trauma patients.

Methods: This retrospective study was conducted on trauma patients admitted to the ICU at a trauma center from January 2016 to December 2022. Clinical information at admission, the first ICU hospitalization, first discharge from the ICU, and reasons for readmission were collected. Patients who were successfully discharge from the ICU were compared to UIR patients. Logistic regression was performed to determine the factors with a significant impact on ICU readmission.

Results: Here, 5,529 patients were admitted to the ICU over 7 years, and 212 patients (3.8%) experienced UIR. Among patients who experienced UIR, 9 (4.2%) died. In the UIR patients, hospital stay (20 days [interquartile range, 13-35] vs. 45 days [28-67], P<0.001), total ICU stay (5 days [3- 11] vs. 17 days [9-35], P<0.001), and complications during the first ICU hospitalization were significantly higher. The most common reason for UIR was respiratory problem (53.8%). In multivariable analysis, cervical spine operation during the first ICU hospitalization (odds ratio, 6.56; 95% CI, 3.62-11.91; P<0.001), renal replacement therapy (RRT; 3.52, 2.06-5.99, P<0.001), and massive blood transfusion protocol (MTP; 1.74, 1.08-2.81, P=0.023) were most highly related with UIR.

Conclusions: Because UIR patients had poor outcomes, trauma patients who underwent cervical spine operation, RRT, or MTP require monitoring in the general ward, especially for respiratory problems.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Acute and Critical Care
Acute and Critical Care CRITICAL CARE MEDICINE-
CiteScore
2.80
自引率
11.10%
发文量
87
审稿时长
12 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信