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

Detalhes bibliográficos
Autor(a) principal: Lopes, Daniele
Data de Publicação: 2020
Outros Autores: Fernandes, Luciana Magnani, Alves, Débora Cristina Ignácio, Tonini, Nelsi Salete, Oliveira, João Lucas Campos de
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Rev Rene (Online)
DOI: 10.15253/2175-6783.20202143724
Texto Completo: http://periodicos.ufc.br/rene/article/view/43724
Resumo: 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.
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spelling Factors associated with readmissions to an adult intensive care unit at a university hospitalFatores associados às reinternações na unidade de terapia intensiva para adultos de hospital universitárioPatient 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.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.Universidade Federal do Ceará2020-07-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Originalapplication/pdfapplication/pdfhttp://periodicos.ufc.br/rene/article/view/4372410.15253/2175-6783.20202143724Rev Rene; Vol 21 (2020): Rev Rene; e43724Rev Rene; v. 21 (2020): Rev Rene; e437242175-67831517-3852reponame:Rev Rene (Online)instname:Universidade Federal do Ceará (UFC)instacron:UFCporenghttp://periodicos.ufc.br/rene/article/view/43724/161800http://periodicos.ufc.br/rene/article/view/43724/161801Copyright (c) 2020 Rev Renehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLopes, DanieleFernandes, Luciana Magnani Alves, Débora Cristina Ignácio Tonini, Nelsi SaleteOliveira, João Lucas Campos de2021-05-11T16:45:42Zoai:periodicos.ufc:article/43724Revistahttp://periodicos.ufc.br/renePUBhttp://periodicos.ufc.br/rene/oairene@ufc.br||2175-67831517-3852opendoar:2021-05-11T16:45:42Rev Rene (Online) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv 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
title Factors associated with readmissions to an adult intensive care unit at a university hospital
spellingShingle Factors associated with readmissions to an adult intensive care unit at a university hospital
Factors associated with readmissions to an adult intensive care unit at a university hospital
Lopes, Daniele
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.
Lopes, Daniele
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.
title_short Factors associated with readmissions to an adult intensive care unit at a university hospital
title_full Factors associated with readmissions to an adult intensive care unit at a university hospital
title_fullStr Factors associated with readmissions to an adult intensive care unit at a university hospital
Factors associated with readmissions to an adult intensive care unit at a university hospital
title_full_unstemmed Factors associated with readmissions to an adult intensive care unit at a university hospital
Factors associated with readmissions to an adult intensive care unit at a university hospital
title_sort Factors associated with readmissions to an adult intensive care unit at a university hospital
author Lopes, Daniele
author_facet Lopes, Daniele
Lopes, Daniele
Fernandes, Luciana Magnani
Alves, Débora Cristina Ignácio
Tonini, Nelsi Salete
Oliveira, João Lucas Campos de
Fernandes, Luciana Magnani
Alves, Débora Cristina Ignácio
Tonini, Nelsi Salete
Oliveira, João Lucas Campos de
author_role author
author2 Fernandes, Luciana Magnani
Alves, Débora Cristina Ignácio
Tonini, Nelsi Salete
Oliveira, João Lucas Campos de
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Lopes, Daniele
Fernandes, Luciana Magnani
Alves, Débora Cristina Ignácio
Tonini, Nelsi Salete
Oliveira, João Lucas Campos de
dc.subject.por.fl_str_mv 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.
topic 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.
publishDate 2020
dc.date.none.fl_str_mv 2020-07-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://periodicos.ufc.br/rene/article/view/43724
10.15253/2175-6783.20202143724
url http://periodicos.ufc.br/rene/article/view/43724
identifier_str_mv 10.15253/2175-6783.20202143724
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv http://periodicos.ufc.br/rene/article/view/43724/161800
http://periodicos.ufc.br/rene/article/view/43724/161801
dc.rights.driver.fl_str_mv Copyright (c) 2020 Rev Rene
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Rev Rene
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do Ceará
publisher.none.fl_str_mv Universidade Federal do Ceará
dc.source.none.fl_str_mv Rev Rene; Vol 21 (2020): Rev Rene; e43724
Rev Rene; v. 21 (2020): Rev Rene; e43724
2175-6783
1517-3852
reponame:Rev Rene (Online)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Rev Rene (Online)
collection Rev Rene (Online)
repository.name.fl_str_mv Rev Rene (Online) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv rene@ufc.br||
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dc.identifier.doi.none.fl_str_mv 10.15253/2175-6783.20202143724