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)
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
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
title_full_unstemmed 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
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
Artigo Original
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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)
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instname_str Universidade Federal do Ceará (UFC)
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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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