Factors associated with readmissions to an adult intensive care unit at a university hospital
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
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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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 Artigo Original |
format |
article |
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|| |
_version_ |
1822180316912025600 |
dc.identifier.doi.none.fl_str_mv |
10.15253/2175-6783.20202143724 |