Yonsei Med J.  2004 Apr;45(2):193-198.

Discharge Decision-Making by Intensivists on Readmission to the Intensive Care Unit

Affiliations
  • 1Department of Anesthesiology and Critical Care Medicine, and Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea. sokoh@yumc.yonsei.ac.kr

Abstract

Patients readmitted to the intensive care unit (ICU) have a significantly higher mortality rate. The role of intensivists in judging when to discharge patients from the ICU is very important. We undertook this study to evaluate the effect of the intensivists' discharge decision-making on readmission to ICU. The intensivists actively participated in the discharge decision-making, with the discharge guideline taken into consideration, in respect of group 1 patients, but not in respect of group 2. The readmission rate in group 1 was lower than that in group 2. The readmission in patients in each group was associated with higher mortality rates and longer lengths of stay at the ICU. Respiratory failure was the major cause of readmission. In the non-survivors out of the readmitted patients, the Acute Physiology and Chronic Health Evaluation (APACHE) III scores on the initial discharge and readmission, the multiple organ dysfunction syndrome (MODS) scores on the initial admission, discharge and readmission were higher than the corresponding indices in the survivors. We conclude that the readmission rate was lower when intensivists participated in the discharge decision-making, and that APACHE III and MODS scores on the first discharge and readmission were significant prognostic factors in respect of the readmitted patients.

Keyword

APACHE III score; discharge decision-making; intensive care unit; intensivist; multiple organ dysfunction syndrome score; readmission; respiratory complications

MeSH Terms

APACHE
Acute Disease/*mortality/therapy
Adult
Aged
Decision Making
Female
Human
Intensive Care Units/*statistics & numerical data
Male
Middle Aged
*Patient Discharge
Patient Readmission/*statistics & numerical data
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