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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 230 - 235 (6page)
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초록· 키워드
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Background: Unplanned intensive care unit admission (UIA) is associated with perioperative morbidity and mortality, and can be used as a surrogate marker for patient safety. This study aimed to compare the characteristics of planned and unplanned intensive care unit (ICU) admission groups. Methods: We retrospectively reviewed the electronic medical records of adult patients admitted to the ICU after abdominal and thyroid surgery under general anesthesia between 2016 and 2017. Preoperative, intraoperative, and postoperative information of enrolled patients was recorded. We compared patients’ characteristics and outcomes between the unplanned and planned admission groups. Results: In the total cohort, the proportion of UIA was 82.8% (202/244). In the unplanned admission group, total hospital stay was significantly shorter and ICU stay longer than that in the planned admission group (19.0 and 3.0 days, respectively vs. 28.5 and 2.0 days, respectively). In-hospital mortality rates were 21.3% and 7.1% in the unplanned and planned groups, respectively (P = 0.055). Patients in the UIA group showed higher Acute Physiology And Chronic Health Evaluation II scores, higher American Society of Anesthesiologist physical status class, and more co-morbidities than those in the planned group. There were significant differences in the incidence of UIA among surgery types. Conclusions: The UIA group had a relatively high mortality rate and longer ICU stay. More critically ill patients tended to be admitted to the ICU without planning.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Goldman R / 1989 / Development of a Veterans Administration occurrence screening program / QRB Qual Rev Bull 15:315~319
Brennan TA / 1991 / Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I / N Engl J Med 324:370~376
Haller G / 2005 / Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients / Anesthesiology 103:1121~1129
Quinn TD / 2017 / Analysis of unplanned postoperative admissions to the intensive care unit / J Intensive Care Med 32:436~443
Frost SA / 2009 / Unplanned admission to intensive care after emergency hospitalisation : risk factors and development of a nomogram for individualising risk / Resuscitation 80:224~230
Brennan TA / 1991 / Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I / N Engl J Med 324:370~376
Haller G / 2005 / Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients / Anesthesiology 103:1121~1129
Quinn TD / 2017 / Analysis of unplanned postoperative admissions to the intensive care unit / J Intensive Care Med 32:436~443
Frost SA / 2009 / Unplanned admission to intensive care after emergency hospitalisation : risk factors and development of a nomogram for individualising risk / Resuscitation 80:224~230
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