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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Purpose : This study was performed to identify the influencing factors of unplanned intensive care unit (ICU) readmission. Methods : The study adopted a Rretrospective case control cohort design. Data were collected from the electronic medical records of 844 patients who had been discharged from the ICUs of a university hospital in Incheon from June 2014 to December 2014. Results : The study found the unplanned ICU readmission rate was to be 6.4%(n=54). From the univariate analysis revealed that, major symptoms at 1st ICU admission, severity at 1st ICU admission (CPSCS and APACHEⅡ), duration of applying ventilator application during 1st ICU admission, severity at 1st discharge from ICU (CPSCS, APACHEⅡ, and GCS), and application of FiO2 with oxygen therapy, implementation of sputum expectoration methods, and length of stay of ICU at 1st ICU discharge were appeared to be significant; further, decision tree model analysis revealed that while only 4 variables (sputum expectoration methods, length of stay of ICU, FiO2 with oxygen therapy at 1st ICU discharge, and major symptoms at 1st ICU admission) were shown to be significant. Conclusions : Since sputum expectoration method was the most important factor to predictor of unplanned ICU readmission, a assessment tool for the patients’ capability of sputum expectoration needs to should be developed and implemented, and standardized ICU discharge criteria, including the factors identified from the by empirical evidences, might should be developed to decrease the unplanned ICU readmission rate.
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참고문헌 (21)
참고문헌 신청
Anthonisen, N. R. / 2009 / Retrospective studies / Canadian Respiratory Journal 16(4):117~118
Brown, S. E. / 2012 / The epidemiology of intensive care unit readmissions in the United States / American Journal of Respiratory and Critical Care Medicine 185(9):955~964
조중범 / 2014 / 중환자실 재입실이 의미하는 것 / Allergy Asthma & Respiratory Diseases 2(2):83~84
Elliott, M. / 2006 / Readmission to intensive care: A review of the literature / Australian Critical Care 19(3):96~104
Gajic, O. / 2008 / The stability and workload index for transfer score predicts unplanned intensive care unit patient readmission:Initial development and validation / Critical Care Medicine 36(3):676~682
Brown, S. E. / 2012 / The epidemiology of intensive care unit readmissions in the United States / American Journal of Respiratory and Critical Care Medicine 185(9):955~964
조중범 / 2014 / 중환자실 재입실이 의미하는 것 / Allergy Asthma & Respiratory Diseases 2(2):83~84
Elliott, M. / 2006 / Readmission to intensive care: A review of the literature / Australian Critical Care 19(3):96~104
Gajic, O. / 2008 / The stability and workload index for transfer score predicts unplanned intensive care unit patient readmission:Initial development and validation / Critical Care Medicine 36(3):676~682
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