지원사업
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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Purpose: The aim of this study was to determine the risk factors contributed to unplanned readmission to intensive care unit (ICU) and to investigate the prediction model of unplanned readmission. Methods: We retrospectively reviewed the electronic medical records which included the data of 3,903 patients who had discharged from ICUs in a university hospital in Seoul from January 2011 to April 2012. Results: The unplanned readmission rate was 4.8% (n=186). The nine variables were significantly different between the unplanned readmission and no readmission groups: age, clinical department, length of stay at 1st ICU, operation, use of ventilator during 24 hours a day, APACHE II score at ICU admission and discharge, direct nursing care hours and Glasgow coma scale total score at 1st ICU discharge. The clinical department, length of stay at 1st ICU,operation and APACHE II score at ICU admission were the significant predictors of unplanned ICU readmission.
The predictive model's area under the curve was .802 (p<.001). Conclusion: We identified the risk factors and the prediction model associated with unplanned ICU readmission. Better patient assessment tools and knowledge about risk factors could contribute to reduce unplanned ICU readmission rate and mortality.
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참고문헌 (24)
참고문헌 신청
Alban, R. F. / 2006 / Readmission to surgical intensive care increases severity-adjusted patient mortality / Trauma 60 (5) : 1027 ~ 1031
Campbell, A. J. / 2008 / Predicting death and readmission after intensive care discharge / British Journal of Anaesthesia 100 (5) : 656 ~ 662
Chaboyer, W. / 2004 / The intensive care unit liaison nurse : Towards a clear role description / Intensive and Critical Care Nursing 20 (2) : 77 ~ 86
Chen, L. M. / 1998 / Patients readmitted to the intensive care unit during the same hospitalization : Clinical features and outcomes / Critical Care Medicine 26 (11) : 1834 ~
Choi, E. Y. / 2006 / A study on the related factors of readmission to intensive care unit / 석사 / Seoul National University
Campbell, A. J. / 2008 / Predicting death and readmission after intensive care discharge / British Journal of Anaesthesia 100 (5) : 656 ~ 662
Chaboyer, W. / 2004 / The intensive care unit liaison nurse : Towards a clear role description / Intensive and Critical Care Nursing 20 (2) : 77 ~ 86
Chen, L. M. / 1998 / Patients readmitted to the intensive care unit during the same hospitalization : Clinical features and outcomes / Critical Care Medicine 26 (11) : 1834 ~
Choi, E. Y. / 2006 / A study on the related factors of readmission to intensive care unit / 석사 / Seoul National University
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