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Critical care medicine · Sep 2024
Association Between Inability to Stand at ICU Discharge and Readmission: A Historical Cohort Study.
- Marc Brosseau, Jason Shahin, Eddy Fan, Andre Amaral, and Han Ting Wang.
- Department of Medicine, Pulmonary and Critical Care Medicine Divisions, Hôpital Maisonneuve-Rosemont, Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Est de l'île de Montréal, Université de Montréal, Montréal, QC, Canada.
- Crit. Care Med. 2024 Sep 18.
ObjectivesThe aim of this study was to determine if being unable to stand at ICU discharge was associated with an increased probability of ICU readmission.DesignA multicenter retrospective cohort study was conducted using the Toronto Intensive Care Observational Registry (iCORE) project.SettingNine tertiary academic ICUs in Toronto, Canada, affiliated with the University of Toronto.PatientsAll patients admitted to ICUs participating in iCORE from September 2014 to January 2020 were included. Patients had to be mechanically ventilated for more than 4 hours to be included in iCORE. Exclusion criteria were death during the initial ICU stay, transfer to another institution not included in iCORE at ICU discharge, and a short ICU stay defined as less than 2 days.InterventionsNone.Measurements And Main ResultsThe main exposure in this study was the inability of the patient to stand at ICU discharge, documented daily in the database within the ICU Mobility Scale. The primary outcome of this study was readmission to the ICU. After adjusting for potential confounders, being unable to stand at ICU discharge was associated with increased odds of readmission (odds ratio, 1.85; 95% CI, 1.31-2.62; p < 0.001).ConclusionsIn patients with an ICU stay of 2 days or more, being unable to stand at ICU discharge is associated with increased odds of readmission to the ICU.Copyright © 2024 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
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