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Rev Bras Ter Intensiva · Apr 2014
Observational StudyInflammatory and perfusion markers as risk factors and predictors of critically ill patient readmission.
- Moreno Calcagnotto dos Santos, Márcio Manozzo Boniatti, Carla Silva Lincho, José Augusto Santos Pellegrini, Josi Vidart, Edison Moraes Rodrigues Filho, and Silvia Regina Rios Vieira.
- Departamento de Terapia Intensiva, Hospital Nossa Senhora da Conceição, Porto Alegre, RS, Brasil.
- Rev Bras Ter Intensiva. 2014 Apr 1; 26 (2): 130-6.
ObjectiveTo assess the performance of central venous oxygen saturation, lactate, base deficit, and C-reactive protein levels and SOFA and SWIFT scores on the day of discharge from the intensive care unit as predictors of patient readmission to the intensive care unit.MethodsThis prospective and observational study collected data from 1,360 patients who were admitted consecutively to a clinical-surgical intensive care unit from August 2011 to August 2012. The clinical characteristics and laboratory data of readmitted and non-readmitted patients after discharge from the intensive care unit were compared. Using a multivariate analysis, the risk factors independently associated with readmission were identified.ResultsThe C-reactive protein, central venous oxygen saturation, base deficit, and lactate levels and the SWIFT and SOFA scores did not correlate with the readmission of critically ill patients. Increased age and contact isolation because of multidrug-resistant organisms were identified as risk factors that were independently associated with readmission in this study group.ConclusionInflammatory and perfusion parameters were not associated with patient readmission. Increased age and contact isolation because of multidrug-resistant organisms were identified as predictors of readmission to the intensive care unit.
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