Unplanned Readmission to Surgical Intensive Care Unit In Zagazig University Hospitals: Prevalence And Risk Factors

Document Type : Original Article

Authors

1 Anethesia and Surgical Intensive care ,Faculty of Medicine, Zagazig University

2 Anesthesia and surgical intensive care, faculty of medicine, zagazig university, zagazig, Egypt

3 anesthesia and surgical intensive care, fculty of medicine, zagazig universiy, Al Sharkya, Egypt

4 Anesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University

Abstract

Abstract
Background :
Unplanned readmissions to the intensive care unit (ICU) are extremely unwelcome, increasing discrepancy in care, making resource design problematic and potentially growing length of stay and death. This study aimed at identifying the prevalence and risk factors associated with unplanned readmission to Surgical ICU in Zagazig University Hospitals.
Method:
This prospective study was done on 102 patients admitted to surgical ICU, Zagazig University Hospitals then patients were discharged and followed up for possible unplanned readmission again. All patients underwent history taking, clinical examination and laboratory studies.
Results:
102 patients were enrolled, out of them 16 patients were readmitted again to the ICU. Patients with congestive heart failure and cancer were associated with high readmission as well as patients who were discharged at nighttime or weekend discharge were statistically significant associated with readmission. Patients with. High APACHE II score, high leuocytic count, high creatinine, high bilirubin, high C-reactive protein (CRP) and low platelets count on day of discharge were risk factors statistically significant associated with readmission.


Conclusion:
Prevalence of unplanned readmission to surgical ICU ZUH was 15.7%. Risk factors associated with ICU readmission are high APACHE II score on admission, presence of CHF or cancer, development of sepsis during ICU stay and high CRP on day of discharge
Keywords: Unplanned Readmission; risk; prevalence; surgical ICU

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