Readmission to an intensive care unit after cardiac surgery: reasons and outcomes

Jarząbek, Radosław; Bugajski, Paweł; Greberski, Krzysztof; Błaszczyński, Jerzy; Słowińska-Jarząbek, Barbara; Kalawski, Ryszard

doi:10.5603/kp.a2014.0062

Cited by 14 publications

(11 citation statements)

References 20 publications

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“…Respiratory causes have been emphasized in many studies as the most common cause of ICU readmission [ 16 - 20 ] . In some series, cardiac causes were more pronounced [ 13 , 21 ] . In our study, the most common reason for ICU readmission was respiratory pathologies, followed by cardiac causes.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Readmissions to The Intensive Care Unit After Coronary Artery Bypass Surgery: Ten Years’ Experience

Çakalağaoğlu¹,

Selçuk²,

Erdem³

et al. 2020

Braz J Cardiovasc Surg

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Objective To evaluate the frequency, causes, and related predictive factors of intensive care unit (ICU) readmissions after coronary artery bypass grafting (CABG) surgery. Methods A total of 4112 consecutive patients who underwent on-pump CABG between January 2007 and January 2017 were retrospectively evaluated. The patients were divided into two groups as patients with and without ICU readmission. Demographic and perioperative characteristics were compared between the two groups. Results The ICU readmission rate was 3.5%. The most common reasons for ICU readmissions were respiratory (29%) and cardiac (23.4%) complications. The 90-day mortality risk was significantly higher in the readmitted patients than the non-readmitted patients (22.1% and 1.6%, respectively; P <0.001; OR=17.6; 95% CI=11.19-28.41). Severe left ventricular dysfunction, chronic obstructive pulmonary disease, end-stage renal disease, emergency CABG, EuroSCORE II > 5%, cross-clamp time > 35 minutes, postoperative respiratory complications, neurological complications, and cardiac complications showed a strong association with ICU readmissions. Conclusion ICU readmission after CABG is associated with an increased mortality rate. Evaluation, not only of patients’ comorbidities, but also of intraoperative conditions and postoperative complications, is important to identify patients at risk for ICU readmission.

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Section: Discussionmentioning

confidence: 99%

Analysis of Readmissions to The Intensive Care Unit After Coronary Artery Bypass Surgery: Ten Years’ Experience

Çakalağaoğlu¹,

Selçuk²,

Erdem³

et al. 2020

Braz J Cardiovasc Surg

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“…Six articles (9,(11)(12)(13)(14)(15) compared the length of hospital stay between patients readmitted to the ICU and patients not readmitted to the ICU. There was heterogeneity between the articles (I 2 =99.7%, P<0.001).…”

Section: Length Of Hospital Staymentioning

confidence: 99%

Incidence of readmission to the ICU after cardiac surgery: a systematic review and meta-analysis

Lv¹,

Meng²,

Yu³

et al. 2022

J Thorac Dis

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Background: Due to the complexity of cardiac surgery, almost all patients need to be admitted to the intensive care unit (ICU) for postoperative care after surgery. After being discharged from the ICU, some patients need to be readmitted due to disease deterioration during hospitalization. We conducted a metaanalysis of the literature to investigate the incidence of readmission to the ICU in patients undergoing cardiac surgery. Methods:The PubMed, Medline, and Elsevier databases were searched using the keywords "cardiac surgery," "readmission," "intensive care unit," and "ICU" to retrieve English-language articles published from January 2000 to January 2021. The articles were screened, and their quality was evaluated. A meta-analysis was performed on the outcomes of patients after readmission to the ICU using Stata16.0 software.Results: Ultimately, 9 articles were included in the meta-analysis, comprising 32,825 cardiac surgery cases, of whom 1,302 were readmitted to the ICU. The incidence of readmission to the ICU was 3.97%.Among the direct reasons for readmission to the ICU, respiratory failure accounted for 13.6-48.6%, while hemodynamic instability accounted for 21.6-51.9%. The results of the meta-analysis showed that the mortality rate of patients readmitted to the ICU was significantly higher than that of patients not readmitted to the ICU [risk difference (RD) =8.05, 95% confidence interval (CI): 5.10-12.69, Z=8.965; P<0.0001],as was the length of hospital stay [standard mean difference (SMD) =3.17, 95% CI: 1.40-4.94, Z=3.504; P<0.001], and the incidence of complications (odds ratio =1.97, 95% CI: 1.35-2.87, Z=3.507; P<0.001).Discussion: Nine articles were included in this meta-analysis on the incidence rate of readmission to the ICU of patients undergoing cardiac surgery. The results showed that the proportion of readmission to the ICU was 3.97%. Patients readmitted to the ICU had a higher rate of complications, longer hospital stay, and higher mortality rate than those not readmitted.

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“…In the health field, DRSA has been mainly used as a tool to discover knowledge from data, e.g., to identify metabolites involved in disease pathogenesis [41] or to identify which factors predispose patients to return to intensive care units after cardiac surgery [42]. VDA has been mainly used as a diagnostic tool in the neuropsychology and neurologic disease domains (e.g., [43,44]).…”

Section: Dominance-based Approachesmentioning

confidence: 99%

Beyond Value Function Methods in MCDA for Health Care

Diaby

Dias

2017

Multi-Criteria Decision Analysis to Support Healthcare Decisions

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In health care decision-making, the predominance of some value function multi-criteria decision analysis (MCDA) methods may obscure the existence and potential usefulness of alternative MCDA methods. The current chapter provides an introduction to alternative value function and non-value function methods. The alternative value function methods presented are approaches based on multi-attribute value theory (MAVT): measuring attractiveness by a categorical based evaluation technique (MACBETH), Variable Interdependent Parameters (VIP) Analysis, and Stochastic Multicriteria Acceptability Analysis (SMAA). Non-value function methods described include goal-programming models, the dominance-based rough set approach and outranking models. The chapter also reviews their use in health to date and ends with concluding remarks.

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Readmission to an intensive care unit after cardiac surgery: reasons and outcomes

Cited by 14 publications

References 20 publications

Analysis of Readmissions to The Intensive Care Unit After Coronary Artery Bypass Surgery: Ten Years’ Experience

Analysis of Readmissions to The Intensive Care Unit After Coronary Artery Bypass Surgery: Ten Years’ Experience

Incidence of readmission to the ICU after cardiac surgery: a systematic review and meta-analysis

Beyond Value Function Methods in MCDA for Health Care

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