Readmission to the Cardiac Surgery Intensive Care Unit

Magoon, Rohan; Jose, Jes

doi:10.1053/j.jvca.2021.11.024

Cited by 1 publication

(10 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence of ICU readmission in cardiac surgical patients within the course of the index hospitalization ranges from 2 to 8% based on the existing relevant literature. 4 5 6 7 8 9 10 11 12 13 14 15 ICU readmission entails a protracted length of stay in the hospital and consequent unfavorable clinical outcomes. The in-hospital mortality rates are to the remarkable tune of 11 to 24% for the readmitted patient cohort.…”

Section: Readmission As An Event Is “ Far From Benign”mentioning

confidence: 99%

“…The causes for ICU readmission in cardiac surgical subset outlined by the various independent research groups have been summarized in Table 1 . 4 5 6 7 8 9 10 11 12 13 14 15 The majority of the ICU readmissions result owing to the underlying respiratory and cardiac reasons. Postoperative pneumonia (hospital-acquired/aspiration), pleural–effusion, poor ventilatory reserve, etc., leading to hypoxemia and respiratory failure necessitating reintubation and mechanical ventilation, account for the major cause of readmission.…”

Section: Icu Readmission: Causes and Risk Factorsmentioning

confidence: 99%

“…13 The need for reoperative interventions, sepsis, and other morbid organ outcomes also contributes to the overall ICU readmission burden ( Table 1 ). 4 5 6 7 8 9 10 11 12 13 14 15…”

Section: Icu Readmission: Causes and Risk Factorsmentioning

confidence: 99%

“…5 Table 2 enlists the various preoperative patient-related, operative, and the primary ICU stay postoperative factors identified as the ICU readmission risk predictors across the existing cardiac surgical literature. 4 5 6 7 8 9 10 11 12 13 14 15…”

Section: Icu Readmission: Causes and Risk Factorsmentioning

confidence: 99%

“…1 2 3 As we embrace the ever-growing opportunities to fast-track following cardiac surgery, there is a concurrent need to holistically assess the research landscape of a closely related and equally (if, not more) important phenomenon of intensive care unit (ICU) readmission in cardiac surgical subset following a primary discharge. 4 5 6 7 8 9 10 11 12 13 14 15…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

ICU Readmission in Cardiac Surgical Subset: A Problem Worth Pondering

Kalaiselvan

Kashav

Kohli

et al. 2022

Journal of Cardiac Critical Care TSS

Self Cite

View full text Add to dashboard Cite

Over the past decades, there have been noteworthy advancements in the cardiac surgical practice that have assisted fast-tracking and enhanced recovery after cardiac surgery (ERACS). With that said, intensive care unit (ICU) readmission in this high-risk patient cohort entails a significant morbidity–mortality burden. As an extension of the same, there has been a heightened emphasis on a comprehensive evaluation of the predisposition to readmission following a primary ICU discharge. However, the variability of the institutional perioperative practices and the research complexities compound our understanding of this heterogeneous outcome of readmission, which is intricately linked to both patient and organizational factors. Moreover, a discussion on ICU readmission in the recent times can only be rendered comprehensive when staged in close conjunction to the fast-tracking practices in cardiac surgery. From a more positive probing of the matter, a preventative outlook can likely mitigate a part of the larger problem of ICU readmission. Herein, focused cardiac prehabilitation programs can play a potential role given the emerging literature on the positive impact of the former on the most relevant readmission causes. Therefore, the index review article aims to address the subject of cardiac surgical ICU readmission, highlighting the magnitude and burden, the causes and risk-factors, and the research complexities alongside deliberating the topic in the present-day context of ERACS and cardiac prehabilitation.

show abstract

Section: Readmission As An Event Is “ Far From Benign”mentioning

confidence: 99%

Section: Icu Readmission: Causes and Risk Factorsmentioning

confidence: 99%

“…13 The need for reoperative interventions, sepsis, and other morbid organ outcomes also contributes to the overall ICU readmission burden ( Table 1 ). 4 5 6 7 8 9 10 11 12 13 14 15…”

Section: Icu Readmission: Causes and Risk Factorsmentioning

confidence: 99%