Why the study?
Does admission to an ICU with a high readmission rate affect case-mix-adjusted hospital mortality and length of stay in ICU patients?
Population
263,082 first ICU admissions that were alive at ICU discharge and candidates for readmission, from 105 ICUs…
Comparison
Admission to an ICU with a high readmission rate vs Admission to an ICU with a moderate or low…
Design
Cohort
Follow-up
Until hospital discharge
Authors
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ICU readmission rates should not guide quality assessment without case-mix adjustment; leaves open their value as unadjusted benchmarks in observational data.
Does admission to an ICU with a high readmission rate affect case-mix-adjusted hospital mortality and length of stay in ICU patients?
ICU readmission rates are not associated with case-mix-adjusted mortality or length of stay, suggesting that readmission rate alone is a poor quality measure without adequate case-mix adjustment.
Kramer et al. (2012) studied this question.
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