October 20, 2009Critical Care Medicine
Patient flow variability and unplanned readmissions to an intensive care unit*
Why the study?
Does high patient inflow volume to an intensive care unit increase unplanned readmissions in patients discharged from a neurosciences critical care unit?
Population
3,233 patients discharged from an adult neurosciences critical care unit to a lower level of care from…
Comparison
High patient inflow volumes vs Lower patient inflow volumes (≤8 or ≤9 admissions)
Design
Cohort
Follow-up
72 hours
Authors
Discussion
Loading...
Member takes
Implication
High daily admissions were associated with higher readmission odds after neurosciences ICU discharge; hypothesis-generating for volume-targeted policies.
Structured PICO
Does high patient inflow volume to an intensive care unit increase unplanned readmissions in patients discharged from a neurosciences critical care unit?
P
Population
3,233 patients discharged from an adult neurosciences critical care unit to a lower level of care from January 1, 2006 through November 30, 2007 at a large urban tertiary care academic medical center
I
Intervention
High patient inflow volumes (≥9 or ≥10 patients admitted to the unit on the day of discharge)
C
Comparator
Lower patient inflow volumes (≤8 or ≤9 admissions)
O
Outcome
Unplanned patient readmission to the neurosciences critical care unit within 72 hrs of discharge to a lower level of carehard clinical
High patient inflow volumes to a neurosciences intensive care unit are significantly associated with increased odds of unplanned readmissions within 72 hours of discharge.
Cite This Study
Baker et al. (2009) studied this question.