Determining incidence of early clinical deterioration and related factors in patient after discharging from Intensive Care Unit

Objectives: Identify the incidence and related factors of early clinical deterioration in patients after discharge from intensive care unit (ICU) in the Department of Neurology and Neuro Intensive Care, VietDuc University Hospital Materials and Methods: A prospective study was conducted From January 2024 to October 2024. Clinical deterioration is identified by the presence of signs such as respiratory failure, requiring endotracheal or tracheostomy intubation, mechanical ventilation, or high-flow oxygen therapy; circulatory shock indicated by hypotension requiring vasopressors or vasoconstrictors; or transfer back to the ICU within 96 hours after discharge from the ICU Results: A total of 147 patients were included in this study, with 10.2% of patients experiencing early clinical deterioration after ICU discharge, most within the first 48 hours (83.33%). The reasons for ICU admission, plan for ICU discharges, use of vasopressors at the time of ICU discharge, NEWS, NEWS2, and HEWS scores at the time of ICU discharge were statistically significant predictors of early clinical deterioration (p < 0.05). Conclusion: Early clinical deterioration increases hospital costs and the risk of complications. Therefore, to improve patient care outcomes and prevent early clinical deterioration, training healthcare providers, especially ICU nurses, to identify high-risk patients can help reduce the incidence of early clinical deterioration after discharging patients from the ICU