Readmissions to Intensive Care: A Prospective Multicenter Study in Australia and New Zealand
John D Santamaria, Graeme J Duke, David V Pitcher, D James Cooper, John Moran, Rinaldo Bellomo
CRITICAL CARE MEDICINE | LIPPINCOTT WILLIAMS & WILKINS | Published : 2017
OBJECTIVES: To determine factors independently associated with readmission to ICU and the independent association of readmission with subsequent mortality. DESIGN: Prospective multicenter observational study. SETTING: Forty ICUs in Australia and New Zealand. PATIENTS: Consecutive adult patients discharged alive from ICU to hospital wards between September 2009 and February 2010. INTERVENTIONS: Measurement of hospital mortality. MEASUREMENTS AND MAIN RESULTS: We studied 10,210 patients and 674 readmissions. The median age was 63 years (interquartile range, 49-74), and 6,224 (61%) were male. The majority of readmissions were unplanned (84.1%) but only deemed preventable in a minority (8.9%) of..View full abstract
Supported, in part, by grants from the Intensive Care Foundation of Australia and the Australian and New Zealand College of Anesthetists Foundation. This study was endorsed by the ANZICS Clinical Trials Group. Neither funder had input to the design nor conduct of the study, the collection or management or analysis or interpretation of the data, and no involvement with preparation or review or approval of the article.Dr. Santamaria disclosed other support (employed by St Vincent's Hospital Melbourne as intensive care specialist) and received support for article research from the Intensive Care Foundation (Australia, Australian and New Zealand Intensive Care [ANZIC]) and Australian and New Zealand College of Anaesthetists (ANZCA) Foundation. His institution received funding from the Intensive Care Foundation and ANZCA Foundation. Dr. Bellomo received support for article research from the ANZIC ICU Foundation. The remaining authors have disclosed that they do not have any potential conflicts of interest.