Unplanned Readmission to Surgical Intensive Care Unit In Zagazig University Hospitals: Prevalence And Risk Factors
Mansour, M., Gafaar, T., Elsayed, K., Mowafy, S. (2022). Unplanned Readmission to Surgical Intensive Care Unit In Zagazig University Hospitals: Prevalence And Risk Factors. EKB Journal Management System, 28(4), 637-643. doi: 10.21608/zumj.2019.17776.1571
Mohammad Ashour Mansour; Tarek Yousef Gafaar; Khaled Mohammed Elsayed; Sherif Mohammad Said Mowafy. "Unplanned Readmission to Surgical Intensive Care Unit In Zagazig University Hospitals: Prevalence And Risk Factors". EKB Journal Management System, 28, 4, 2022, 637-643. doi: 10.21608/zumj.2019.17776.1571
Mansour, M., Gafaar, T., Elsayed, K., Mowafy, S. (2022). 'Unplanned Readmission to Surgical Intensive Care Unit In Zagazig University Hospitals: Prevalence And Risk Factors', EKB Journal Management System, 28(4), pp. 637-643. doi: 10.21608/zumj.2019.17776.1571
Mansour, M., Gafaar, T., Elsayed, K., Mowafy, S. Unplanned Readmission to Surgical Intensive Care Unit In Zagazig University Hospitals: Prevalence And Risk Factors. EKB Journal Management System, 2022; 28(4): 637-643. doi: 10.21608/zumj.2019.17776.1571

Unplanned Readmission to Surgical Intensive Care Unit In Zagazig University Hospitals: Prevalence And Risk Factors

Zagazig University Medical Journal
Article 3, Volume 28, Issue 4, July 2022, Page 637-643  XML PDF (430.8 K)
Document Type: Original Article
DOI: 10.21608/zumj.2019.17776.1571
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Authors
Mohammad Ashour Mansour email 1; Tarek Yousef Gafaar2; Khaled Mohammed Elsayed3; Sherif Mohammad Said Mowafyorcid 4
1Anethesia and Surgical Intensive care ,Faculty of Medicine, Zagazig University
2Anesthesia and surgical intensive care, faculty of medicine, zagazig university, zagazig, Egypt
3anesthesia and surgical intensive care, fculty of medicine, zagazig universiy, Al Sharkya, Egypt
4Anesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University
Abstract
Abstract
Background :
Unplanned readmissions to the intensive care unit (ICU) are extremely unwelcome, increasing discrepancy in care, making resource design problematic and potentially growing length of stay and death. This study aimed at identifying the prevalence and risk factors associated with unplanned readmission to Surgical ICU in Zagazig University Hospitals.
Method:
This prospective study was done on 102 patients admitted to surgical ICU, Zagazig University Hospitals then patients were discharged and followed up for possible unplanned readmission again. All patients underwent history taking, clinical examination and laboratory studies.
Results:
102 patients were enrolled, out of them 16 patients were readmitted again to the ICU. Patients with congestive heart failure and cancer were associated with high readmission as well as patients who were discharged at nighttime or weekend discharge were statistically significant associated with readmission. Patients with. High APACHE II score, high leuocytic count, high creatinine, high bilirubin, high C-reactive protein (CRP) and low platelets count on day of discharge were risk factors statistically significant associated with readmission.


Conclusion:
Prevalence of unplanned readmission to surgical ICU ZUH was 15.7%. Risk factors associated with ICU readmission are high APACHE II score on admission, presence of CHF or cancer, development of sepsis during ICU stay and high CRP on day of discharge
Keywords: Unplanned Readmission; risk; prevalence; surgical ICU
Keywords
Unplanned Readmission; Risk; prevalence; surgical ICU
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