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Intensive Care Unit ICU Readmission in Patients with Cancer
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A1873 - Intensive Care Unit ICU Readmission in Patients with Cancer
Author Block: F. Hawari, L. Nazer, A. AbuSara; King Hussein Cancer Centre, Amman, Jordan.
ICU Readmission in
Patients with Cancer
Aseel K. AbuSara, Pharm.D; Lama H. Nazer, PharmD, BCPS; Feras I. Hawari, MD, FCCP;
Abstract
INTRODUCTION:
Readmission to the intensive care unit (ICU) has been linked to increased mortality and length of stay as well as increased resource utilization. Limited studies evaluated ICU readmission in cancer patients. Our objective was to describe the incidence and risk factors of ICU readmission.
METHODS: A cohort study that included all cancer patients admitted to the ICU of a comprehensive cancer center between January 2009 and December 2013. Patients who were readmitted to the ICU within 30 days from their last ICU discharge were identified and compared to patients who were treated once in the ICU during the study period. Patient characteristics, the number of admissions per patient and the time between admissions were recorded. Univariate and multivariate analysis were performed to identify factors associated with re-admission.
RESULTS: During the study period, among the 2439 patients admitted to the ICU, 313 (12.8%) patients had more than one admission, with an average of two admissions per patient, after a median of 6 days from their discharge. The most common readmission diagnoses were respiratory disease (25.1%) and sepsis (23%). Mechanical ventilation and APACHE II Score at the first admission were associated with readmission (OR 3.337; CI 2.29- 4.87) and (OR 0.957; CI 0.936- 0.979) respectively.
CONCLUSION: Re-admission rates to the ICU were associated with APACHE II scores and the need for mechanical ventilation at their first admission.
Author Block: F. Hawari, L. Nazer, A. AbuSara; King Hussein Cancer Centre, Amman, Jordan.
ICU Readmission in
Patients with Cancer
Aseel K. AbuSara, Pharm.D; Lama H. Nazer, PharmD, BCPS; Feras I. Hawari, MD, FCCP;
Abstract
INTRODUCTION:
Readmission to the intensive care unit (ICU) has been linked to increased mortality and length of stay as well as increased resource utilization. Limited studies evaluated ICU readmission in cancer patients. Our objective was to describe the incidence and risk factors of ICU readmission.
METHODS: A cohort study that included all cancer patients admitted to the ICU of a comprehensive cancer center between January 2009 and December 2013. Patients who were readmitted to the ICU within 30 days from their last ICU discharge were identified and compared to patients who were treated once in the ICU during the study period. Patient characteristics, the number of admissions per patient and the time between admissions were recorded. Univariate and multivariate analysis were performed to identify factors associated with re-admission.
RESULTS: During the study period, among the 2439 patients admitted to the ICU, 313 (12.8%) patients had more than one admission, with an average of two admissions per patient, after a median of 6 days from their discharge. The most common readmission diagnoses were respiratory disease (25.1%) and sepsis (23%). Mechanical ventilation and APACHE II Score at the first admission were associated with readmission (OR 3.337; CI 2.29- 4.87) and (OR 0.957; CI 0.936- 0.979) respectively.
CONCLUSION: Re-admission rates to the ICU were associated with APACHE II scores and the need for mechanical ventilation at their first admission.
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