Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A model to predict short-term death or readmission after intensive care unit discharge
Journal of Critical Care, Volume 27, No. 4, Year 2012
Notification
URL copied to clipboard!
Description
Objective: Early unplanned readmission to the intensive care unit (ICU) carries a poor prognosis, and post-ICU mortality may be related, in part, to premature ICU discharge. Our objectives were to identify independent risk factors for early post-ICU readmission or death and to construct a prediction model. Design: Retrospective analysis of a prospective database was done. Setting: Four ICUs of the French Outcomerea network participated. Patients: Patients were consecutive adults with ICU stay longer than 24 hours who were discharged alive to same-hospital wards without treatment-limitation decisions. Main results: Of 5014 admitted patients, 3462 met our inclusion criteria. Age was 60.6 ± 17.6 years, and admission Simplified Acute Physiology Score II (SAPS II) was 35.1 ± 15.1. The rate of death or ICU readmission within 7 days after ICU discharge was 3.0%. Independent risk factors for this outcome were age, SAPS II at ICU admission, use of a central venous catheter in the ICU, Sepsis-related Organ Failure Assessment and Systemic Inflammatory Response Syndrome scores before ICU discharge, and discharge at night. The predictive model based on these variables showed good calibration. Compared with SAPS II at admission or Stability and Workload Index for Transfer at discharge, discrimination was better with our model (area under receiver operating characteristics curve, 0.74; 95% confidence interval, 0.68-0.79). Conclusion: Among patients without treatment-limitation decisions and discharged alive from the ICU, 3.0% died or were readmitted within 7 days. Independent risk factors were indicators of patients' severity and discharge at night. Our prediction model should be evaluated in other ICU populations. © 2012 Elsevier Inc.
Authors & Co-Authors
Ouanes, Islem
France, Paris
Groupe Hospitalier Paris Saint-joseph
Tunisia, Monastir
Chu Fattouma-bourguiba
Schwebel, Carole
France, Grenoble
Centre Hospitalier Universitaire de Grenoble
France, La Tronche
Hôpital A. Michallon Chu Grenoble
Français, Adrien
France, Paris
Inserm
France, Paris
Hopital Cochin Ap-hp
Bruel, Cédric
France, Paris
Groupe Hospitalier Paris Saint-joseph
Philippart, François
France, Paris
Groupe Hospitalier Paris Saint-joseph
France, Paris
Université Paris Cité
Vésin, Aure´lien
France, Paris
Inserm
Soufir, Lilia
France, Paris
Groupe Hospitalier Paris Saint-joseph
Adrie, Christophe
France, Paris
Université Paris Cité
France, Saint-denis
Hôpital Delafontaine
France, Paris
Hopital Cochin Ap-hp
Garrouste-Orgeas, Maïté
France, Paris
Groupe Hospitalier Paris Saint-joseph
France, Paris
Inserm
Timsit, Jéan-François Franc¸ois
France, Grenoble
Centre Hospitalier Universitaire de Grenoble
France, Paris
Inserm
France, La Tronche
Hôpital A. Michallon Chu Grenoble
Misset, Benoıˆt Y.
France, Paris
Groupe Hospitalier Paris Saint-joseph
France, Paris
Université Paris Cité
Moine, Pierre
United States, Denver
Surgical Icu
Azoulay, Elie
France, Paris
Hôpital Saint-louis
Cohen, Yves
France, Bobigny
Hopital Avicenne
Zahar, Jean Ralph
France, Paris
Hôpital Necker Enfants Malades
Benali, Adel
France, Paris
Groupe Hospitalier Paris Saint-joseph
Clec'H, Christophe
France, Bobigny
Hopital Avicenne
Carlet, Jean M.
France, Paris
Groupe Hospitalier Paris Saint-joseph
Chevret, Sylvie
France, Paris
Hôpital Saint-louis
Alberti, Corinne
France, Strasbourg
Biostatistics Department
Debré, Robert
Unknown Affiliation
Anselme, Sylvain
France, Paris
Inserm
Tafflet, Muriel
Unknown Affiliation
Lecorre, Frederik
Unknown Affiliation
Nakache, Didier
France, Paris
Conservatoire National Des Arts et Metiers
Allaouchiche, Bernard
France, Lyon
Hopital Edouard Herriot
Bornstain, Caroline
France
Hôpital de Montfermeil
Boyer, Alexandre
France, Bordeaux
Groupe Hospitalier Pellegrin
Caubel, Antoine
France, Paris
Groupe Hospitalier Paris Saint-joseph
Dinh-Xuan, Anh Tuan
France, Paris
Hopital Cochin Ap-hp
Cheval, Christine
France, Paris
Groupe Hospitalier Paris Saint-joseph
Colin, Jean Pierre
France, Dourdan
Hôpital de Dourdan
Dumenil, Anne Sylvie
France, Clamart
Hopital Antoine Beclere
Descorps-Déclère, Adrien
France, Clamart
Hopital Antoine Beclere
Fosse, Jean Philippe
France, Bobigny
Hopital Avicenne
Jamali, Samir
France, Dourdan
Hôpital de Dourdan
Laplace, Christian
France, Le Kremlin-bicetre
Hopital de Bicetre
Lazard, Thierry
France, Paris
Groupe Hôspitalier Diaconesses Croix Saint-simon
Miere, Eric Le
France, Colombes
Hopital Louis-mourier
Montésino, Laurent
France, Paris
Hôpital Bichat-claude-bernard Ap-hp
Mourvillier, Bruno H.
France, Paris
Hôpital Bichat-claude-bernard Ap-hp
Moreau, Delphine
France, Paris
Hôpital Saint-louis
Mounier, Roman
France, Colombes
Hopital Louis-mourier
Pigné, Etienne
France, Colombes
Hopital Louis-mourier
Troché, Gilles
France, Clamart
Hopital Antoine Beclere
Thuong, Marie
France, Saint-denis
Biomedicine Agency
Golgran-Toledano, Dany
France
Ch Gonesse
Vincent, François
France, Bobigny
Hopital Avicenne
Tournegros, Caroline
France
Hôpital Albert Michallon
Calvino, Silvia
France
Hôpital Albert Michallon
Ferrand, Loïc
France
Hôpital Albert Michallon
Bekhouche, Samir
France, Paris
Hôpital Saint-louis
Mellouk, Kaouttar Aid
France, Paris
Groupe Hospitalier Paris Saint-joseph
Statistics
Citations: 102
Authors: 53
Affiliations: 26
Identifiers
Doi:
10.1016/j.jcrc.2011.08.003
ISSN:
08839441
e-ISSN:
15578615
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study