The epidemiology of intensive care unit readmissions in the United States

American Journal of Respiratory and Critical Care Medicine

Volumn 185, Issue 9, 2012, Pages 955-964

  Brown, Sydney E S ^a   Ratcliffe, Sarah J ^a   Kahn, Jeremy M ^b   Halpern, Scott D ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

Author keywords

Hospital trends; ICU readmissions; Quality indicators

Indexed keywords

ADULT; AGED; ARTICLE; BLEEDING; COHORT ANALYSIS; COMMUNITY HOSPITAL; CONTROLLED STUDY; EMERGENCY SURGERY; ETHNICITY; FEMALE; HEALTH INSURANCE; HEART ARREST; HOSPITAL ADMISSION; HOSPITAL BED CAPACITY; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MALE; METABOLIC DISORDER; NEUROSURGERY; POSTOPERATIVE CARE; PRIORITY JOURNAL; RACE; RESPIRATORY ARREST; RETROSPECTIVE STUDY; SEPSIS; UNITED STATES; UNIVERSITY HOSPITAL;

AGE FACTORS; AGED; AGED, 80 AND OVER; CONTINENTAL POPULATION GROUPS; FEMALE; HOSPITALS, COMMUNITY; HOSPITALS, TEACHING; HUMANS; INTENSIVE CARE UNITS; LOGISTIC MODELS; MALE; MIDDLE AGED; ODDS RATIO; PATIENT DISCHARGE; PATIENT READMISSION; RETROSPECTIVE STUDIES; STATISTICS, NONPARAMETRIC; TIME FACTORS; UNITED STATES;

EID: 84860642289     PISSN: 1073449X     EISSN: 15354970     Source Type: Journal    
DOI: 10.1164/rccm.201109-1720OC     Document Type: Article

References (46)

1. de Vos M, Graafmans W, Keesman E, Westert G, van der Voort PH. Quality measurement at intensive care units: which indicators should we use? J Crit Care 2007;22:267-274. (Pubitemid 350251099)
2. Cooper GS, Sirio CA, Rotondi AJ, Shepardson LB, Rosenthal GE. Are readmissions to the intensive care unit a useful measure of hospital performance? Med Care 1999;37:399-408.
3. Woodhouse D, Berg M, van der Putten J, Houtepen J.Will benchmarking ICUs improve outcome? Curr Opin Crit Care 2009;15:450-455.
4. McMillan TR, Hyzy RC. Bringing quality improvement into the intensive care unit. Crit Care Med 2007;35:S59-S65. (Pubitemid 46148379)
5. Afessa B, Keegan MT, Hubmayr RD, Naessens JM, Gajic O, Long KH, Peters SG. Evaluating the performance of an institution using an intensive care unit benchmark. Mayo Clin Proc 2005;80:174-180. (Pubitemid 40194531)
6. Berenholtz SM, Dorman T, Ngo K, Pronovost PJ. Qualitative review of intensive care unit quality indicators. J Crit Care 2002;17:1-12. (Pubitemid 34538872)
7. Zimmerman JE, Alzola C, Von Rueden KT. The use of benchmarking to identify top performing critical care units: a preliminary assessment of their policies and practices. J Crit Care 2003;18:76-86. (Pubitemid 36759158)
8. Chen LM, Martin CM, Keenan SP, Sibbald WJ. Patients readmitted to the intensive care unit during the same hospitalization: clinical features and outcomes. Crit Care Med 1998;26:1834-1841. (Pubitemid 28527695)
9. Renton J, Pilcher DV, Santamaria JD, Stow P, Bailey M, Hart G, Duke G. Factors associated with increased risk of readmission to intensive care in Australia. Intensive Care Med 2011;37:1800-1808.
10. Baker DR, Pronovost PJ, Morlock LL, Geocadin RG, Holzmueller CG. Patient flow variability and unplanned readmissions to an intensive care unit. Crit Care Med 2009;37:2882-2887.
11. Society of Critical Care Medicine Quality Indicators Committee. Candidate critical care quality indicators. Anaheim, CA: Society of Critical Care Medicine; 1995.
12. Durbin CG Jr, Kopel RF. A case-control study of patients readmitted to the intensive care unit. Crit Care Med 1993;21:1547-1553. (Pubitemid 23312491)
13. Rosenberg AL, Watts C. Patients readmitted to ICUs*: a systematic review of risk factors and outcomes. Chest 2000;118:492-502. (Pubitemid 30637821)
14. Snow N, Bergin KT, Horrigan TP. Readmission of patients to the surgical intensive care unit: patient profiles and possibilities for prevention. Crit Care Med 1985;13:961-964. (Pubitemid 16229653)
15. Fernandez R, Serrano JM, Umaran I, Abizanda R, Carrillo A, Lopez- Pueyo MJ, Rascado P, Balerdi B, Suberviola B, Hernandez G. Ward mortality after ICU discharge: a multicenter validation of the Sabadell score. Intensive Care Med 2010;36:1196-1201.
16. Kaben A, Correa F, Reinhart K, Settmacher U, Gummert J, Kalff R, Sakr Y. Readmission to a surgical intensive care unit: incidence, outcome and risk factors. Crit Care 2008;12:R123.
17. Franklin C, Jackson D. Discharge decision-making in a medical ICU: characteristics of unexpected readmissions. Crit Care Med 1983;11: 61-66. (Pubitemid 13042485)
18. Baigelman W, Katz R, Geary G. Patient readmission to critical care units during the same hospitalization at a community teaching hospital. Intensive Care Med 1983;9:253-256. (Pubitemid 13045809)
19. Lee JY, Park SK, Kim HJ, Hong SB, Lim CM, Koh Y. Outcome of early intensive care unit patients readmitted in the same hospitalization. J Crit Care 2009;24:267-272.
20. Utzolino S, Kaffarnik M, Keck T, Berlet M, Hopt UT. Unplanned discharges from a surgical intensive care unit: readmissions and mortality. J Crit Care 2010;25:375-381.
21. Chan KS, Tan CK, Fang CS, Tsai CL, Hou CC, Cheng KC, Lee MC. Readmission to the intensive care unit: an indicator that reflects the potential risks of morbidity and mortality of surgical patients in the intensive care unit. Surg Today 2009;39:295-299.
22. Renton J, Pilcher DV, Santamaria JD, Stow P, Bailey M, Hart G, Duke G. Factors associated with increased risk of readmission to intensive care in Australia. Intensive Care Med 2011;37:1800-1808.
23. Brown SES, Ratcliffe SJ, Kahn JM, Halpern SD. ICU readmissions in the United States: incidence and trends [abstract]. Am J Respir Crit Care Med 2011;183:A2374.
24. Description of Project IMPACT. Accessed 2011 September 9. Available from: http://investing.businessweek.com/research/stocks/private/snapshot. asp?privcapId=24623915.
25. Levy MM, Rapoport J, Lemeshow S, Chalfin DB, Phillips G, Danis M. Association between critical care physician management and patient mortality in the intensive care unit. Ann Intern Med 2008;148:801-809. (Pubitemid 351786927)
26. Glance LG, Li Y, Osler TM, Dick A, Mukamel DB. Impact of patient volume on the mortality rate of adult intensive care unit patients. Crit Care Med 2006;34:1925-1934. (Pubitemid 43982469)
27. Cook SF, Visscher WA, Hobbs CL, Williams RL. Project IMPACT: results from a pilot validity study of a new observational database. Crit Care Med 2002;30:2765-2770. (Pubitemid 36870582)
28. Chalfin DB, Trzeciak S, Likourezos A, Baumann BM, Dellinger RP. Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med 2007;35:1477-1483. (Pubitemid 46809310)
29. Fong JJ, Kanji S, Dasta JF, Garpestad E, Devlin JW. Propofol associated with a shorter duration of mechanical ventilation than scheduled intermittent lorazepam: a database analysis using Project IMPACT. Ann Pharmacother 2007;41:1986-1991. (Pubitemid 350230566)
30. Higgins TL, Teres D, Copes WS, Nathanson BH, Stark M, Kramer AA. Assessing contemporary intensive care unit outcome: an updated mortality probability admission model (MPM0-III). Crit Care Med 2007;35:827-835. (Pubitemid 46407798)
31. Nasraway SA Jr, Albert M, Donnelly AM, Ruthazer R, Shikora SA, Saltzman E. Morbid obesity is an independent determinant of death among surgical critically ill patients. Crit Care Med 2006;34:964-970, quiz 971.
32. Nathanson BH, Higgins TL, Teres D, Copes WS, Kramer A, Stark M. A revised method to assess intensive care unit clinical performance and resource utilization. Crit Care Med 2007;35:1853-1862. (Pubitemid 47220358)
33. Taylor RW, O'Brien J, Trottier SJ, Manganaro L, Cytron M, Lesko MF, Arnzen K, Cappadoro C, Fu M, Plisco MS, et al. Red blood cell transfusions and nosocomial infections in critically ill patients. Crit Care Med 2006;34:2302-2308, quiz 2309.
34. Teres D, Rapoport J, Lemeshow S, Kim S, Akhras K. Effects of severity of illness on resource use by survivors and nonsurvivors of severe sepsis at intensive care unit admission. Crit Care Med 2002;30:2413-2419. (Pubitemid 35351856)
35. Available from: http://www.cwru.edu/med/epidbio/mphp439/Hospital-- Acquired-Infections.htm. Accessed 2011 August 19.
36. Gajic O, Malinchoc M, Comfere TB, Harris MR, Achouiti A, Yilmaz M, Schultz MJ, Hubmayr RD, Afessa B, Farmer JC. The stability and workload index for transfer score predicts unplanned intensive care unit patient readmission: initial development and validation. Crit Care Med 2008;36:676-682.
37. Ho KM, Dobb GJ, Lee KY, Finn J, Knuiman M, Webb SA. The effect of comorbidities on risk of intensive care readmission during the same hospitalization: a linked data cohort study. J Crit Care 2009;24: 101-107.
38. Brook RH, McGlynn EA, Cleary PD. Quality of health care. Part 2: measuring quality of care. N Engl J Med 1996;335:966-970. (Pubitemid 26314453)
39. Chung DA, Sharples LD, Nashef SA. A case-control analysis of readmissions to the cardiac surgical intensive care unit. Eur J Cardiothorac Surg 2002;22:282-286. (Pubitemid 34831871)
40. Kim MM, Barnato AE, Angus DC, Fleisher LA, Kahn JM. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med 2010;170:369-376.
41. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA 2002;288:2151-2162. (Pubitemid 35276516)
42. Localio AR, Berlin JA, Ten Have TR, Kimmel SE. Adjustments for center in multicenter studies: an overview. Ann Intern Med 2001;135: 112-123. (Pubitemid 32661194)
43. Fitzmaurice GM, Laird NM, Ware JH. Applied longitudinal analysis. Hoboken, NJ: John Wiley & Sons; 2004.
44. Hosmer DW, Lemeshow S. Applied logistic regression, 2nd ed. Hoboken, NJ: John Wiley & Sons; 2000.
45. Halpern SD. ICU capacity strain and the quality and allocation of critical care. Curr Opin Crit Care 2011;17:648-657.
46. Rosenberg AL, Hofer TP, Hayward RA, Strachan C, Watts CM. Who bounces back? Physiologic and other predictors of intensive care unit readmission. Crit Care Med 2001;29:511-518. (Pubitemid 32225291)