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Open AccessArticle

Readmissions to General ICUs in a Geographic Area of Poland Are Seemingly Associated with Better Outcomes

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Department of Anaesthesiology, Intensive Therapy and Emergency Medicine, Silesian Centre for Heart Diseases, Medical University of Silesia, 41-800 Zabrze, Poland
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Department of Science, Education and New Medical Technologies, Silesian Centre for Heart Diseases, 41-800 Zabrze, Poland
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(2), 565; https://doi.org/10.3390/ijerph17020565
Received: 22 November 2019 / Revised: 7 January 2020 / Accepted: 9 January 2020 / Published: 16 January 2020
Background: Various factors can contribute to high mortality rates in intensive care units (ICUs). Here, we intended to define a population of patients readmitted to general ICUs in Poland and to identify independent predictors of ICU readmission. Methods: Data derived from adult ICU admissions from the Silesian region of Poland were analyzed. First-time ICU readmissions (≤30 days from ICU discharge after index admissions) were compared with first-time ICU admissions. Pre-admission and admission variables that independently influenced the need for ICU readmission were identified. Results: Among the 21,495 ICU admissions, 839 were first-time readmissions (3.9%). Patients readmitted to the ICU had lower mean APACHE II (21.2 ± 8.0 vs. 23.2 ± 8.8, p < 0.001) and TISS-28 scores (33.7 ± 7.4 vs. 35.2 ± 7.8, p < 0.001) in the initial 24 h following ICU admission, compared to first-time admissions. ICU readmissions were associated with lower mortality vs. first-time admissions (39.2% vs. 44.3%, p = 0.004). Independent predictors for ICU readmission included the admission from a surgical ward (among admission sources), chronic respiratory failure, cachexia, previous stroke, chronic neurological diseases (among co-morbidities), and multiple trauma or infection (among primary reasons for ICU admission). Conclusions: High mortality associated with first-time ICU admissions is associated with a lower mortality rate during ICU readmissions. View Full-Text
Keywords: ICU; admission; readmission; mortality ICU; admission; readmission; mortality
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Grochla, M.; Saucha, W.; Ciesla, D.; Knapik, P. Readmissions to General ICUs in a Geographic Area of Poland Are Seemingly Associated with Better Outcomes. Int. J. Environ. Res. Public Health 2020, 17, 565.

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