Abstract

Early discharge from intensive care unit (ICU) may constitute a strategy of resource consumption optimization; however, unplanned readmission of hospitalized patients to an ICU is associated with a worse outcome.

Highlights

  • Early discharge from intensive care unit (ICU) may constitute a strategy of resource consumption optimization; unplanned readmission of hospitalized patients to an ICU is associated with a worse outcome

  • All adult patients admitted to the ICU for more than 24 hours from January 2008 to December 2009 were evaluated

  • SWIFT, SOFA and TISS-28 scores were calculated on the day of discharge from ICU

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Summary

Introduction

Discharge from intensive care unit (ICU) may constitute a strategy of resource consumption optimization; unplanned readmission of hospitalized patients to an ICU is associated with a worse outcome. SOFA (P = 0.01) and TISS-28 (P < 0.001) constituted predictors of unplanned ICU readmission or unexpected death. SWIFT, SOFA and TISS-28 scores showed similar predictive accuracy (AUC 0.65, 0.65 and 0.67, respectively, P = 0.58)

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