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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557

Abstract

GUTIERREZ GUTIERREZ, Luisa; GARCIA GARCIA, María Helena; GARCIA GOMEZ, Alberto  and  DIAZ GOMEZ, José Eduardo. Mortality and readmission to the intensive care unit. Rev Cub Med Mil [online]. 2014, vol.43, n.2, pp.196-205. ISSN 0138-6557.

Introduction: reentry to the ICU during hospitalization is associated with significant mortality and an increase of stay and costs, so that there is a growing interest in identifying predictors of readmission elements. Objective: to characterize reentries and mortality associated to risk factors in the Intensive Care Unit at "Dr. Carlos J. Finlay" Central Military Hospital. Methods: a descriptive, longitudinal and retrospective study was conducted from January 1st December to 31st 2008. The sample consisted of all patients readmitted within the given period. The Student t statistic for the variables such as age, hospital admission, hospital stay, hospital readmission or discharge was applied. Results: male patients over 40 years were in majority. There was 37.8 % overall mortality, mainly of deaths in clinical entities. Patients with higher admission- readmission period showed a high mortality. Respiratory sepsis was the most frequent cause of readmissions. The readmission rate was 3.31 %. Conclusion: APACHE II scale is an adequate predictor of risk of deceases in ICU. Variables with impact on mortality were age, male gender, mechanical ventilation, and the presence of clinical disease. The rate of readmissions was below the international average, which demonstrates good performance of ICU in this quality indicator.

Keywords : readmission; mortality; Intensive Care Unit.

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