Readmission of Patients to Surgical Intensive Care Unit, Incidence, Associated Factors and Outcome at Tikur Ambessa Specialized Hospital From September 2023 to February 2024
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Date
2024-05
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Addis Ababa University
Abstract
Background:Globally, the survival of critically sick patients has improved significantly as a result of the
remarkable strides made in critical care treatment. However, the lack of and high cost of
intensive care facilities is a major concern, particularly in developing nations. ICU readmission
occurs when a patient deteriorates during the same hospitalization and needs to return to the ICU
for treatment. Although studies mostly done in developed countries show the association of ICU
readmission with poor prognosis and increased cost, the knowledge of ICU readmission
epidemiology, causes and outcome is uncertain in our country.
Objective: To determine the incidence, associated factors and outcomes of readmission to
surgical ICU at TASH from September 2023 to February 2024.
Methodology; Institutional based prospective cross sectional study was conducted from
September 1, 2023 – February 29, 2024. Data collected from patient chart will be filled into
prepared checklist. Data was checked for completeness and then imported to SPSS version 27
software for analysis. Descriptive analysis was done for continuous variables. Bivariate logistic
regression was done for each predictor variable and outcome variable. Multiple logistic
regressions were done and a statistical significance p value less than 0.05 were taken as a
determinant factor.
Results:A total of 155 patients that were transferred from ICU to ward were included in our study,
among this 12(6.5%) required readmission. The mechanical ventilator need on admission (AOR=
7.057(CI 1.668-29.850) and oxygen requirement during transfer to ward ( AOR =4.1(CI 1.004-
17.093) were main factors associated with readmission. Only 41.7% of readmitted patients were
recovered while 58.3% died.
Conclusion:In this study of surgical ICU patients, mechanical ventilation requirement on ICU admission and
oxygen requirement during transfer to ward was found to be a major risk for readmission. The
readmitted patient had poor outcome with a mortality of 58.3%. Further study is required to
identify interventions that may improve outcome.
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Keywords
SICU, readmission, Ethiopia