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  • Predictors of adverse events in patients after discharge from the intensive care unit

    Author(s)
    Chaboyer, Wendy
    Thalib, Lukman
    Foster, Michelle
    Ball, Carol
    Richards, Brent
    Griffith University Author(s)
    Chaboyer, Wendy
    Year published
    2008
    Metadata
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    Abstract
    Patients discharged from the intensive care unit may be at risk of adverse events because of complex care needs. OBJECTIVE: To identify the types, frequency, and predictors of adverse events that occur in the 72 hours after discharge from an intensive care unit when no evidence of adverse events was apparent before discharge. METHODS: A predictive cohort study of 300 patients from an adult intensive care unit was undertaken. An internationally accepted protocol for chart audit was used. Frequency of adverse events was calculated, and logistic regression was used to determine independent predictors of adverse events. RESULTS: ...
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    Patients discharged from the intensive care unit may be at risk of adverse events because of complex care needs. OBJECTIVE: To identify the types, frequency, and predictors of adverse events that occur in the 72 hours after discharge from an intensive care unit when no evidence of adverse events was apparent before discharge. METHODS: A predictive cohort study of 300 patients from an adult intensive care unit was undertaken. An internationally accepted protocol for chart audit was used. Frequency of adverse events was calculated, and logistic regression was used to determine independent predictors of adverse events. RESULTS: A total of 147 adverse events, 17 (11.6%) of which were defined as major, were incurred by 92 patients (30.7%). The 3 most common adverse events, hospital-incurred infection or sepsis (n = 32, 21.8%), hospital-incurred accident or injury (n = 17, 11.6%), and other complication such as deep vein thrombosis, pulmonary edema, or myocardial infarction (n = 17, 11.6%) accounted for 44.9% (n = 66) of all adverse events. Two predictors, respiratory rate less than 10/min or greater than or equal to 25/min and pulse rate exceeding 110/min, were significant independent predictors; requiring a high level of nursing care at the time of discharge was a significant predictor in univariate analysis but not in multivariate analysis. CONCLUSION: Taking, recording, and reporting vital signs are important. Nursing care requirements of patients at discharge from the intensive care unit may be worthy of further investigation in studies of patients after discharge.
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    Journal Title
    American Journal of Critical Care
    Volume
    17
    Issue
    3
    Publisher URI
    https://aacnjournals.org/ajcconline/article-abstract/17/3/255/694/Predictors-of-Adverse-Events-in-Patients-After?redirectedFrom=fulltext
    Copyright Statement
    © 2008 American Association of Critical-Care Nurses (AACN). Self-archiving of the author-manuscript version is not yet supported by this publisher. Please refer to the journal link for access to the definitive, published version or contact the authors for more information.
    Subject
    Nursing
    Publication URI
    http://hdl.handle.net/10072/22460
    Collection
    • Journal articles

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