Risk factors and associated outcomes of respiratory ICU readmission
Abstract Background and objectives The results of readmitted patients to the respiratory intensive care unit (ICU) are usually negative and include longer hospital and ICU stays, higher rates of morbidity and mortality. Patient variables like age, co-morbidities and disease severity may all be risk...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-05-01
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| Series: | The Egyptian Journal of Bronchology |
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| Online Access: | https://doi.org/10.1186/s43168-025-00402-5 |
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| author | Mohamed K. Hasswa Mostafa Elshazly Mai Nabil Osman Ahmed A. Tantawy |
| author_facet | Mohamed K. Hasswa Mostafa Elshazly Mai Nabil Osman Ahmed A. Tantawy |
| author_sort | Mohamed K. Hasswa |
| collection | DOAJ |
| description | Abstract Background and objectives The results of readmitted patients to the respiratory intensive care unit (ICU) are usually negative and include longer hospital and ICU stays, higher rates of morbidity and mortality. Patient variables like age, co-morbidities and disease severity may all be risk factors for ICU readmission and in-hospital death following ICU discharge. The aim of the study is to determine the impact of respiratory ICU readmission on patient outcomes and to assess the efficacy of a risk stratification tool for respiratory ICU readmissions prediction. Methods Prospective cohort study involving 107 patients who will be admitted to the respiratory intensive care unit of chest diseases department at Kasr Al Ainy hospital, Cairo University from 1st of July 2023 to the end of December 2023. During their first admission, all patients underwent a complete clinical history, clinical examination, full labs, the Sequential Organ Failure Assessment (SOFA) score and the Acute Physiology And Chronic Health Evaluation (APACHE II) score. Results Throughout the study period, 18 patients (16.8%) required readmission to the respiratory ICU. During first admission 15 out of 107 patients died (14%). 5 of the 18 patients who required readmissions died (27.8%). A statistically significant difference was observed in the incidence of diabetes mellitus (P value 0.018), the SOFA score (P value 0.009) and the APACHE II score (P value 0.014) at admission between the groups who were readmitted and those who were not. Conclusion Respiratory ICU readmissions were common and related to bad outcomes. Diabetes mellitus and higher SOFA and APACHE II scores are risk factors to readmission. |
| format | Article |
| id | doaj-art-809e3aba81da4c34b76e5ddd1b0afbdc |
| institution | DOAJ |
| issn | 2314-8551 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Bronchology |
| spelling | doaj-art-809e3aba81da4c34b76e5ddd1b0afbdc2025-08-20T02:55:21ZengSpringerOpenThe Egyptian Journal of Bronchology2314-85512025-05-011911710.1186/s43168-025-00402-5Risk factors and associated outcomes of respiratory ICU readmissionMohamed K. Hasswa0Mostafa Elshazly1Mai Nabil Osman2Ahmed A. Tantawy3Faculty of Medicine, Cairo UniversityFaculty of Medicine, Cairo UniversityFaculty of Medicine, Cairo UniversityFaculty of Medicine, Cairo UniversityAbstract Background and objectives The results of readmitted patients to the respiratory intensive care unit (ICU) are usually negative and include longer hospital and ICU stays, higher rates of morbidity and mortality. Patient variables like age, co-morbidities and disease severity may all be risk factors for ICU readmission and in-hospital death following ICU discharge. The aim of the study is to determine the impact of respiratory ICU readmission on patient outcomes and to assess the efficacy of a risk stratification tool for respiratory ICU readmissions prediction. Methods Prospective cohort study involving 107 patients who will be admitted to the respiratory intensive care unit of chest diseases department at Kasr Al Ainy hospital, Cairo University from 1st of July 2023 to the end of December 2023. During their first admission, all patients underwent a complete clinical history, clinical examination, full labs, the Sequential Organ Failure Assessment (SOFA) score and the Acute Physiology And Chronic Health Evaluation (APACHE II) score. Results Throughout the study period, 18 patients (16.8%) required readmission to the respiratory ICU. During first admission 15 out of 107 patients died (14%). 5 of the 18 patients who required readmissions died (27.8%). A statistically significant difference was observed in the incidence of diabetes mellitus (P value 0.018), the SOFA score (P value 0.009) and the APACHE II score (P value 0.014) at admission between the groups who were readmitted and those who were not. Conclusion Respiratory ICU readmissions were common and related to bad outcomes. Diabetes mellitus and higher SOFA and APACHE II scores are risk factors to readmission.https://doi.org/10.1186/s43168-025-00402-5Respiratory ICUReadmissionOutcomeAPACHE II |
| spellingShingle | Mohamed K. Hasswa Mostafa Elshazly Mai Nabil Osman Ahmed A. Tantawy Risk factors and associated outcomes of respiratory ICU readmission The Egyptian Journal of Bronchology Respiratory ICU Readmission Outcome APACHE II |
| title | Risk factors and associated outcomes of respiratory ICU readmission |
| title_full | Risk factors and associated outcomes of respiratory ICU readmission |
| title_fullStr | Risk factors and associated outcomes of respiratory ICU readmission |
| title_full_unstemmed | Risk factors and associated outcomes of respiratory ICU readmission |
| title_short | Risk factors and associated outcomes of respiratory ICU readmission |
| title_sort | risk factors and associated outcomes of respiratory icu readmission |
| topic | Respiratory ICU Readmission Outcome APACHE II |
| url | https://doi.org/10.1186/s43168-025-00402-5 |
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