ON GDC-0449 Vismodegib position. ICU readmission during the same stay . Readmission shortly after leaving the intensive care unit as early dismissal. Revivals are a worsening of the patient’s disease progression, the collaboration Ts h Her hospital and associated with poor prognosis. The purpose of this study was to investigate the characteristics of the patients resumed stay intensive care unit (ICU in the same hours Pital describe. METHODS. Prospective cohort study of all patients (n 604 received consecutive in June 2005 to June. In 2006 in a mixed ICU with 18 beds University of th is information collected demographics, admission diagnosis, APACHE II and SOFA score at admission and from the ICU, TISS score at 24h, 72h and laughed sst ICU, the results are: L length of ICU and hospital stay, ventilator days, and ICU and hospital mortality results in a .
. the study period, 604 patients were admitted to the ICU was their average age 61 17 years and APACHE II was 18.5 9th Forty-one patients (6 , 78% required hemodialysis ICU readmission, 31 service, seven operating rooms, GSK1904529A two from H and another from an intensive care unit. Patients were classified on admission clinics (83% and postoperative (17%. patients, readmission to the ICU had more comorbidities (3.2 vs. 0.8 2.3 1.0, p 0.07. There were no differences in age (63 vs 16 years 61 years 17, APACHE II (19.8 vs. 18.3 7 , 3 9.1, Glasgow Coma Scale (12.9 versus 12.5 3.7 4.2, compared SOFA at admission (3.4 vs 4 3.7 3.4 17 to 24 and TISS (22.2 21.8 7.4 6 or 72 h (21.7 to 21.9 6.1 7.7. Twenty-seven patients (65.
8% have required mechanical ventilation (MV, 25 MV required invasive, non-invasive MV 1 and 1, both techniques. The duration of MV (11.6 to 13.5 days 12.1 days 9.8 and L length of stay in ICU (12 versus 13 days 21 days 10 were in both groups similar. of readmitted patients had an h heres outcome than SOFA ICU discharge (5.8 vs. 5.6 4.0 4.8, p0.028 was. average TISS to leave the intensive care unit some hours more frequently in patients resumed (19.2 to 16 , 8 8.8 9.8, p0.14. the proportion of pressure ulcers was h ago in patients re-admitted (26.8% vs. 12.2%, p0.016. Although ICU mortality was t does not vary (41.4% vs. 31.6%, the mortality tsrate in h Pital h was significantly ago in patients re-admitted (58.5% vs. 41.4%, p0.049.
CONCLUSION patients, the ICU readmission organ failure and had h higher risk for mortality t require hospital. REFERENCE (S. 1, Martin, CM, et al. characteristics and outcomes for critically ill patients with L prolonged intensive care unit. remains Crit Care Med 2005, 33:1922 1927 2. desired H, et al. hospital mortality with date and time of admission to the intensive care context. Intensive Care Med 2004, 901 30:895. Descriptive analysis and epidemiology 0531 patients, the Herk in an Intermediate Care Unit on the basis mmlicher way INDEPENDENT M. Andrade, V. Guedes, N., Dassa, A. Moraes, L. Viana, R. Outeiro Jr, S. Gomes, M. Kandelman, J. Castro, F. Costa intensive care unit, H Pital Copa D Or, Rio de Janeiro, Brazil.
INTRODUCTION Areas Intermediate Care (ICA are M opportunities to health care provides patient k can potentially critical offered by co-benefit ratio ratio ts of improving the care of intensive care units (ICU and the classical model and independent Independent CAN facilitate the use of intensive care resources. METHODS. retrospective analysis of 1090 consecutive shots from January 2007 to December 2007 to assess a 18-bed unit of the CIA. For the specific analysis of mortality t of 204 patients been excluded due to readmission. Demographic data were (age and gender, patient type, source of admission, and the group of diseases, the utilization Severity Score (SAPS II and APACHE II, respiratory parameters, the H FREQUENCY of the transfer to the ICU and Analysis of length L of stay (LOS, and mortality t were. results included. In 1090 admissions were 549 m typed and 542 female. L The mean age was 66.
5 20 years. The average APACHE II and SAPS II scores of 5.1 and 10.2 to 25.9 and 11, the average occupancy was 95%. A total of 222 patients were on ventilatory support (20.36% on the price of admission. When were stratified by disease group of 228 patients gastro-intestinal (20.8% or 155 patients (14.1% airways. total admissions were 60.7% were non-surgical and 39.3% were for business reasons. regarding the source of admission were 70.6% of ICU 10.9% of General Ward, 10, 8% of the development department, and 7.7% of the operating room was. the discharge profile 733 at General Ward (67.2%, 178 at home (16.3% and a total of 159 patients (14.6% ben taken into account to be transferred to the ICU. invasive ventilation was used in 48.4% of patients. h most frequent mode was continuous positive airway pressure (CPAP in 65.2% of patients. This means positive end-expiratory pressure (PEEP was 9,171,04 cmH2O, the average time spent on ventilatory support 7.7 7.8 days. n chtliche ventilation in 3.6% of the patients was used. The average LOS was 5, 3 6.3 days. Mortality was 1.8% intra-ICA and ICA after discharge was 9.1%. CONCLUSION. when confronted