Presenter Information

Ashley WalterFollow

Start Date

17-8-2018 9:30 AM

Description

Background: Early unplanned readmissions to the PICU can be costly to the patient and their family, as well as the hospital. Readmissions have negative outcomes such as increased length of stay and higher morbidity and mortality rates. Determining the frequency of readmissions and the risk factors that lead to them may help plan and prevent these situations.

Objectives: The purpose of the integrative literature review was to identify the frequency of and risk factors leading to early unplanned readmission to the PICU and to determine interventions that may prevent them.

Method: An integrative literature review was completed to identify risk the frequency of and risk factors of early unplanned PICU readmissions. PubMed and CINAHL were used to gather sources.

Results: Frequency of early unplanned readmission was dependent on study site and ranged from 1.2-8% readmission rates within 48 hours of discharge from the PICU. Risk factors included: the presence of two or more complex chronic conditions, lower weight, age between 2 and 6 months, and respiratory, cardiovascular, or infectious diagnoses.

Conclusion: This review found various rates and risk factors for unplanned readmissions. Being aware of unplanned readmission rates and risk factors is important for pediatric intensive care units. By knowing the data, units can incorporate interventions to decreased unplanned readmission and thus, decrease costs, labor, and negative patient outcomes.

Keywords: pediatric; hospital readmission; intensive care units; child

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Aug 17th, 9:30 AM

Risk Factors and Frequency of Unplanned Readmissions to the PICU

Background: Early unplanned readmissions to the PICU can be costly to the patient and their family, as well as the hospital. Readmissions have negative outcomes such as increased length of stay and higher morbidity and mortality rates. Determining the frequency of readmissions and the risk factors that lead to them may help plan and prevent these situations.

Objectives: The purpose of the integrative literature review was to identify the frequency of and risk factors leading to early unplanned readmission to the PICU and to determine interventions that may prevent them.

Method: An integrative literature review was completed to identify risk the frequency of and risk factors of early unplanned PICU readmissions. PubMed and CINAHL were used to gather sources.

Results: Frequency of early unplanned readmission was dependent on study site and ranged from 1.2-8% readmission rates within 48 hours of discharge from the PICU. Risk factors included: the presence of two or more complex chronic conditions, lower weight, age between 2 and 6 months, and respiratory, cardiovascular, or infectious diagnoses.

Conclusion: This review found various rates and risk factors for unplanned readmissions. Being aware of unplanned readmission rates and risk factors is important for pediatric intensive care units. By knowing the data, units can incorporate interventions to decreased unplanned readmission and thus, decrease costs, labor, and negative patient outcomes.

Keywords: pediatric; hospital readmission; intensive care units; child

 

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