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

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Title Predictors of adverse events in patients after discharge from the intensive care unit
Author Chaboyer, Wendy; Thalib, Lukman; Foster, Michelle; Ball, Carol; Richards, Brent
Journal Name American Journal of Critical Care
Year Published 2008
Place of publication United States
Publisher American Association of Crtical Care Nurses
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: 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.
Peer Reviewed Yes
Published Yes
Publisher URI http://ajcc.aacnjournals.org/
Copyright Statement Copyright 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.
Volume 17
Issue Number 3
Page from 255
Page to 263
ISSN 1062-3264
Date Accessioned 2009-03-05
Language en_AU
Research Centre Griffith Health Institute; Centre for Health Practice Innovation
Faculty Griffith Health Faculty
Subject PRE2009-Clinical Nursing: Secondary (Acute Care)
URI http://hdl.handle.net/10072/22460
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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