Patient destination after discharge from intensive care units: wards or intermediate care units? 2010

Maria Claudia Moreira da Silva, and Regina Marcia Cardoso de Sousa, and Katia Grillo Padilha
Escola de Enfermagem, Universidade de São Paulo, SP, Brazil.

This study characterizes patients hospitalized in Intensive Care Units (ICUs) of hospitals that have intermediate units (IU) regarding their demographic and clinical data and identifies factors related to discharge from these units. This prospective longitudinal study involved 600 adult patients hospitalized in general ICUs in four hospitals in São Paulo, SP, Brazil. Demographic and clinical characteristics were similar to those found in other studies addressing patients hospitalized in ICUs. Factors associated with discharge from ICU to IU were: age > or = 60 years, diseases related to the nervous, circulatory or respiratory systems, originated from the IU, and Simplified Acute Physiologic Score II (SAPS II), Logistic Organ Dysfunction (LODS) and Nursing Activities Scores (NAS) at admission and discharge from the ICU. Age and risk of death at admission in the ICU, according to SAPS II, stood out as indicators of discharge to IUs in the Multiple Logistic Regression analysis.

UI MeSH Term Description Entries
D007362 Intensive Care Units Hospital units providing continuous surveillance and care to acutely ill patients. ICU Intensive Care Units,Intensive Care Unit,Unit, Intensive Care
D007380 Intermediate Care Facilities Institutions which provide health-related care and services to individuals who do not require the degree of care which hospitals or skilled nursing facilities provide, but because of their physical or mental condition require care and services above the level of room and board. Care Facilities, Intermediate,Care Facility, Intermediate,Facilities, Intermediate Care,Facility, Intermediate Care,Intermediate Care Facility
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010351 Patient Discharge The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities. Discharge Planning,Discharge Plannings,Discharge, Patient,Discharges, Patient,Patient Discharges,Planning, Discharge,Plannings, Discharge
D010362 Patients' Rooms Rooms occupied by one or more individuals during a stay in a health facility. The concept includes aspects of environment, design, care, or economics. Private Rooms,Rooms, Patient,Semi-Private Rooms,Wards, General,General Ward,General Wards,Patient Room,Patient Rooms,Patient's Rooms,Patients Rooms,Patients' Room,Private Room,Room, Patient,Room, Patients',Room, Private,Room, Semi-Private,Rooms, Patients',Rooms, Private,Rooms, Semi-Private,Semi Private Rooms,Semi-Private Room,Ward, General
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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