Study on the current status and influencing factors of unplanned readmission to ICU for neurosurgical patients
10.3761/j.issn.0254-1769.2024.23.006
- VernacularTitle:神经外科患者非计划重返ICU发生现状及影响因素研究
- Author:
Jun WANG
1
;
Shuying LU
1
;
Yuanyuan JI
1
;
Na WANG
1
;
Mengxian OU
1
;
Naqin ZHANG
1
;
Li CUI
1
;
Li LI
1
;
Mengqi YAN
1
;
Sichen FU
1
;
Yunyun LIU
1
Author Information
1. 100053 北京市 首都医科大学宣武医院神经外科
- Publication Type:Journal Article
- Keywords:
Neurosurgery;
Intensive Care Unit;
Unplanned Readmission;
Cross-Sectional Study;
Propensity Score Matching;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(23):2853-2860
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status of unplanned readmission to the ICU in neurosurgical patients and to study its influencing factors,aiming to inform the construction of targeted nursing interventions for medical staff.Methods From January 2020 to September 2022,the relevant data of patients transferred out from the ICU of a tertiary-level hospital in Beijing were retrospectively analyzed.After using propensity score matching,a sample with balanced covariates between groups was obtained,and single-factor and Logistic regression analyses were used to study the influencing factors of unplanned readmission to the ICU in neurosurgical patients.Results The data of a total of 4 789 patients were included,and 159 patients(3.32％)had unplanned readmission to the ICU.Respiratory failure and pulmonary infection were the main respiratory complications causing unplanned readmission to the ICU in neurosurgical patients.Logistic regression analysis showed that the duration of mechanical ventilation,the length of the first stay in the ICU,tracheal intubations ≥2 times,presence of cerebrospinal fluid drainage tube or lumbar drainage tube,existence of mild to moderate consciousness disorder at discharge from ICU,low white blood cell count,and low hemoglobin count were independent influencing factors for unplanned readmission to ICUs in neurosurgical patients(P＜0.05).Conclusion Medical staff should pay attention to the high-risk group of unplanned return to the ICU,assess the risk of transfer in a timely manner,carry out targeted nursing measures and strengthen the quality of nursing care to reduce the incidence of unplanned retum to the ICU in neurosurgical patients.
