[When is the intensive care patient ready for discharge?].
Prognostic factors for ICU-patients during and after ICU-discharge are reviewed as well as predisposing factors for readmissions. The overall mortality for ICU-patients are in most studies in the range of 12-32%, with a mortality rate after ICU discharge of 15-35%. Prognostic factors for mortality include age, severity of illness, diagnosis, multi-organ failure, nosocomial infections and a prolonged ICU stay. Readmissions to ICU are not uncommon and usually (45-65%) related to the underlying illness. The use of High Dependency Units or a sufficient ICU capacity might reduce the mortality rate as well as the rate of readmissions.
Blomqvist
Hans
H
Anestesikliniken, S:t Görans sjukhus, Stockholm. hans.blomqvist@stgoran.se
D003422:Critical Care / Q000592:standards / Q000706:statistics & numerical data; D016638:Critical Illness / Q000401:mortality*; D003428:Cross Infection / Q000175:diagnosis / Q000401:mortality; D004992:Ethics, Medical; D006801:Humans; D007362:Intensive Care Units / Q000592:standards / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D009102:Multiple Organ Failure / Q000401:mortality; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010351:Patient Discharge / Q000592:standards*; D010359:Patient Readmission / Q000706:statistics & numerical data; D017410:Practice Guidelines as Topic; D011379:Prognosis; D015996:Survival Rate