title: Discharge decision-making by intensivists on readmission to the intensive care unit.
abstract: Patients readmitted to the intensive care unit (ICU) have a significantly higher mortality rate. The role of intensivists in judging when to discharge patients from the ICU is very important. We undertook this study to evaluate the effect of the intensivists' discharge decision-making on readmission to ICU. The intensivists actively participated in the discharge decision-making, with the discharge guideline taken into consideration, in respect of group 1 patients, but not in respect of group 2. The readmission rate in group 1 was lower than that in group 2. The readmission in patients in each group was associated with higher mortality rates and longer lengths of stay at the ICU. Respiratory failure was the major cause of readmission. In the non-survivors out of the readmitted patients, the Acute Physiology and Chronic Health Evaluation (APACHE)    scores on the initial discharge and readmission, the multiple organ dysfunction syndrome (MODS) scores on the initial admission, discharge and readmission were higher than the corresponding indices in the survivors. We conclude that the readmission rate was lower when intensivists participated in the discharge decision-making, and that APACHE    and MODS scores on the first discharge and readmission were significant prognostic factors in respect of the readmitted patients.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea.
authors.forename: Kyung Bong
authors.initials: KB
authors.lastname: Yoon
authors.forename: Shin Ok
authors.initials: SO
authors.lastname: Koh
authors.forename: Dong Woo
authors.initials: DW
authors.lastname: Han
authors.forename: One Chul
authors.initials: OC
authors.lastname: Kang
mesh_terms: D018806:APACHE; D000208:Acute Disease / Q000401:mortality* / Q000628:therapy; D000328:Adult; D000368:Aged; D003657:Decision Making; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D010359:Patient Readmission / Q000706:statistics & numerical data*