Acessibilidade / Reportar erro

Readmission profile in ICU: decision-making in complex organizations

Abstract

Background

Decision making in a complex ICU environment can suffer from various interferences and lead to the early discharge of patients to lower complexity wards.

Objective

The objective is to analyze the profile of patients readmitted, in less than 24 hours, to an ICU, in a private hospital.

Method

This analysis was performed using the multiple correspondence method, using a longitudinal section. The data were extracted from the Epimed system.

Results

The results indicate that female patients, aged 0 to 30 years, characterized the readmission profile. The origin of these patients is of clinical type, with predominantly cardiac and hematological diagnoses. This finding may help to prevent readmission, since the data affects the sector quality indicator, thereby helping to define strategies to minimize readmission.

Conclusion

From the profile of patients who were readmitted to the ICU in less than 24 hours, it is concluded that there is a need for special care for young female patients with cardiovascular and hematological diagnosis. These results support decision making for discharge of patients.

Keywords:
readmission; decision making; ICU

Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro Avenida Horácio Macedo, S/N, CEP: 21941-598, Tel.: (55 21) 3938 9494 - Rio de Janeiro - RJ - Brazil
E-mail: cadernos@iesc.ufrj.br