Comparison of Risks Factors for Unplanned ICU Transfer after ED Admission in Patients with Infections and Those without Infections
Background. The objectives of this study were to compare the risk factors for unplanned intensive care unit (ICU) transfer after emergency department (ED) admission in patients with infections and those without infections and to explore the feasibility of using risk stratification tools for sepsis t...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/102929 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832552688834838528 |
|---|---|
| author | Jeffrey Che-Hung Tsai Ching-Wan Cheng Shao-Jen Weng Chin-Yin Huang David Hung-Tsang Yen Hsiu-Ling Chen |
| author_facet | Jeffrey Che-Hung Tsai Ching-Wan Cheng Shao-Jen Weng Chin-Yin Huang David Hung-Tsang Yen Hsiu-Ling Chen |
| author_sort | Jeffrey Che-Hung Tsai |
| collection | DOAJ |
| description | Background. The objectives of this study were to compare the risk factors for unplanned intensive care unit (ICU) transfer after emergency department (ED) admission in patients with infections and those without infections and to explore the feasibility of using risk stratification tools for sepsis to derive a prediction system for such unplanned transfer. Methods. The ICU transfer group included 313 patients, while the control group included 736 patients randomly selected from those who were not transferred to the ICU. Candidate variables were analyzed for association with unplanned ICU transfer in the 1049 study patients. Results. Twenty-four variables were associated with unplanned ICU transfer. Sixteen (66.7%) of these variables displayed association in patients with infections and those without infections. These common risk factors included specific comorbidities, physiological responses, organ dysfunctions, and other serious symptoms and signs. Several common risk factors were statistically independent. Conclusions. The risk factors for unplanned ICU transfer in patients with infections were comparable to those in patients without infections. The risk factors for unplanned ICU transfer included variables from multiple dimensions that could be organized according to the PIRO (predisposition, insult/infection, physiological response, and organ dysfunction) model, providing the basis for the development of a predictive system. |
| format | Article |
| id | doaj-art-1a43f420a3e446f7a6c94de3656e99aa |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-1a43f420a3e446f7a6c94de3656e99aa2025-02-03T05:58:02ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/102929102929Comparison of Risks Factors for Unplanned ICU Transfer after ED Admission in Patients with Infections and Those without InfectionsJeffrey Che-Hung Tsai0Ching-Wan Cheng1Shao-Jen Weng2Chin-Yin Huang3David Hung-Tsang Yen4Hsiu-Ling Chen5Department of Emergency Medicine, China Medical University Hospital, No. 2 Yude Road, North District, Taichung City 404, TaiwanDepartment of Emergency Medicine, Cheng-Ching General Hospital, Taichung 407, TaiwanDepartment of Industrial Engineering & Enterprise Information, Tunghai University, Taichung 407, TaiwanProgram for Health Administration, Tunghai University, Taichung 407, TaiwanInstitute of Emergency and Critical Care Medicine, College of Medicine, National Yang-Ming University, Taipei 112, TaiwanDepartment of Emergency Medicine, China Medical University Hospital, No. 2 Yude Road, North District, Taichung City 404, TaiwanBackground. The objectives of this study were to compare the risk factors for unplanned intensive care unit (ICU) transfer after emergency department (ED) admission in patients with infections and those without infections and to explore the feasibility of using risk stratification tools for sepsis to derive a prediction system for such unplanned transfer. Methods. The ICU transfer group included 313 patients, while the control group included 736 patients randomly selected from those who were not transferred to the ICU. Candidate variables were analyzed for association with unplanned ICU transfer in the 1049 study patients. Results. Twenty-four variables were associated with unplanned ICU transfer. Sixteen (66.7%) of these variables displayed association in patients with infections and those without infections. These common risk factors included specific comorbidities, physiological responses, organ dysfunctions, and other serious symptoms and signs. Several common risk factors were statistically independent. Conclusions. The risk factors for unplanned ICU transfer in patients with infections were comparable to those in patients without infections. The risk factors for unplanned ICU transfer included variables from multiple dimensions that could be organized according to the PIRO (predisposition, insult/infection, physiological response, and organ dysfunction) model, providing the basis for the development of a predictive system.http://dx.doi.org/10.1155/2014/102929 |
| spellingShingle | Jeffrey Che-Hung Tsai Ching-Wan Cheng Shao-Jen Weng Chin-Yin Huang David Hung-Tsang Yen Hsiu-Ling Chen Comparison of Risks Factors for Unplanned ICU Transfer after ED Admission in Patients with Infections and Those without Infections The Scientific World Journal |
| title | Comparison of Risks Factors for Unplanned ICU Transfer after ED Admission in Patients with Infections and Those without Infections |
| title_full | Comparison of Risks Factors for Unplanned ICU Transfer after ED Admission in Patients with Infections and Those without Infections |
| title_fullStr | Comparison of Risks Factors for Unplanned ICU Transfer after ED Admission in Patients with Infections and Those without Infections |
| title_full_unstemmed | Comparison of Risks Factors for Unplanned ICU Transfer after ED Admission in Patients with Infections and Those without Infections |
| title_short | Comparison of Risks Factors for Unplanned ICU Transfer after ED Admission in Patients with Infections and Those without Infections |
| title_sort | comparison of risks factors for unplanned icu transfer after ed admission in patients with infections and those without infections |
| url | http://dx.doi.org/10.1155/2014/102929 |
| work_keys_str_mv | AT jeffreychehungtsai comparisonofrisksfactorsforunplannedicutransferafteredadmissioninpatientswithinfectionsandthosewithoutinfections AT chingwancheng comparisonofrisksfactorsforunplannedicutransferafteredadmissioninpatientswithinfectionsandthosewithoutinfections AT shaojenweng comparisonofrisksfactorsforunplannedicutransferafteredadmissioninpatientswithinfectionsandthosewithoutinfections AT chinyinhuang comparisonofrisksfactorsforunplannedicutransferafteredadmissioninpatientswithinfectionsandthosewithoutinfections AT davidhungtsangyen comparisonofrisksfactorsforunplannedicutransferafteredadmissioninpatientswithinfectionsandthosewithoutinfections AT hsiulingchen comparisonofrisksfactorsforunplannedicutransferafteredadmissioninpatientswithinfectionsandthosewithoutinfections |