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Observational Study
. 2019 Sep;47(9):4183-4193.
doi: 10.1177/0300060519859736. Epub 2019 Jul 15.

Subjective score and outcomes after discharge from the intensive care unit: a prospective observational study

Leandro Utino Taniguchi  1   2 , Fernando José da Silva Ramos  1 , Arthur Khan Momma  1 , Antônio Paulo Ramos Martins Filho  1 , Juliana Jardim Bartocci  1 , Maria Fernanda Dias Lopes  1 , Matheus Horta Sad  1 , Cinthia Mendes Rodrigues  1 , Ellen Maria Pires Siqueira  1 , José Mauro Vieira Jr  1
Affiliations
Observational Study

Subjective score and outcomes after discharge from the intensive care unit: a prospective observational study

Leandro Utino Taniguchi et al. J Int Med Res. 2019 Sep.

Abstract

Objective: Intensive care unit (ICU) discharge is a decision process that is usually performed subjectively. We evaluated whether a subjective score (Sabadell score) is associated with hospital outcomes.

Methods: We conducted a prospective cohort study from August 2014 to May 2015 at a tertiary-care private hospital in Brazil. We analyzed 425 patients who were discharged alive from the ICU to the wards. We used univariate and multivariate analysis to identify risk factors associated with a composite endpoint of worse outcomes (later ICU readmission or ward death) during the same hospitalization.

Results: Forty-three patients (10.1%) were readmitted after ICU discharge, and 19 died in the ward. Compared with patients with successful outcomes, those with the composite endpoint were older and more severely ill, had a nonsurgical reason for hospitalization, more frequently came from the ward, were less frequently independent during daily activities, had sepsis, had higher C-reactive protein concentrations at ICU admission, and had higher Sabadell scores at discharge. The multivariate analysis showed that sepsis and the Sabadell score were independently and significantly associated with worse outcomes.

Conclusion: Sepsis at admission and the Sabadell score were predictors of worse hospital outcomes. The Sabadell score might be a promising predictive tool.

Keywords: Patient readmission; Sabadell score; hospital; intensive care unit; oncology service; risk factor.

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Figures

Figure 1.
Figure 1.
Survival curves in the ward for patients in each group according to the Sabadell score.
See this image and copyright information in PMC

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