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http://dx.doi.org/10.14400/JDC.2021.19.4.467

Risk Factors of Predicting Intensive Care unit Transfer in Deteriorating Ward Patients  

Lee, Ju-Ry (Department of Nursing, Geoje University)
Publication Information
Journal of Digital Convergence / v.19, no.4, 2021 , pp. 467-475 More about this Journal
Abstract
Purpose: When a patient with acute deterioration occurs in a ward, the decision to transfer to intensive care unit (ICU) is critical to improve the patient's outcomes. However, when available ICU resources limited, it is difficult to determine which of the deteriorating ward patients to transfer to the ICU. Therefore the purpose of this study was to identify risk factors in predicting deteriorating ward patients transferred to intensive care unit (ICU). Methods: We reviewed retrospectively clinical data of 2,945 deteriorating ward patients who referred medical emergency team. Data were analyzed with multivariate logistic regression. Results: The solid cancer that diagnosed at hospitalization (odds ratio[OR] 0.39; 95% confidence interval [CI] 0.32-0.47), when the cause of deterioration was respiratory problem (1.51; 95% CI 1.17-1.95), high MEWS (1.22; 1.17-1.28) and SpO2/FiO2 score (2.41; 2.23-2.60) were predictive of ICU transfer. Conclusion: These findings suggest that early prediction and treatment of patients with high risk of ICU transfer may improve the prognosis of patients.
Keywords
Deterioration; Prognosis; Early recognition; Intensive care unit; Early warning system; Transfer;
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Times Cited By KSCI : 2  (Citation Analysis)
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