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Table 1 Characteristics of the study groups on admission to the intensive care unit (ICU).

From: Readmission to a surgical intensive care unit: incidence, outcome and risk factors

 

All patients (n = 2852)

No readmission (n = 2471)

Readmission (n = 381)

p value

Age, mean ± SD (years)

62 ± 15

61 ± 15

64 ± 14

0.001

Male gender (%)

1828 (64.1)

1578 (63.9)

250 (65.6)

0.506

Source of admission (%)

   

< 0.001

   Operating room

2213 (77.6)

1944 (78.7)

269 (70.6)

 

   Emergency room

130 (4.6)

110 (4.5)

20 (5.2)

 

   Other hospital

169 (5.9)

136 (5.5)

33 (8.7)

 

   Others

172 (6.0)

133 (4.8)

39 (10.3)

 

Comorbidities (%)

    

   Cancer

628 (22.0)

555 (22.5)

73 (19.2)

0.148

   Cancer therapy

61 (2.1)

52 (2.1)

9 (2.4)

0.746

   Haematological cancer

6 (0.2)

6 (0.2)

-

1.000

   Chronic heart failure (NYHA IV)

48 (1.7)

38 (1.5)

10 (2.6)

0.125

   Cirrhosis

65 (2.3)

55 (2.2)

10 (2.6)

0.627

   Hypertension

1437 (50.4)

1247 (50.5)

190 (49.9)

0.828

   Chronic renal failure

288 (10.1)

240 (9.7)

48 (12.5)

0.036

   Diabetes

617 (21.6)

522 (21.1)

95 (24.9)

0.137

Primary diagnosis (%)

   

0.024

   Planned postoperative

2268 (79.5)

1995 (80.7)

273 (71.7)

 

   Unplanned admissions*

    

Trauma

139 (4.9)

122 (4.9)

17 (4.5)

 

Cardiovascular

124 (4.3)

92 (3.7)

32 (8.4)

 

Neurological

109 (3.8)

93 (3.8)

16 (4.2)

 

Gastrointestinal

64 (2.2)

49 (2.0)

15 (3.9)

 

Respiratory

30 (1.1)

23 (0.9)

7 (1.8)

 

Others

116 (4.1)

95 (3.8)

21 (5.5)

 

Sepsis syndromes (%)

   

0.018

   SIRS

642 (22.5)

552 (22.3)

90 (23.6)

 

   Sepsis

57 (2.0)

45 (1.8)

12 (3.1)

 

   Severe sepsis/septic shock

32 (1.1)

23 (0.9)

9 (2.3)

 

Surgery within 24 hours of admission (%)

2412 (84.6)

2113 (85.5)

299 (87.5)

< 0.001

   Cardiac surgery

1061 (37.2)

933 (37.8)

128 (33.6)

0.118

   Gastrointestinal

564 (19.8)

486 (19.7)

78 (20.5)

0.714

   Neurosurgery

415 (14.6)

361 (14.6)

54 (14.2)

0.822

   Trauma

169 (5.9)

149 (6.0)

20 (5.2)

0.548

   Thoracic surgery

156 (5.5)

138 (5.6)

18 (4.7)

0.492

   Others**

104 (3.6)

98 (3.9)

7 (1.8)

0.123

Mechanical ventilation

1339 (49.2)

1155 (48.9)

184 (50.9)

0.503

Admission scores, mean ± SD

    

   TISS-28 score

41.8 ± 10.7

41.7 ± 10.6

42.1 ± 11.3

0.367

   SOFA score

5.1 ± 3.4

5.0 ± 3.4

5.7 ± 3.5

0.001

   SAPS2 score

33.5 ± 16.4

32.9 ± 16.3

37.1 ± 16.4

< 0.001

  1. * Trauma = monotrauma without brain trauma, polytrauma without brain trauma; cardiovascular = cardiac arrest needing cardiopulmonary resuscitation before ICU admission, shock requiring vasopressor/inotropic drugs, chest pain, arrhythmia, cardiac failure (left, right or global); neurological = coma, stupor, vigilance disturbances, confusion, agitation, delirium, seizures, focal neurological deficit and intracranial mass effect; gastrointestinal = bleeding (gastrointestinal tract), acute abdomen, severe pancreatitis, liver failure; respiratory = acute lung injury and acute respiratory distress syndrome, acute-on-chronic respiratory failure and impaired respiratory function but less than for acute lung injury; renal = pre-renal acute renal failure, obstructive acute renal failure; haematological = haemorrhagic syndrome, disseminating intravascular coagulation; metabolic = acid-base and/or electrolyte disturbance, hypoglycaemia and hyperglycaemia.
  2. ** Renal/urinary tract, metabolic, obstetric/gynaecological surgery.
  3. NYHA = New York Heart Association; SD = standard deviation; SIRS = systemic inflammatory response syndrome; SAPS = simplified acute physiology score; SOFA = sequential organ failure assessment; TISS = therapeutic intervention scoring system.