Intensive Care Division, Hospital Universitário Regional do Norte do Paraná, Universidade Estadual de Londrina, Rua Robert Koch 60, Vila Operária, Londrina, Paraná 86038-440, Brazil.
Department of Clinical Medical, Universidade Estadual de Londrina, Rua Robert Koch 60, Vila Operária, Londrina, Paraná 86038-440, Brazil.
Med Intensiva. 2017 Oct;41(7):411-417. doi: 10.1016/j.medin.2016.11.003. Epub 2017 Jan 7.
To compare readmission rates to the intensive care unit (ICU) before and after the implementation of a rapid response team (RRT), and to identify risk factors for readmission.
A quasi-experimental before-after study was carried out.
A University Hospital.
All patients discharged from the ICU from January to December 2008 (control group) and from January 2010 to December 2012 (intervention group).
Implementation of an RRT.
The data included demographic parameters, diagnoses upon admission, ICU readmission, APACHE II, SOFA, and TISS 28 scores, and routine daily assessment by an RRT of patients discharged from the ICU.
During the study interval, 380 patients were analyzed in the period prior to the implementation of the RRT and 1361 after implementation. There was a tendency toward decreased readmission rates one year after RRT implementation. The APACHE II score and SOFA score at ICU discharge were independent factors associated to readmission, as well as clinical referral to the ICU.
The RRT intervention resulted in a sustained decrease in readmission rates one year after implementation of this service. The use of a specialized team in health institutions can be recommended for ICU survivors.
比较快速反应团队（RRT）实施前后 ICU 再入院率，并确定再入院的危险因素。
准实验前后研究。
一所大学医院。
2008 年 1 月至 12 月（对照组）和 2010 年 1 月至 12 月（干预组）从 ICU 出院的所有患者。
实施 RRT。
数据包括人口统计学参数、入院诊断、ICU 再入院、APACHE II、SOFA 和 TISS 28 评分，以及 RRT 对从 ICU 出院的患者进行的常规日常评估。
在研究期间，在实施 RRT 之前的时间段内分析了 380 例患者，在实施之后的时间段内分析了 1361 例患者。RRT 实施一年后，再入院率呈下降趋势。ICU 出院时的 APACHE II 评分和 SOFA 评分是再入院的独立因素，以及向 ICU 的临床转诊也是独立因素。
RRT 干预措施实施一年后，再入院率持续下降。建议在医疗机构中使用专门的团队来为 ICU 幸存者提供服务。
