Factors Associated With Early Readmission in Critical Care

Обзор

The COVID-19 health crisis has highlighted pre-existing challenges in patient flow management within healthcare facilities, especially in critical care units. This has sparked debate regarding the sufficiency of critical care beds in France, while drawing attention to the lack of downstream structures. Inefficient patient flow, leading to bed occupancy bottlenecks, has been correlated with both critical care length of stay and morbidity. Unplanned early readmission to critical care further exacerbates these strains and prolongs hospital length of stay. Currently, no standardized criteria are available to guide safe discharge from critical care. A recent Delphi consensus study proposed a set of criteria, although largely subjective. The primary outcome of the present study is to identify factors associated with unplanned early readmission to critical care within 48 hours of discharge. Delayed discharge from critical care represents another major bottleneck contributing to system strain. The secondary outcome of this study is therefore to assess the proportion of critical care beds occupied by patients deemed ready for discharge by the medical team, as well as to analyze the reasons underlying such delayed transfers.

Подробное описание

The COVID-19 health crisis has highlighted pre-existing challenges in patient flow management within healthcare facilities, especially in critical care units. This has sparked debate regarding the sufficiency of critical care beds in France, while drawing attention to the lack of downstream structures. Inefficient patient flow, leading to bed occupancy bottlenecks, has been correlated with both critical care length of stay and morbidity. Unplanned early readmission to critical care further exacerbates these strains and prolongs hospital length of stay. Currently, no standardized criteria are available to guide safe discharge from critical care. A recent Delphi consensus study proposed a set of criteria, although largely subjective. The primary outcome of the present study is to identify factors associated with unplanned early readmission to critical care within 48 hours of discharge. Delayed discharge from critical care represents another major bottleneck contributing to system strain. The secondary outcome of this study is therefore to assess the proportion of critical care beds occupied by patients deemed ready for discharge by the medical team, as well as to analyze the reasons underlying such delayed transfers.

Вмешательства

• Другое No intervention
  Only observation

Первичные конечные точки

• Early Readmission to the ICU [Срок оценки: From the first day of recruitment to 48 hours after the end of recruitment]

Вторичные конечные точки (3)

• Readmission to the ICU [Срок оценки: From the first day of admission to 30 days of follow up]
• 30-days mortality [Срок оценки: From the first day of admission to 30 days of follow up]
• Rate of bed occupancy by patients deemed fit for discharged [Срок оценки: From the first day of the study to the 7th day of the study]

Критерии участия

Критерии включения

• Patients over 18 years of age
• Hospitalized or admitted to the ICU

Критерии исключения

• Objection to the use of their data (by patient or a relative when applicable)
• Patients under legal protection

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения

Другое

Центры проведения

Франция · 1 центр

• Hôpital Saint-Louis, AP-HP — Paris

Идентификаторы

NCT: NCT07182916 · FRASC / 2025-08

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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