Objective: Analyzing causes for the unplanned readmission to the intensive care unit (ICU) in critically-ill patients receiving gastrointestinal surgery, and categorizing the causes into ones that lie in the patients themselves, events before being discharged from the ICU, and events after being discharged from the ICU.
Materials and Methods: The demographic and hospitalization-related data of patients in the surgical ICU of a medical center in southern Taiwan between 2018 and 2019 were collected for statistical analysis. The inclusion criterium was patients who were readmitted into the ICU after receiving gastrointestinal surgery.
Results: The data of 545 patients were collected. Among these patients, 42 experienced unplanned readmission to the ICU. After being transferred from the ICU into general wards, patients who had a Glasgow Coma Scale score of ≤ 14, required the use of high-flow oxygen devices, developed ineffective airway clearance, were incapable of early postoperative mobilization, and lacked family accompaniment were found to experience unplanned readmission to the ICU in a relatively higher percentage.
Conclusion: To reduce unplanned readmission to the ICU, after critically-ill patients receiving gastrointestinal surgery are transferred from ICUs to general wards, medical personnel shall pay attention to the patients’ consciousness, breath, mobility, and family accompaniment.