Resumen
La tasa de readmisión en terapia intensiva ha sido mencionada como marcador de calidad, sobre la base que las readmisiones precoces, dentro de las 48hs del alta, puede indicar un alta prematura o un alta a un lugar no apropiado. Lo cual puede ser prevenido. La decisión de dar de alta de UTI a un paciente en particular, se basa generalmente en consideraciones clínicas sobre una evolución favorable del paciente, en que el tratamiento o la vigilancia especial ya no serán necesarios y en la creencia de que las necesidades de cuidados serán satisfechas en el lugar de destinoCitas
<p class="MsoNormal" style="text-justify: inter-ideograph; text-align: justify; line-height: 13.5pt; margin: 0cm 0cm 12pt;"><strong style="mso-bidi-font-weight: normal;"><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ES;" lang="EN-US"><span style="font-family: Calibri; font-size: small;"> </span></span></strong></p><p class="MsoNormal" style="text-justify: inter-ideograph; text-align: justify; line-height: 13.5pt; text-indent: -18pt; margin: 0cm 0cm 0pt 41.25pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;"><a name="refs"></a><a name="B1"></a><span style="mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-ansi-language: EN-US; mso-fareast-language: ES;" lang="EN-US"><span style="mso-list: Ignore;"><span style="font-family: Calibri; font-size: small;">1.</span><span style="font: 7pt "Times New Roman";"> </span></span></span><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ES;" lang="EN-US"><span style="font-family: Calibri; font-size: small;">Society of Critical Care Medicine Quality Indicators Committee: <em>Candidate Critical Care Quality Indicators</em>. Anaheim, CA: Society of Critical Care Medicine; 1995. </span></span><a href="http://ccforum.com/sfx_links.asp?ui=cc9881&bibl=B1"><span style="color: #990033; text-decoration: none; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-no-proof: yes; text-underline: none;"><span style="font-size: small;"><span style="font-family: Calibri;"></span></span></span></a><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ES;" lang="EN-US"></span></p><p class="MsoNormal" style="text-justify: inter-ideograph; text-align: justify; line-height: 13.5pt; text-indent: -18pt; margin: 0cm 0cm 0pt 41.25pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;"><a name="B2"></a><span style="mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-ansi-language: EN-US; mso-fareast-language: ES;" lang="EN-US"><span style="mso-list: Ignore;"><span style="font-family: Calibri; font-size: small;">2.</span><span style="font: 7pt "Times New Roman";"> </span></span></span><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ES;" lang="EN-US"><span style="font-size: small;"><span style="font-family: Calibri;">Cooper GS, <em>et al</em>.: <strong>Are readmissions to the intensive care unit a useful measure of hospital performance? </strong></span></span></span></p><p class="MsoNormal" style="text-justify: inter-ideograph; text-align: justify; line-height: 13.5pt; margin: 0cm 0cm 0pt 41.25pt;"><span style="font-size: small;"><span style="font-family: Calibri;"><em><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: ES;">Med Care</span></em><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: ES;"> 1999, <strong>37:</strong>399-408. </span></span></span><a href="http://ccforum.com/sfx_links.asp?ui=cc9881&bibl=B2"><span style="color: #990033; text-decoration: none; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-no-proof: yes; text-underline: none;"><span style="font-size: small;"><span style="font-family: Calibri;"></span></span></span></a><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: ES;"></span></p><p class="MsoNormal" style="text-justify: inter-ideograph; text-align: justify; line-height: 13.5pt; text-indent: -18pt; margin: 0cm 0cm 0pt 41.25pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt;"><a name="B3"></a><span style="mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-ansi-language: EN-US; mso-fareast-language: ES;" lang="EN-US"><span style="mso-list: Ignore;"><span style="font-family: Calibri; font-size: small;">3.</span><span style="font: 7pt "Times New Roman";"> </span></span></span><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ES;" lang="EN-US"><span style="font-size: small;"><span style="font-family: Calibri;">Chan KS, <em>et al</em>.: <strong>Readmission to the intensive care unit: an indicator that reflects the potential risks of morbidity and mortality of surgical patients in the intensive care unit. </strong></span></span></span></p><p class="MsoNormal" style="text-justify: inter-ideograph; text-align: justify; line-height: 13.5pt; margin: 0cm 0cm 0pt 41.25pt;"><span style="font-size: small;"><span style="font-family: Calibri;"><em><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: ES;">Surg Today</span></em><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: ES;"> 2009, <strong>39:</strong>295-299. </span></span></span><a href="http://ccforum.com/sfx_links.asp?ui=cc9881&bibl=B3"><span style="color: #990033; text-decoration: none; mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-no-proof: yes; text-underline: none;"><span style="font-size: small;"><span style="font-family: Calibri;"></span></span></span></a><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-fareast-language: ES;"></span></p><p class="MsoNormal" style="text-justify: inter-ideograph; text-align: justify; line-height: 18pt; text-indent: -18pt; margin: 0cm 0cm 0pt 41.25pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; mso-outline-level: 2;"><a name="B4"></a><span style="color: black; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-ansi-language: EN-US; mso-fareast-language: ES; mso-font-kerning: 18.0pt;" lang="EN-US"><span style="mso-list: Ignore;"><span style="font-family: Calibri; font-size: small;">4.</span><span style="font: 7pt "Times New Roman";"> </span></span></span><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ES;" lang="EN-US"><span style="font-size: small;"><span style="font-family: Calibri;">Campbell AJ, <em>et al</em>.: <strong>Predicting death and readmission after intensive care discharge. </strong><em>Br J Anaesth</em> 2008, <strong>100:</strong>656-662<span style="color: black; mso-font-kerning: 18.0pt;"> </span></span></span></span></p><p class="MsoListParagraphCxSpFirst" style="text-justify: inter-ideograph; text-align: justify; line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 41.25pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; mso-outline-level: 2; mso-layout-grid-align: none;"><span style="mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;" lang="EN-US"><span style="mso-list: Ignore;"><span style="font-family: Calibri; font-size: small;">5.</span><span style="font: 7pt "Times New Roman";"> </span></span></span><span style="font-size: small;"><span style="font-family: Calibri;"><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ES; mso-bidi-font-weight: bold;" lang="EN-US">E Boudesteijn</span><span style="mso-fareast-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: ES;" lang="EN-US">, <span style="mso-bidi-font-weight: bold;">S Arbous</span> and <span style="mso-bidi-font-weight: bold;">P van den Berg<strong>: </strong></span><strong style="mso-bidi-font-weight: normal;"><span style="color: black; mso-font-kerning: 18.0pt;">Predictors of intensive care unit readmission within 48 hours after discharge. </span></strong><em>Critical Care</em> 2007, <strong>11</strong>(Suppl 2)<strong>:</strong>P475doi:10.1186/cc5635.</span><span style="mso-bidi-font-family: Clearface-Bold; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;" lang="EN-US"></span></span></span></p><p class="MsoListParagraphCxSpMiddle" style="text-justify: inter-ideograph; text-align: justify; line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; mso-outline-level: 2; mso-layout-grid-align: none;"><strong><span style="mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-ansi-language: EN-US;" lang="EN-US"><span style="mso-list: Ignore;"><span style="font-family: Calibri; font-size: small;">6.</span><span style="font: 7pt "Times New Roman";"> </span></span></span></strong><span style="font-size: small;"><span style="font-family: Calibri;"><strong><span style="mso-bidi-font-family: Clearface-Bold; mso-ansi-language: EN-US;" lang="EN-US"><span style="mso-spacerun: yes;"> </span></span></strong><span style="mso-bidi-font-family: Clearface-Bold; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;" lang="EN-US">Zimmerman<strong>. Intensive care unit readmission: The issue is safety not frequency* </strong>Crit Care Med 2008 Vol. 36, No. 3.<strong></strong></span></span></span></p><p class="MsoListParagraphCxSpLast" style="text-justify: inter-ideograph; text-align: justify; line-height: normal; text-indent: -18pt; margin: 0cm 0cm 0pt 36pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; mso-outline-level: 2; mso-layout-grid-align: none;"><strong><span style="font-size: 12pt; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-ansi-language: EN-US;" lang="EN-US"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">7.</span><span style="font: 7pt "Times New Roman";"> </span></span></span></strong><span style="font-size: small;"><span style="font-family: Calibri;"><span style="mso-bidi-font-family: HelveticaNeue-Condensed; mso-ansi-language: EN-US;" lang="EN-US">Ognjen Gajic, MD; Michael Malinchoc, PhD; Thomas B. Comfere, MD; arcelline R. Harris, RN, PhD; Ahmed Achouiti, MD; Murat Yilmaz, MD; Marcus J. Schultz, MD; Rolf D. Hubmayr, MD; Bekele Afessa, MD;J. Christopher Farmer, MD </span><strong><span style="mso-bidi-font-family: Clearface-Bold; mso-ansi-language: EN-US;" lang="EN-US">The Stability and Workload Index for Transfer score predicts unplanned intensive care unit patient readmission: Initial development and validation* </span></strong><span style="mso-bidi-font-family: Clearface-Bold; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;" lang="EN-US">Crit Care Med 2008 Vol</span><span style="font-size: 12pt; mso-bidi-font-family: Clearface-Bold; mso-ansi-language: EN-US; mso-bidi-font-weight: bold;" lang="EN-US">. 36, No. 3.<strong></strong></span></span></span></p>
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