Effects of the Comprehensive Discharge Planning Program on Adverse Events and Readmission to Medical Intensive Care Unit
Keywords:
Critically ill patient, Discharge planning from ICU, Adverse events, Readmission in ICUAbstract
Critical illness is a life-threatening health problem. Even after transfer to a general ward within the first 72 hours, recurrence of a critical condition or adverse events can be observed. This quasi-experimental research, using a two-group post-test-only design, aimed to study the results of a plan for comprehensive discharge from an ICU and to compare the occurrence of adverse events and ICU readmissions within 72 hours. The sample was purposively selected and comprised of 72 critically ill adult patients who were admitted to the medical intensive care unit of a tertiary hospital from December 2020 to January 2022. The sample was separated into a control group and an experimental group. Severity of illness and ages were equal in both groups. Consequently, there were 36 patients in the control group, a similar amount to the experimental group. The research instruments consisted of the Comprehensive Discharge Planning Program and an outcome record for transfer to the ICU within 72 hours. Validity and reliability of all analytical tools were approved, and statistical analysis was performed using the chi-square test.
The results revealed that the group which received the comprehensive discharge planning program had significantly lower scores for respiratory problems and respiratory infections than the control group (p < 0.05 and p < 0.05, respectively), whereas the readmission scenario within 72 hours still demonstrated no significant difference.
The research findings suggest that the comprehensive discharge planning program should be investigated on other ICU wards to produce further findings. This could benefit the creation of a guideline for a discharge plan for further distribution of patients from the ICU.
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