Acute cardiac care & resuscitation
The association of the Sequential Organ Failure Assessment score at intensive care unit discharge with intensive care unit readmission in the cardiac intensive care unit
Authors' conclusion
The discharge SOFA score may identify patients at a higher risk of unplanned CICU readmission
Study context
- Population
- Patients admitted to the cardiac intensive care unit (ICU), 2012–183,949 discharged from cardiac ICU (CICU)
- Participants
- 4,659 patients
- Exposure
- Readmission vs non-readmission
- Readmissionn = 184
- Outcome
- Unplanned CICU readmission
Main finding
As reported in the abstract
Readmission
4.7%
184 of 184
- Area under the receiver operating characteristic (AUROC) of discharge Sequential Organ Failure Assessment (SOFA) score for CICU readmission (good predictive performance)
- 0.731
- Discharge SOFA AUROC greater than initial SOFA score
- P = 0.020
- Discharge SOFA AUROC greater than APACHE II score
- P < 0.001
Observational data: associations, not effects.
Further findings
Organ failure rates · CICU admission and discharge
- Readmission group had significantly higher rates of organ failure in all organ systems than non-readmission group
Independent predictors of unplanned ICU readmission (multivariable)
- SOFA score, overweight or obese status, history of HF, and acute HF as reason for ICU admission were independent predictors
Original publication
The association of the Sequential Organ Failure Assessment score at intensive care unit discharge with intensive care unit readmission in the cardiac intensive care unit. Eur Heart J Acute Cardiovasc Care. Published 21 February 2024. doi:10.
Summarised from the published abstract; every number is checked against it