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Impact of Glasgow Coma Scale scores on unplanned intensive care unit readmissions among surgical patients

  
@article{ATM30462,
	author = {Tak Kyu Oh and In-Ae Song and Young-Tae Jeon},
	title = {Impact of Glasgow Coma Scale scores on unplanned intensive care unit readmissions among surgical patients},
	journal = {Annals of Translational Medicine},
	volume = {7},
	number = {20},
	year = {2019},
	keywords = {},
	abstract = {Background: Physiological instability at discharge from intensive care units (ICU) is known to increase readmission rates among critically ill patients. However, associations between consciousness levels at discharge and readmission rates remain unclear. This study aimed to investigate the association between the Glasgow Coma Scale (GCS) score at discharge and unplanned ICU readmissions in surgical patients. 
Methods: This retrospective cohort study in a single tertiary academic hospital analyzed the electronic health records of adults aged 18 years or older, who were discharged from the ICU between January 2012 and December 2018. The primary endpoint was unplanned readmission within 48 hours after discharge. Multivariable logistic regression analysis was performed. 
Results: Among 9,512 patients, unplanned readmissions occurred in 161 (1.7%). At discharge, GCS and verbal response scores of ≤13 (vs. ≥14) were associated with 2.28-fold higher unplanned readmissions within 48 hours [odds ratio (OR): 2.35, 95% confidence interval (CI): 1.51–3.65, P},
	issn = {2305-5847},	url = {https://atm.amegroups.org/article/view/30462}
}