Respiratory failure & ventilation

Association Between Unmet Nonmedication Needs After Hospital Discharge and Readmission or Death Among Acute Respiratory Failure Survivors: A Multicenter Prospective Cohort Study*

Crit Care MedPublished Prospective cohort study

Main finding · Readmission or death within 90 daysResult — go to the resultRisk ratio 0.89 CI 0.51–1.57

Authors' conclusion

UDN were common among survivors of ARF but not significantly associated a composite outcome of 90-day readmission or death.

Study context

Population
Adult survivors of acute respiratory failure who required an ICU stay and were discharged home; six US academic medical centers200 recruited
Participants
195 survivors
Exposure
Greater than median vs lower level of unmet nonmedication discharge needs (UDN)
Outcome
Readmission or death within 90 days
Follow-up
90 days
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Risk ratio

0.89

CI 0.51–1.57

P = 0.690

Greater than median UDN vs Median or lower UDN
risk ratio 0.89 (CI 0.51–1.57); P = 0.690
90-day death or readmission, whole cohort
56 (29%)

Observational data: associations, not effects.

Further findings

Proportion of unmet needs by category · 7-28 days after discharge

At least one nonmedication need at discharge
98.4% (192/195)
Durable medical equipment (DME), median (IQR)
0 (0-15%)
Home health services (HHS), median (IQR)
0 (0-50%)
FUA, median (IQR)
0 (0-25%)
Overall, median (IQR)
0 (0-20%)

Factors associated with UDN

Age, hospital LOS, APACHE II score and Multidimensional Scale Perceived Social Support score associated with UDN

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association Between Unmet Nonmedication Needs After Hospital Discharge and Readmission or Death Among Acute Respiratory Failure Survivors: A Multicenter Prospective Cohort Study*. Crit Care Med. Published 20 January 2023. doi:10.1097/ccm.0000000000005709

Composed by AI from the published abstract and checked against it. How Briefs are made →

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