Evidence map›Paper›PMID 39490383›Full record

ArticleThe Journal of surgical research2025

Intensive Care Unit Readmissions in a Level I Trauma Center.

Benjamin Moore, Kacee J Daniels, Blake Martinez, Kevin W Sexton, Kyle J Kalkwarf, Matthew Roberts, Stephen M Bowman, Hanna K Jensen

Abstract read
In one paragraph

Article in The Journal of surgical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. [Readmission to the intensive care unit : A rare phenomenon or relevant to clinical practice?]Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Benjamin MooreCollege of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Kacee J DanielsCollege of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Blake MartinezCollege of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Kevin W SextonDivision of Trauma and Acute Care Surgery, Department of Surgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Department of Biomedical Informatics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas; College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Kyle J KalkwarfDivision of Trauma and Acute Care Surgery, Department of Surgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Matthew RobertsDivision of Trauma and Acute Care Surgery, Department of Surgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Stephen M BowmanCollege of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Hanna K JensenDivision of Trauma and Acute Care Surgery, Department of Surgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas. Electronic address: hkjensen@uams.edu.

Funding

Expanding Translational Research in ArkansasUL1TR003107 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2019 to 2023
$21.6M
Trauma Institutional Priorities and Teams for Outcome Efficacy (TIPTOE)R01GM111324 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI BROCHHAUSEN, MATHIAS, SEXTON, KEVIN WAYNE · 2015 to 2025
$3.1M
Institutional Career DevelopmentKL2TR003108 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI ARTHUR, JOHN M., BORSHEIM, ELISABET · 2019 to 2023
$2.3M
J. NRSA TrainingTL1TR003109 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI SEXTON, KEVIN WAYNE · 2019 to 2023
$1.5M
Equitable Standards of Care Delivery in Team-based Risk Stratification of African Americans with Congestive Heart FailureR21NR021063 · NINR · UNIV OF ARKANSAS FOR MED SCIS · PI WILLIAMS, TREMAINE · 2024 to 2024
$407k
NCATS NIH HHS KL2 TR003108NCATS NIH HHS TL1 TR003109NCATS NIH HHS UL1 TR003107NIGMS NIH HHS R01 GM111324NINR NIH HHS R21 NR021063
6 · The paper itself

Abstract

introductionIntensive care unit (ICU) readmissions are associated with increased morbidity and mortality rates, longer hospitalization, and increased health-care expenditures. This study sought to present a large cohort of trauma patients readmitted to the ICU, characterizing risk factors and providing quality improvement strategies to limit ICU readmission.

methodsA retrospective cohort analysis was conducted on adult trauma patients admitted to the ICU at a single level I trauma center from 2014 to 2021. Patients were split into readmission and no readmission groups. Patients experiencing readmission were compared to a similar group that was not readmitted using descriptive statistics and logistic regression.

resultsIn this study, 3632 patients were included and 278 (7.7%) were readmitted to the ICU. Significant differences were found in age, Elixhauser Comorbidity score, number of days on a ventilator, and number of patients requiring ventilator support. Furthermore, logistic regression showed that increasing age and the Elixhauser Comorbidity Score were associated with an increased likelihood of ICU readmission. Over the study period, the ICU readmission rate increased while the ICU length decreased.

conclusionsAge, Elixhauser Comorbidity score, and ventilator use were all significant risk factors for ICU readmission. During our study period, a concerning trend of increasing ICU readmissions and decreased ICU length of stay was found. By identifying this trend, our institution was able to employ mitigation strategies that have successfully reversed the trend in ICU readmissions, decreasing the rate below the national average.

Indexed as

Intensive Care UnitsPatient ReadmissionTrauma CentersWounds and InjuriesAdultAgedAge FactorsFemaleHumansLength of StayMaleMiddle AgedQuality ImprovementRespiration, ArtificialRetrospective StudiesRisk FactorsCritical careImprovementIntensive careQualityReadmissionTrauma

Identifiers

PMID39490383
PMCPMC13632606

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.