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Cut-Off Values of the Post-Intensive Care Syndrome Questionnaire for the Screening of Unplanned Hospital Readmission within One Year
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Jiyeon Kang, Yeon Jin Jeong, Jiwon Hong
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J Korean Acad Nurs 2020;50(6):787-798. Published online December 31, 2020
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DOI: https://doi.org/10.4040/jkan.20233
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 Abstract
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- Purpose
This study aimed to assign weights for subscales and items of the Post-Intensive Care Syndrome questionnaire and suggest optimal cut-off values for screening unplanned hospital readmissions of critical care survivors.
Methods
Seventeen experts participated in an analytic hierarchy process for weight assignment. Participants for cut-off analysis were 240 survivors who had been admitted to intensive care units for more than 48 hours in three cities in Korea. We assessed participants using the 18-item Post-Intensive Care Syndrome questionnaire, generated receiver operating characteristic curves, and analysed cut-off values for unplanned readmission based on sensitivity, specificity, and positive likelihood ratios.
Results
Cognitive, physical, and mental subscale weights were 1.13, 0.95, and 0.92, respectively.
Incidence of unplanned readmission was 25.4%. Optimal cut-off values were 23.00 for raw scores and 23.73 for weighted scores (total score 54.00), with an area of under the curve (AUC) of .933 and .929, respectively. There was no significant difference in accuracy for original and weighted scores.
Conclusion
The optimal cut-off value accuracy is excellent for screening of unplanned readmissions. We recommend that nurses use the Post-Intensive Care Syndrome Questionnaire to screen for readmission risk or evaluating relevant interventions for critical care survivors.
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Citations
Citations to this article as recorded by  - Cutoff Values for Screening Post-Intensive Care Syndrome Using the Post-Intensive Care Syndrome Questionnaire
Jiwon Hong, Jiyeon Kang
Journal of Clinical Medicine.2025; 14(11): 3897. CrossRef - Translation and validation of the Chinese version of the post-intensive care syndrome questionnaire
Caidie Yang, Hongmei Wu, Chunmei Luo
BMC Nursing.2025;[Epub] CrossRef - Post‐Intensive Care Syndrome in Family: A Concept Analysis
Jiaqi Wen, Zhenjing Hu, Ziwei Li, Yu Liu, Liting Zhang, Chenchen Zhong
Scandinavian Journal of Caring Sciences.2025;[Epub] CrossRef - Post intensive care syndrome: A review of clinical symptoms, evaluation, intervention
Xiaofang He, Yuwei Song, Yuchun Cao, Liying Miao, Bin Zhu
Heliyon.2024; 10(10): e31278. CrossRef - Screening tools for post–intensive care syndrome and post-traumatic symptoms in intensive care unit survivors: A scoping review
Usha Pant, Krooti Vyas, Shaista Meghani, Tanya Park, Colleen M. Norris, Elizabeth Papathanassoglou
Australian Critical Care.2023; 36(5): 863. CrossRef
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