scholarly journals Non‐HIV‐infected patients with Pneumocystis pneumonia in the intensive care unit: A bicentric, retrospective study focused on predictive factors of in‐hospital mortality

2022 ◽  
Author(s):  
Yuqiong Wang ◽  
Xu Huang ◽  
Ting Sun ◽  
Guohui Fan ◽  
Qingyuan Zhan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Hospital Mortality ◽  
Predictive Factors ◽  
Pneumocystis Pneumonia

scholarly journals Deliberate Drug Poisoning with Slight Symptoms on Admission: Are there Predictive Factors for Intensive Care Unit Referral? A three-year Retrospective Study

2013 ◽  
Vol 114 (3) ◽  
pp. 281-287 ◽  
Author(s):  
Maxime Maignan ◽  
Philippe Pommier ◽  
Sandrine Clot ◽  
Philippe Saviuc ◽  
Guillaume Debaty ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Predictive Factors ◽  
Drug Poisoning

scholarly journals Predictive factors of in-hospital mortality in ventilated intensive care unit

Medicine ◽  
2017 ◽  
Vol 96 (51) ◽  
pp. e9165 ◽  
Author(s):  
Chiu-Hua Wang ◽  
Horng-Chyuan Lin ◽  
Yue-Cune Chang ◽  
Suh-Hwa Maa ◽  
Jong-Shyan Wang ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Predictive Factors

scholarly journals Management of sepsis in out-of-hours primary care: a retrospective study of patients admitted to the intensive care unit

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022832 ◽  
Author(s):  
Feike J Loots ◽  
Marleen Smits ◽  
Carlijn van Steensel ◽  
Paul Giesen ◽  
Rogier M Hopstaken ◽  
...  
Keyword(s):  
Primary Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
The Netherlands ◽  
Hospital Mortality ◽  
Hospital Arrival ◽  
Out Of Hours ◽  
Suspected Infection ◽  
Prehospital Management

ObjectivesTimely recognition and treatment of sepsis is essential to reduce mortality and morbidity. Acutely ill patients often consult a general practitioner (GP) as the first healthcare provider. During out-of-hours, GP cooperatives deliver this care in the Netherlands. The aim of this study is to explore the role of these GP cooperatives in the care for patients with sepsis.DesignRetrospective study of patient records from both the hospital and the GP cooperative.SettingAn intensive care unit (ICU) of a general hospital in the Netherlands, and the colocated GP cooperative serving 260 000 inhabitants.ParticipantsWe used data from 263 patients who were admitted to the ICU due to community-acquired sepsis between January 2011 and December 2015.Main outcome measuresContact with the GP cooperative within 72 hours prior to hospital admission, type of contact, delay from the contact until hospital arrival, GP diagnosis, initial vital signs and laboratory values, and hospital mortality.ResultsOf 263 patients admitted to the ICU, 127 (48.3%) had prior GP cooperative contacts. These contacts concerned home visits (59.1%), clinic consultations (18.1%), direct ambulance deployment (12.6%) or telephone advice (10.2%). Patients assessed by a GP were referred in 64% after the first contact. The median delay to hospital arrival was 1.7 hours. The GP had not suspected an infection in 43% of the patients. In this group, the in-hospital mortality rate was significantly higher compared with patients with suspected infections (41.9% vs 17.6%). Mortality difference remained significant after correction for confounders.ConclusionGP cooperatives play an important role in prehospital management of sepsis and recognition of sepsis in this setting proved difficult. Efforts to improve management of sepsis in out-of-hours primary care should not be limited to patients with a suspected infection, but also include severely ill patients without clear signs of infection.

scholarly journals Feasibility of transitioning from APACHE II to SAPS III as prognostic model in a Brazilian general intensive care unit. A retrospective study

2014 ◽  
Vol 133 (3) ◽  
pp. 199-205 ◽  
Author(s):  
Ary Serpa Neto ◽  
Murillo Santucci Cesar de Assunção ◽  
Andréia Pardini ◽  
Eliézer Silva
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Hospital Mortality ◽  
Critically Ill ◽  
Predictive Models ◽  
Critically Ill Patients ◽  
Goodness Of Fit ◽  
Apache Ii ◽  
Goodness Of Fit Test

CONTEXT AND OBJECTIVE: Prognostic models reflect the population characteristics of the countries from which they originate. Predictive models should be customized to fit the general population where they will be used. The aim here was to perform external validation on two predictive models and compare their performance in a mixed population of critically ill patients in Brazil.DESIGN AND SETTING: Retrospective study in a Brazilian general intensive care unit (ICU).METHODS: This was a retrospective review of all patients admitted to a 41-bed mixed ICU from August 2011 to September 2012. Calibration (assessed using the Hosmer-Lemeshow goodness-of-fit test) and discrimination (assessed using area under the curve) of APACHE II and SAPS III were compared. The standardized mortality ratio (SMR) was calculated by dividing the number of observed deaths by the number of expected deaths.RESULTS: A total of 3,333 ICU patients were enrolled. The Hosmer-Lemeshow goodness-of-fit test showed good calibration for all models in relation to hospital mortality. For in-hospital mortality there was a worse fit for APACHE II in clinical patients. Discrimination was better for SAPS III for in-ICU and in-hospital mortality (P = 0.042). The SMRs for the whole population were 0.27 (confidence interval [CI]: 0.23 - 0.33) for APACHE II and 0.28 (CI: 0.22 - 0.36) for SAPS III.CONCLUSIONS: In this group of critically ill patients, SAPS III was a better prognostic score, with higher discrimination and calibration power.

scholarly journals Diuretic strategies in patients with resistance to loop-diuretics in the intensive care unit: A retrospective study from the MIMIC-III database

2021 ◽  
Vol 65 ◽  
pp. 282-291
Author(s):  
Jean-Maxime Côté ◽  
Josée Bouchard ◽  
Patrick T. Murray ◽  
William Beaubien-Souligny
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Loop Diuretics ◽  
Mimic Iii
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