Survival and predictors of outcome among patients with decompensated liver disease in a non‐liver transplant intensive care unit. Pessimism is historical and unjustified

2019 ◽  
Vol 49 (6) ◽  
pp. 745-752
Author(s):  
Victoria Sadick ◽  
Emma Bowcock ◽  
Stuart Lane ◽  
Ian Seppelt
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Liver Disease ◽  
Liver Transplant ◽  
Predictors Of Outcome ◽  
Decompensated Liver Disease

Increased model for end-stage liver disease score at the time of liver transplant results in prolonged hospitalization and overall intensive care unit costs

2010 ◽  
Vol 16 (5) ◽  
pp. 668-677 ◽  
Author(s):  
Matthew R. Foxton ◽  
Mohammad A. B. Al-Freah ◽  
Andrew J. Portal ◽  
Elizabeth Sizer ◽  
William Bernal ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Liver Disease ◽  
Liver Transplant ◽  
Disease Score ◽  
End Stage Liver Disease ◽  
Unit Costs ◽  
Prolonged Hospitalization ◽  
End Stage

Quantification of Thrombelastographic Changes After Blood Component Transfusion in Patients with Liver Disease in the Intensive Care Unit

1995 ◽  
Vol 81 (2) ◽  
pp. 272-278
Author(s):  
Douglas G. Clayton ◽  
Adelaida M. Miro ◽  
David J. Kramer ◽  
Nathaniel Rodman ◽  
Stanley Wearden
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Liver Disease ◽  
Blood Component ◽  
Blood Component Transfusion

Minimizing central line–associated bloodstream infections in a high-acuity liver transplant intensive care unit

2019 ◽  
Vol 47 (3) ◽  
pp. 305-312 ◽  
Author(s):  
Tara A Russell ◽  
Elyse Fritschel ◽  
Jennifer Do ◽  
Melanie Donovan ◽  
Maureen Keckeisen ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Liver Transplant ◽  
Bloodstream Infections ◽  
Central Line ◽  
High Acuity

Survival and predictors of outcome in patients with acute leukemia admitted to the intensive care unit

Cancer ◽  
2008 ◽  
Vol 112 (10) ◽  
pp. 2233-2240 ◽  
Author(s):  
Snehal G. Thakkar ◽  
Alex Z. Fu ◽  
John W. Sweetenham ◽  
Zachariah A. Mciver ◽  
Sanjay R. Mohan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Acute Leukemia ◽  
Predictors Of Outcome

Effects of continuous lateral rotation therapy on pulmonary complications in liver transplant patients

1995 ◽  
Vol 4 (2) ◽  
pp. 133-139 ◽  
Author(s):  
K Whiteman ◽  
L Nachtmann ◽  
D Kramer ◽  
S Sereika ◽  
M Bierman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Liver Transplant ◽  
Respiratory Tract Infection ◽  
Lower Respiratory Tract Infection ◽  
Lower Respiratory Tract ◽  
Continuous Lateral Rotation ◽  
Lateral Rotation

BACKGROUND: When liver transplant candidates and recipients suffer from pulmonary complications of immobility, the results can be life-threatening. Continuous lateral rotation therapy has been reported to decrease complications of immobility. OBJECTIVES: To determine whether continuous lateral rotation therapy decreases the duration of mechanical ventilation, intensive care unit length of stay, incidence or resolution of atelectasis, incidence or onset time of lower respiratory tract infection and pneumonia. METHODS: Sixty-nine subjects admitted to a liver transplant intensive care unit at a university teaching hospital were randomly assigned to continuous lateral rotation therapy or a stationary bed. All subjects were mechanically ventilated for 24 hours and had a Glasgow Coma Scale score of 11 or less upon admission to the study. Subjects were followed until out of bed, unable to rotate for 3 consecutive days, or transferred from the intensive care unit. Data and chest roentgenogram results were collected on admission and daily during the study. Sputum culture results were obtained if available as part of normal patient care. RESULTS: Incidence of lower respiratory tract infection was significantly lower and length of time to occurrence of lower respiratory tract infection was significantly longer in the continuous lateral rotation therapy group than in the stationary bed group. CONCLUSIONS: Although continuous lateral rotation therapy did not affect duration of mechanical ventilation, length of stay, or incidence of atelectasis, it was effective in decreasing the incidence of, and increasing onset time to, lower respiratory tract infection in the liver transplantation population.

scholarly journals THE COST OF ADULT LIVER TRANSPLANTATION IN A REFERRAL CENTER IN SOUTHERN BRAZIL

2019 ◽  
Vol 56 (2) ◽  
pp. 165-171 ◽  
Author(s):  
Adriane B de SOUZA ◽  
Santiago RODRIGUEZ ◽  
Fábio Luís da MOTTA ◽  
Ajacio B de Mello BRANDÃO ◽  
Claudio Augusto MARRONI
Keyword(s):  
Intensive Care Unit ◽  
Liver Transplantation ◽  
Intensive Care ◽  
Liver Disease ◽  
Southern Brazil ◽  
Referral Center ◽  
End Stage Liver Disease ◽  
End Stage ◽  
The Cost ◽  
Surgical Unit

ABSTRACT BACKGROUND: Liver transplantation (LTx) is the primary and definitive treatment of acute or chronic cases of advanced or end-stage liver disease. Few studies have assessed the actual cost of LTx categorized by hospital unit. OBJECTIVE: To evaluate the cost of LTx categorized by unit specialty within a referral center in southern Brazil. METHODS: We retrospectively reviewed the medical records of 109 patients undergoing LTx between April 2013 and December 2014. Data were collected on demographic characteristics, etiology of liver disease, and severity of liver disease according to the Child-Turcotte-Pugh (CTP) and Model for End-stage Liver Disease (MELD) scores at the time of LTx. The hospital bill was transformed into cost using the full absorption costing method, and the costs were grouped into five categories: Immediate Pretransplant Kit; Specialized Units; Surgical Unit; Intensive Care Unit; and Inpatient Unit. RESULTS: The mean total LTx cost was US$ 17,367. Surgical Unit, Specialized Units, and Intensive Care Unit accounted for 31.9%, 26.4% and 25.3% of the costs, respectively. Multivariate analysis showed that total LTx cost was significantly associated with CTP class C (P=0.001) and occurrence of complications (P=0.002). The following complications contributed to significantly increase the total LTx cost: septic shock (P=0.006), massive blood transfusion (P=0.007), and acute renal failure associated with renal replacement therapy (dialysis) (P=0.005). CONCLUSION: Our results demonstrated that the total cost of LTx is closely related to liver disease severity scores and the development of complications.

Hematological malignancies in Polish population: what are the predictors of outcome in patients admitted to Intensive Care Unit?

2020 ◽  
Vol 29 (1) ◽  
pp. 323-330
Author(s):  
Elżbieta Kalicińska ◽  
Bartłomiej Kuszczak ◽  
Jakub Dębski ◽  
Łukasz Szukalski ◽  
Marzena Wątek ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hematological Malignancies ◽  
Polish Population ◽  
Predictors Of Outcome

Hematological Malignancies in the Polish Population: What are the Predictors of Outcome in Patients Admitted to Intensive Care Unit?

2019 ◽  
Vol 19 ◽  
pp. S219
Author(s):  
Elżbieta Kalicińska ◽  
Bartłomiej Kuszczak ◽  
Jakub Dębski ◽  
Łukasz Szukalski ◽  
Jarosław Czyż ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hematological Malignancies ◽  
Polish Population ◽  
Predictors Of Outcome
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