Changes in the Composition of Gut Microbiota in Cardio-Surgical Intensive Care Patients: A Prospective Cohort Study Before, During and after Admission

2018 ◽  
Author(s):  
Heleen Aardema ◽  
Paola Lisotto ◽  
Janneke R. J. Diepeveen ◽  
Alex W. Friedrich ◽  
Bhanu Sinha ◽  
...  
Keyword(s):  
Cohort Study ◽  
Intensive Care ◽  
Gut Microbiota ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Surgical Intensive Care ◽  
Intensive Care Patients

scholarly journals Risk factors for delirium in intensive care patients: a prospective cohort study

Critical Care ◽  
2009 ◽  
Vol 13 (3) ◽  
pp. R77 ◽  
Author(s):  
Bart Van Rompaey ◽  
Monique M Elseviers ◽  
Marieke J Schuurmans ◽  
Lillie M Shortridge-Baggett ◽  
Steven Truijen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Intensive Care ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Intensive Care Patients

scholarly journals Incidence and risk factors of delirium in multi-center Thai surgical intensive care units: a prospective cohort study

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Tanyong Pipanmekaporn ◽  
◽  
Kaweesak Chittawatanarat ◽  
Onuma Chaiwat ◽  
Thammasak Thawitsri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Surgical Intensive Care

Incidence of pressure injuries and risk factors in a paediatric surgical intensive care unit: a prospective cohort study

2021 ◽  
Vol 30 (Sup20) ◽  
pp. S28-S32
Author(s):  
Jeiel Carlos Lamônica Crespo ◽  
Silvia Regina Secoli ◽  
Ticiane Carolina Gonçalves Faustino Campanili ◽  
Ana Carolina Coelho Duarte ◽  
Renata Eloah de Lucena Ferretti-Rebustini ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Cohort Study ◽  
Intensive Care ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Icu Length Of Stay ◽  
Stage 1

Objectives: The aim of the study was to evaluate the incidence of, and risk factors for, the occurrence of pressure injuries (PIs) in a paediatric surgical intensive care unit (ICU). Method: This is a prospective cohort study of 153 children in the postoperative period. Patients were assessed daily by physical examination and data were collected. All independent variables were included in a logistic regression. Results: The mean age of the cohort was 2 years, and the incidence of PI was 15.7%. According to the Braden Q Scale, 58.2% of patients were at high risk of developing PI; 79.3% of PIs were related to immobility and 69.0% were at stage 1. Risk factors were ICU length of stay and the number of medical devices used. Conclusion: The incidence of PI was high because patients were mostly at a considerable risk of developing a PI. PI was associated with several factors, especially length of ICU stay and number of devices, both of which are indirect indicators of the severity of patient condition and healthcare costs.

Imported and Intensive Care Unit-BornAcinetobacter baumanniiClonal Complexes: One-Year Prospective Cohort Study in Intensive Care Patients

2013 ◽  
Vol 19 (3) ◽  
pp. 216-223 ◽  
Author(s):  
Natacha Martins ◽  
Ianick Souto Martins ◽  
Wania Vasconcelos de Freitas ◽  
Juliana Arruda de Matos ◽  
Valeria Brígido de Carvalho Girão ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cohort Study ◽  
Intensive Care ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Intensive Care Patients ◽  
One Year

scholarly journals Comorbidities and COVID-19 Status Influence the Survival Rate of Geriatric Patients in Intensive Care Units: a Prospective Cohort Study From the Indonesian Society of Anaesthesiology and Intensive Therapy

2021 ◽  
Author(s):  
Nancy Margarita Rehatta ◽  
Susilo Chandra ◽  
Djayanti Sari ◽  
Mayang Indah Lestari ◽  
Tjokorda Gde Agung Senapathi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Intensive Care ◽  
Survival Rate ◽  
Elderly Patients ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Intensive Therapy ◽  
Healthcare Management ◽  
Teaching Hospitals ◽  
Intensive Care Patients

Abstract Background: With the more advanced science in the field of medicine and disease management, the population of geriatric intensive care patients is increasing. The COVID-19 pandemic has impacted healthcare management around the globe, especially on critically-ill elderly patients. We aim to analyse the relationship between underlying illnesses, including COVID-19, and the survival rate of elderly patients who are treated in the intensive care setting.Methods: We conducted a prospective cohort study at 14 teaching hospitals for Anaesthesiology and Intensive Therapy Education in Indonesia. We selected all subjects with 60 years of age or older in the period between February to May 2021. Variables recorded included subject characteristics, comorbidities, and COVID-19 status. Subjects were followed for 30-day mortality as an outcome. We analysed the data using Kaplan-Meier survival analysis.Results: We recruited 982 elderly patients, and 728 subjects were in the final analysis (60.7% male; 68.0 ± 6.6 years old). The 30-day mortality was 38.6%. The top five comorbidities are hypertension (21.1%), diabetes (16.2%), moderate or severe renal disease (10.6%), congestive heart failure (9.2%), and cerebrovascular disease (9.1%). Subjects with Charlson's Comorbidity Index Score >5 experienced 66% death. Subjects with COVID-19 who died were 57.4%. Subjects with comorbidities and COVID-19 had lower survival rates than subjects without those conditions (p < 0.005).Conclusion: Approximately one in four elderly intensive care patients die, and the number is increasing with comorbidities and COVID-19 status.

scholarly journals Echocardiographic evaluation of sepsis induced myocardial dysfunction in patients with sepsis or septic shock: a prospective cohort study

2021 ◽  
Vol 25 (2) ◽  
Author(s):  
Marwa Ahmed El-Oraby ◽  
Aliaa El-Said Shaban ◽  
Ahmed Ali El-Dada ◽  
Abd El-Aziz Hamed El-Badawy
Keyword(s):  
Septic Shock ◽  
Cohort Study ◽  
Intensive Care ◽  
Diastolic Dysfunction ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Myocardial Dysfunction ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Diagnosis And Prognosis

Background: Sepsis-induced myocardial dysfunction (SIMD) occurs in 50% of septic patients and is characterized by reduced ejection fraction (EF), cardiac index, impaired contractility, and diastolic dysfunction (DD). In sepsis-induced cardiomyopathy (SICM), EF shows initial significant deterioration on the 1st day, then final improvement at the end of the study. This study evaluated the value of different parameters measured with trans-thoracic echocardiography (TTE) in the diagnosis and prognosis of SIMD in the surgical intensive care unit (SICU). Methodology: This prospective cohort study was conducted on 100 patients, aged from 18 to 50 years admitted to SICU being affected by sepsis or septic shock. TTE parameters [EF, tricuspid annular systolic excursion (TAPSE), inferior vena cava (IVC) diameter, E/A ratio and grading of DD and hemodynamic parameters [mean arterial blood pressure (MAP), heart rate (HR), central venous pressure (CVP)] on admission, three day post-admission and after one week. Results: The mortality rate was 45%. DD was found in 90%. The mortality group had higher DD, higher HR, and lower MAP than the surviving group, with an insignificant difference in LVEF, TAPSE, IVC, and CVP on the 3rd and 7th days. Sepsis-induced cardiomyopathy (SICM) was found in 31% of surviving patients. DD (grade III had the highest mortality followed by grade I then grade II), HR >110 bpm, and MAP < 65mmHg are independent factors that negatively affect the duration of survival significantly. Conclusion: TTE in patients with sepsis or septic shock is vital for diagnosis and prognosis. DD, tachycardia (HR >110 bpm), and hypotension (MAP < 65mmHg) are independent predictors of mortality in those patients. Patients with SICM (little reversible impairment of LV systolic function) had a good prognosis.  Keywords: Sepsis Induced Myocardial Dysfunction, Diastolic dysfunction, Sepsis, Septic Shock Preregistration: The study was registered in the Ethical Committee of Faculty of Medicine, Tanta University, Tanta, Egypt (approval number: 31728/08/17) Abbreviations: SIMD–Sepsis-induced myocardial dysfunction; SICM–sepsis-induced cardiomyopathy; TTE– transthoracic echocardiogram. EF–Ejection fraction; DD–diastolic dysfunction; MD–Myocardial dysfunction; TAPSE–tricuspid annular systolic excursion; SICU–surgical intensive care unit Citation: El-Oraby MA, Shaban AES, El-Dada AA, El-Badawy AEH. Echocardiographic evaluation of sepsis induced myocardial dysfunction in patients with sepsis or septic shock: a prospective cohort study. Anaesth pain intensive care 2021;25(2):150-162. DOI: 10.35975/apic.v25i2.1463 Received: 6 November 2020, Reviewed: 30 December 2020, Accepted: 3 February 2021

scholarly journals Marked Changes in Gut Microbiota in Cardio-Surgical Intensive Care Patients: A Longitudinal Cohort Study

2020 ◽  
Vol 9 ◽  
Author(s):  
Heleen Aardema ◽  
Paola Lisotto ◽  
Alexander Kurilshikov ◽  
Janneke R. J. Diepeveen ◽  
Alex W. Friedrich ◽  
...  
Keyword(s):  
Cohort Study ◽  
Intensive Care ◽  
Gut Microbiota ◽  
Longitudinal Cohort Study ◽  
Surgical Intensive Care ◽  
Longitudinal Cohort ◽  
Intensive Care Patients
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