When the harms of intensive care treatment outweigh the benefits, the default use of time-limited trials is not ethically justifiable

2022 ◽  
Author(s):  
Thomas M. Donaldson
Keyword(s):  
Intensive Care ◽  
Intensive Care Treatment ◽  
Use Of Time ◽  
Care Treatment

The presence of liver cirrhosis is a strong negative predictor of survival for patients admitted to the intensive care unit – Cirrhosis in intensive care patients

2021 ◽  
Author(s):  
Jörg Bojunga ◽  
Mireen Friedrich-Rust ◽  
Alica Kubesch ◽  
Kai Henrik Peiffer ◽  
Hannes Abramowski ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Liver Cirrhosis ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Intensive Care Treatment ◽  
Matched Cohort ◽  
Care Treatment ◽  
Cirrhotic Patients ◽  
The Impact ◽  
Cirrhotic Group

Abstract Background and Aims Liver cirrhosis is a systemic disease that substantially impacts the body’s physiology, especially in advanced stages. Accordingly, the outcome of patients with cirrhosis requiring intensive care treatment is poor. We aimed to analyze the impact of cirrhosis on mortality of intensive care unit (ICU) patients compared to other frequent chronic diseases and conditions. Methods In this retrospective study, patients admitted over three years to the ICU of the Department of Medicine of the University Hospital Frankfurt were included. Patients were matched for age, gender, pre-existing conditions, simplified acute physiology score (SAPS II), and therapeutic intervention scoring system (TISS). Results A total of 567 patients admitted to the ICU were included in the study; 99 (17.5 %) patients had liver cirrhosis. A total of 129 patients were included in the matched cohort for the sensitivity analysis. In-hospital mortality was higher in cirrhotic patients than non-cirrhotic patients (p < 0.0001) in the entire and matched cohort. Liver cirrhosis remained one of the strongest independent predictors of in-hospital mortality (entire cohort p = 0.001; matched cohort p = 0.03) along with dialysis and need for transfusion in the multivariate logistic regression analysis. Furthermore, in the cirrhotic group, the need for kidney replacement therapy (p < 0.001) and blood transfusion (p < 0.001) was significantly higher than in the non-cirrhotic group.  Conclusions In the presented study, liver cirrhosis was one of the strongest predictors of in-hospital mortality in patients needing intensive care treatment along with dialysis and the need for ventilation. Therefore, concerted efforts are needed to improve cirrhotic patients’ outcomes, prevent disease progression, and avoid complications with the need for ICU treatment in the early stages of the disease.

Burn intensive care treatment over the last 30 years: Improved survival and shift in case-mix

Burns ◽  
2019 ◽  
Vol 45 (5) ◽  
pp. 1057-1065
Author(s):  
Rolf K. Gigengack ◽  
Margriet E. van Baar ◽  
Berry I. Cleffken ◽  
Jan Dokter ◽  
Cornelis H. van der Vlies
Keyword(s):  
Intensive Care ◽  
Case Mix ◽  
Intensive Care Treatment ◽  
Care Treatment

Intensive care treatment of patients with IBD

1998 ◽  
Vol 114 ◽  
pp. A999
Author(s):  
W. Huber ◽  
B. Jeschke ◽  
U. Schweigart ◽  
M. Classen
Keyword(s):  
Intensive Care ◽  
Intensive Care Treatment ◽  
Care Treatment

Intensive care treatment of patients with bleeding esophageal varices

1992 ◽  
Vol 20 (11) ◽  
pp. 1555-1563 ◽  
Author(s):  
HUILING LEE ◽  
FELICITY H. HAWKER ◽  
WARWICK SELBY ◽  
DAVID B. MCWILLIAM ◽  
ROBERT G. HERKES
Keyword(s):  
Intensive Care ◽  
Esophageal Varices ◽  
Intensive Care Treatment ◽  
Bleeding Esophageal Varices ◽  
Care Treatment

scholarly journals Pregnant and postpartum women requiring intensive care treatment for COVID-19 – first data from the CRONOS-registry

2021 ◽  
Author(s):  
M Sitter ◽  
U Pecks ◽  
M Rüdiger ◽  
S Friedrich ◽  
S Fill Malfertheiner ◽  
...  
Keyword(s):  
Intensive Care ◽  
Postpartum Women ◽  
Intensive Care Treatment ◽  
Care Treatment

scholarly journals The meaning of posttraumatic stress-reactions following critical illness or injury and intensive care treatment

2007 ◽  
Vol 23 (4) ◽  
pp. 206-215 ◽  
Author(s):  
Ingrid Corrigan ◽  
Karin A.M. Samuelson ◽  
Bengt Fridlund ◽  
Bibbi Thomé
Keyword(s):  
Intensive Care ◽  
Critical Illness ◽  
Posttraumatic Stress ◽  
Intensive Care Treatment ◽  
Stress Reactions ◽  
Care Treatment
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