Impact of preexisting chronic kidney disease on acute and long-term outcome of critically ill patients on a medical intensive care unit

2013 ◽  
Vol 27 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Pia Lebiedz ◽  
Lilli Knickel ◽  
Christiane Engelbertz ◽  
Florian Lüders ◽  
Katrin Gebauer ◽  
...  
2018 ◽  
Vol 46 (3) ◽  
pp. 1254-1262 ◽  
Author(s):  
Surat Tongyoo ◽  
Tanuwong Viarasilpa ◽  
Chairat Permpikul

Objective To compare the outcomes of patients with and without a mean serum potassium (K+) level within the recommended range (3.5–4.5 mEq/L). Methods This prospective cohort study involved patients admitted to the medical intensive care unit (ICU) of Siriraj Hospital from May 2012 to February 2013. The patients’ baseline characteristics, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, serum K+ level, and hospital outcomes were recorded. Patients with a mean K+ level of 3.5 to 4.5 mEq/L and with all individual K+ values of 3.0 to 5.0 mEq/L were allocated to the normal K+ group. The remaining patients were allocated to the abnormal K+ group. Results In total, 160 patients were included. Their mean age was 59.3±18.3 years, and their mean APACHE II score was 21.8±14.0. The normal K+ group comprised 74 (46.3%) patients. The abnormal K+ group had a significantly higher mean APACHE II score, proportion of coronary artery disease, and rate of vasopressor treatment. An abnormal serum K+ level was associated with significantly higher ICU mortality and incidence of ventricular fibrillation. Conclusion Critically ill patients with abnormal K+ levels had a higher incidence of ventricular arrhythmia and ICU mortality than patients with normal K+ levels.


2009 ◽  
Vol 5 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Djalila Mekahli ◽  
Vanessa Shaw ◽  
Sarah E. Ledermann ◽  
Lesley Rees

2013 ◽  
Vol 5 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Christina Grothusen ◽  
Tim Attmann ◽  
Christine Friedrich ◽  
Sandra Freitag-Wolf ◽  
Nils Haake ◽  
...  

2018 ◽  
Vol 44 (9) ◽  
pp. 1483-1492 ◽  
Author(s):  
Catherina Lueck ◽  
Michael Stadler ◽  
Christian Koenecke ◽  
Marius M. Hoeper ◽  
Elke Dammann ◽  
...  

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