scholarly journals Coronavirus Disease 2019 ICU Patients Have Higher-Than-Expected Acute Physiology and Chronic Health Evaluation–Adjusted Mortality and Length of Stay Than Viral Pneumonia ICU Patients

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Thomas L. Higgins ◽  
Maureen M. Stark ◽  
Kathy N. Henson ◽  
Laura Freeseman-Freeman
Keyword(s):  
Length Of Stay ◽  
Viral Pneumonia ◽  
Chronic Health Evaluation ◽  
Health Evaluation ◽  
Icu Patients ◽  
Chronic Health

Patients with Risk Factors for Complications Do Not Require Longer Antimicrobial Therapy for Complicated Intra-Abdominal Infection

2016 ◽  
Vol 82 (9) ◽  
pp. 860-866 ◽  
Author(s):  
Rishi Rattan ◽  
Casey J. Allen ◽  
Robert G. Sawyer ◽  
John Mazuski ◽  
Therese M. Duane ◽  
...  
Keyword(s):  
Risk Factors ◽  
Length Of Stay ◽  
Surgical Site Infection ◽  
Chronic Health Evaluation ◽  
Health Evaluation ◽  
Site Infection ◽  
Chronic Health ◽  
Abdominal Infection ◽  
Short Course ◽  
Intra Abdominal Infection

A prospective, multicenter, randomized controlled trial found that four days of antibiotics for source-controlled complicated intra-abdominal infection resulted in similar outcomes when compared with a longer duration. We hypothesized that patients with specific risk factors for complications also had similar outcomes. Short-course patients with obesity, diabetes, or Acute Physiology and Chronic Health Evaluation II ≥15 from the STOP-IT trial were compared with longer duration patients. Outcomes included incidence of and days to infectious complications, mortality, and length of stay. Obese and diabetic patients had similar incidences of and days to surgical site infection, recurrent intra-abdominal infection, extra-abdominal infection, and Clostridium difficile infection. Short- and long-course patients had similar incidences of complications among patients with Acute Physiology and Chronic Health Evaluation II ≥15. However, there were fewer days to the diagnosis of surgical site infection (9.5 ± 3.4 vs 21.6 ± 6.2, P = 0.010) and extra-abdominal infection (12.4 ± 6.9 vs 21.8 ± 6.1, P = 0.029) in the short-course group. Mortality and length of stay was similar for all groups. A short course of antibiotics in complicated intraabdominal infection with source control seems to have similar outcomes to a longer course in patients with diabetes, obesity, or increased severity of illness.

Intensive care unit length of stay: Benchmarking based on Acute Physiology and Chronic Health Evaluation (APACHE) IV*

2006 ◽  
Vol 34 (10) ◽  
pp. 2517-2529 ◽  
Author(s):  
Jack E. Zimmerman ◽  
Andrew A. Kramer ◽  
Douglas S. McNair ◽  
Fern M. Malila ◽  
Violet L. Shaffer
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Unit Length ◽  
Intensive Care Unit Length ◽  
Chronic Health Evaluation ◽  
Health Evaluation ◽  
Chronic Health ◽  
Apache Iv

scholarly journals Utility of Acute Physiology and Chronic Health Evaluation (APACHE II) in Predicting Mortality in Patients with Pyogenic Liver Abscess: A Retrospective Study

2021 ◽  
Vol 10 (12) ◽  
pp. 2644
Author(s):  
Yuan-Ti Lee ◽  
Chi-Chih Wang ◽  
Chien-Feng Li ◽  
Hsuan-Yi Chen ◽  
Hsien-Hua Liao ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Chronic Health Evaluation ◽  
Apache Ii ◽  
Apache Ii Score ◽  
Health Evaluation ◽  
Icu Patients ◽  
Chronic Health ◽  
Increased Risk

Pyogenic liver abscess (PLA) is a major life-threatening disease with varied clinical features. This study aimed to determine predictors of mortality in patients with PLA using criteria determined upon admission. We retrospectively examined the data of 324 hospitalized adults in whom liver abscesses were confirmed using abdominal ultrasound and/or computed tomography. The relationship between various risk factors was assessed using multivariate analysis. A total of 109 (33.6%) patients were admitted to the intensive care unit (ICU). The overall mortality rate was 7.4% and was higher among ICU patients than non-ICU patients (21.1% vs. 0.5%, p < 0.001). PLA patients with an Acute Physiology and Chronic Health Evaluation (APACHE) II score ≥18 had a 19.31-fold increased risk, and those with concomitant infections had a 34.33-fold increased risk of 30-day mortality according to multivariate analysis. The estimated area under the receiver operating characteristic curve for predicting 30-day mortality revealed that APACHE II score ≥18 (sensitivity of 75% and specificity of 84%, p < 0.0001) had better discriminative power than Sequential Organ Failure Assessment (SOFA) ≥6 (sensitivity of 81% and specificity of 66%, p < 0.0001). APACHE II has shown better discrimination ability than SOFA in predicting mortality in PLA patients. To improve outcomes in patients with PLA, future management strategies should focus on high-risk patients.

scholarly journals Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

2017 ◽  
Vol 30 (2) ◽  
pp. 168-173
Author(s):  
Daniela Benevides Ortega ◽  
Maria D’Innocenzo ◽  
Lucia Marta Giunta da Silva ◽  
Elena Bohomol
Keyword(s):  
Chronic Health Evaluation ◽  
Apache Ii ◽  
Health Evaluation ◽  
Chronic Health ◽  
Terapia Intensiva

Resumo Objetivo Avaliar a incidência de eventos adversos e associá-los com a carga de trabalho de enfermagem, o dimensionamento da equipe de enfermagem e o perfil de gravidade do paciente. Métodos Foi realizado um estudo transversal, prospectivo, com abordagem quantitativa, em 304 pacientes consecutivos internados em Unidade de Terapia Intensiva geral de um hospital privado, admitidos entre setembro e dezembro de 2013 (quatro meses). Resultados Ocorreram 39 eventos adversos sendo a lesão por pressão a mais prevalente. Os pacientes que apresentaram algum evento tiveram maior média de idade, maior prevalência de internações clínicas, internações mais prolongadas, maior escala Acute Physiology and Chronic Health Evaluation (APACHE) II, maior pontuação do Nursing Activities Score (NAS), menor escore na escala de Braden e menor escala de Glasgow e não tiveram diferenças significantes em relação ao dimensionamento da equipe de enfermagem. Conclusão Houve maior incidência de eventos adversos em pacientes que exibiram um perfil de maior risco e gravidade identificados por meio de escalas preditoras.

scholarly journals Impacto de la bacteriemia en una cohorte de pacientes con neumonía neumocócica

2012 ◽  
Vol 38 (4) ◽  
pp. 422-430 ◽  
Author(s):  
Ileana Palma ◽  
Ricardo Mosquera ◽  
Carmen Demier ◽  
Carlos Vay ◽  
Angela Famiglietti ◽  
...  
Keyword(s):  
Streptococcus Pneumoniae ◽  
Pneumonia Severity Index ◽  
Severity Index ◽  
Chronic Health Evaluation ◽  
Apache Ii ◽  
Health Evaluation ◽  
Pneumonia Severity ◽  
Chronic Health

OBJETIVO: Bacteriemia es la forma invasiva más común de neumonía adquirida en la comunidad (NAC) por Streptococcus pneumoniae. Investigamos si la bacteriemia en NAC neumocócica empeora los resultados y si ella guarda relación con la vacunación antineumocócica (VAN). MÉTODOS: Análisis secundario de una cohorte de pacientes con NAC neumocócica confirmada por cultivo de sangre o esputo o antígeno urinario. Se registraron datos demográficos, clínicos, radiográficos y de laboratorio, escores Acute Physiology and Chronic Health Evaluation II (APACHE II) y pneumonia severity index (PSI), comorbilidades y antecedente de VAN. Se compararon pacientes con NAC neumocócica bacteriémica (NNB) vs. no bacteriémica (NNNB). RESULTADOS: Cuarenta y siete pacientes tenían NNB y 71 NNNB (45 por cultivo de esputo y 26 por antígeno urinario); 107 tenían alguna indicación de VAN. Ningún paciente con NNB, pero 9 con NNNB, habían recibido VAN (p = 0,043). Los pacientes con NNB eran mayores (76,4 ± 11,5 vs. 67,5 ± 20,9 años), tenían mayor APACHE II (16,4 ± 4,6 vs. 14,1 ± 6,5) y PSI (129,5 ± 36 vs. 105,2 ± 45), más frecuentemente cardiopatía e insuficiencia renal crónica e internación en UTI (42,5% vs. 22,5%) y menor hematocrito (35,7 ± 5,8 vs. 38,6 ± 6,7%) y sodio plasmático (133,9 ± 6,0 vs. 137,1 ± 5,5 mEq/L). La mortalidad fue similar (29,8% vs. 28,2%). CONCLUSIONES: Los niveles de VAN (8,4%) en esta población con alto riesgo de NAC por S. pneumoniae fueron extremadamente bajos. Los pacientes con NNB estaban más graves, pero la mortalidad fue similar entre los dos grupos. La VAN reduce la incidencia de NNB y es razonable incrementar el nivel de vacunación de la población en riesgo.

scholarly journals The express-diagnostics of versions of a DIC-syndrome in trauma and acute haemorrhage patients

2008 ◽  
Vol 7 (4) ◽  
pp. 77-82
Author(s):  
Ye. G. Ripp ◽  
V. Ye. Shipakov ◽  
M. N. Shpisman
Keyword(s):  
Organ Dysfunction ◽  
Chronic Health Evaluation ◽  
Instrumental Method ◽  
Health Evaluation ◽  
Chronic Health ◽  
Early Stages ◽  
Apache Iii ◽  
Acute Haemorrhage ◽  
Multi Organ Dysfunction Syndrome

The research of a haemostatic system in trauma and acute haemorrhage patients by a new instrumental method — haemocoagulographia — allows at early stages of disease to reveal patients having the tendency to development haemostatic anomalies, Multi Organ Dysfunction Syndrome and failure of disease, that increases accuracy of an evaluation of weight of a condition and prognosis on APACHE-III system (Acute Physiology And Chronic Health Evaluation).

Sign in / Sign up

Export Citation Format

Share Document