scholarly journals A Retrospective Analysis and Comparison of Prisoners and Community-Based Patients with COVID-19 Requiring Intensive Care During the First Phase of the Pandemic in West Texas

2020 ◽  
Vol 11 ◽  
pp. 215013272095468
Author(s):  
Kiran Ali ◽  
Sanjana Rao ◽  
Gilbert Berdine ◽  
Victor Test ◽  
Kenneth Nugent
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Medical Intensive Care Unit ◽  
Prison Population ◽  
Community Based ◽  
Increased Risk ◽  
Gi Symptoms ◽  
Medical Intensive Care ◽  
The Mean

Background: COVID-19 is a highly infectious disease which usually presents with respiratory symptoms. This virus is disseminated through respiratory droplets, and, therefore, individuals residing in close quarters are at a higher risk for the acquisition of infection. The prison population is at a significantly increased risk for infection. Methods: Prisoners from the Montford Correctional facility in Lubbock, Texas, hospitalized in the medical intensive care unit at University Medical Center between March 1, 2020 and May 15, 2020 were compared to community-based patients hospitalized in the same medical intensive care unit. Clinical information, laboratory results, radiographic results, management requirements, and outcomes were compared. Results: A total of 15 community-based patients with a mean age of 67.4 ± 15.5 years were compared to 5 prisoners with a mean age of 56.0 ± 9.0 years. All prisoners were men; 10 community-based patients were men. Prisoners presented with fever, dyspnea, and GI symptoms. The mean number of comorbidities in prisoners was 2.4 compared to 1.8 in community-based patients. Prisoners had significantly lower heart rates and respiratory rates at presentation than community-based patients. The mean length of stay in prisoners was 12.6 ± 8.9 days; the mean length of stay in community-based patients was 8.6 ± 6.5. The case fatality rate was 60% in both groups. Conclusions: Prisoners were younger than community-based patients but required longer lengths of stay and had the same mortality rate. This study provides a basis for comparisons with future studies which could involve new treatment options currently under study.

Increased risk associated with pulmonary artery catheterization in the medical intensive care unit

2003 ◽  
Vol 18 (3) ◽  
pp. 166-171 ◽  
Author(s):  
Steve G Peters ◽  
Bekele Afessa ◽  
Paul A Decker ◽  
Darrell R Schroeder ◽  
Kenneth P Offord ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pulmonary Artery ◽  
Medical Intensive Care Unit ◽  
Pulmonary Artery Catheterization ◽  
Increased Risk ◽  
Medical Intensive Care

scholarly journals Admission Anion Gap Metabolic Acidosis and Its Impact on Patients in Medical Intensive Care Unit

2021 ◽  
Author(s):  
Akshay Dafal ◽  
Sunil Kumar ◽  
Sachin Agrawal ◽  
Sourya Acharya ◽  
Apoorva Nirmal
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Metabolic Acidosis ◽  
Length Of Stay ◽  
Medical Intensive Care Unit ◽  
Anion Gap ◽  
Acid Base ◽  
Acid Base Status ◽  
Medical Intensive Care ◽  
Time Of Admission

Abstract Introduction Anion gap (AG) metabolic acidosis is common in critically ill patients. The relationship between initial AG at the time of admission to the medical intensive care unit (MICU) and mortality or length of stay is unclear. This study was undertaken to evaluate this relationship. Materials and Method We prospectively examined the acid–base status of 500 consecutive patients at the time of MICU admission and outcome was measured in terms of mortality, length of ICU stay, need of ventilator, and laboratory parameters. The patients were divided into four stages based on the severity of AG. Outcome based on the severity of AG was measured, and comparisons that adjusted for baseline characteristics were performed. Results This study showed that increased AG was associated with the higher mortality. Patients with the highest AG also had the longest length of stay in the MICU, and patients with normal acid–base status had the shortest ICU length of stays (p < 0.05). Conclusion A high AG at the time of admission to the MICU was associated with higher mortality and length of stays. Initial risk stratification based on AG and metabolic acidosis may help guide appropriate patient disposition (especially in patients without other definitive criteria for MICU admission) and assist with prognosis.

Proactive palliative care in the medical intensive care unit: Effects on length of stay for selected high-risk patients

2007 ◽  
Vol 35 (6) ◽  
pp. 1530-1535 ◽  
Author(s):  
Sally A. Norton ◽  
Laura A. Hogan ◽  
Robert G. Holloway ◽  
Helena Temkin-Greener ◽  
Marcia J. Buckley ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
High Risk ◽  
Length Of Stay ◽  
Medical Intensive Care Unit ◽  
High Risk Patients ◽  
Risk Patients ◽  
Medical Intensive Care

scholarly journals Does Obesity Predispose Medical Intensive Care Unit Patients to Venous Thromboembolism despite Prophylaxis? A Retrospective Chart Review

2016 ◽  
Vol 2016 ◽  
pp. 1-8
Author(s):  
Bradley J. Peters ◽  
Ross A. Dierkhising ◽  
Kristin C. Mara
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Venous Thromboembolism ◽  
Risk Model ◽  
Medical Intensive Care Unit ◽  
Statistical Significance ◽  
The Body ◽  
Vte Prophylaxis ◽  
Increased Risk ◽  
Medical Intensive Care

Background. Obesity is a significant issue in the critically ill population. There is little evidence directing the dosing of venous thromboembolism (VTE) prophylaxis within this population. We aimed to determine whether obesity predisposes medical intensive care unit patients to venous thromboembolism despite standard chemoprophylaxis with 5000 international units of subcutaneous heparin three times daily. Results. We found a 60% increased risk of venous thromboembolism in the body mass index (BMI) ≥ 30 kg/m2 group compared to the BMI < 30 kg/m2 group; however, this difference did not reach statistical significance. After further utilizing our risk model, neither obesity nor mechanical ventilation reached statistical significance; however, vasopressor administration was associated with a threefold risk. Conclusions. We can conclude that obesity did increase the rate of VTE, but not to a statistically significant level in this single center medical intensive care unit population.

Effect of PACS/CR on cost of care and length of stay in a medical intensive care unit

1996 ◽  
Author(s):  
Curtis P. Langlotz ◽  
Harold L. Kundel ◽  
Inna Brikman ◽  
Hugh M. Pratt ◽  
Regina O. Redfern ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Medical Intensive Care Unit ◽  
Cost Of Care ◽  
Medical Intensive Care

Laboratory Abnormalities in Patients in the Medical Intensive Care Unit

1996 ◽  
Vol 12 (1) ◽  
pp. 12-15
Author(s):  
Margie B Zak ◽  
Carl F Dmuchowski ◽  
Maureen A Smythe
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Medical Intensive Care Unit ◽  
Retrospective Chart Review ◽  
Serum Electrolyte ◽  
Laboratory Parameters ◽  
Icu Stay ◽  
Medical Intensive Care ◽  
Length Of Icu Stay

Objective: The goals of this article are to (1) identify the incidence of reported laboratory abnormalities in patients in the medical intensive care unit (ICU); (2) characterize the relationship between reported laboratory abnormalities and Acute Physiology and Chronic Health Evaluation III (APACHE III) score, length of stay, and mortality; and (3) evaluate therapeutic replacement in patients with electrolyte abnormalities. Design: Retrospective chart review of all patients admitted to the medical ICU between April 1, 1993 and June 30, 1993. Setting: Large teaching institution. Participants: Patients admitted to the medical ICU (n = 116). Interventions: The following data were collected: age, sex, admitting diagnosis, serum electrolyte and laboratory parameters, APACHE HI score, length of ICU stay, and mortality. Results: Ten individual laboratory abnormalities were found in more than 30% of all patients in the medical ICU (range 32.8–59.5%). Abnormalities in four laboratory parameters were associated with undesirable patient outcomes. Patients with hypoalbuminemia had a significantly higher APACHE HI score (p < 0.05). Hypocalcemia, hypomagnesemia, and hypoalbuminemia all were associated with an increased length of stay in the ICU (p < 0.05). Overall mortality was significantly higher in patients with alkalosis (p = 0.002). Therapeutic replacement in those with low electrolyte concentrations often was delayed or missed. Fifteen to 75% of patients who had abnormally low serum electrolyte concentrations were not treated. Conclusions: A high incidence of laboratory abnormalities is reported in patients admitted to the medical ICU. Several of these abnormalities are associated with undesirable outcomes such as an increased length of ICU stay in patients with hypoalbuminemia, hypocalcemia, and hypomagnesemia and increased mortality in patients with alkalosis. Therapeutic replacement of electrolytes in patients with abnormalities often was delayed or missed.

The Effect of Age on Length of Stay in the Medical Intensive Care Unit

CHEST Journal ◽  
2010 ◽  
Vol 138 (4) ◽  
pp. 225A
Author(s):  
Edison G. Gavilanes ◽  
Nycholle L. Gavilanes ◽  
Robert Fleming
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Medical Intensive Care Unit ◽  
Medical Intensive Care ◽  
Effect Of Age

scholarly journals The FREQUENCY OF STRESS HYPERGLYCEMIA AND MORTALITY IN PATIENTS WITH HYPERGLYCEMIA IN MEDICAL INTENSIVE CARE UNIT

2021 ◽  
Vol 71 (3) ◽  
pp. 753-56
Author(s):  
Shahzeb Ahmed Satti ◽  
Abdul Latif Khattak ◽  
Abdul Moueed Tariq ◽  
Sultan Mehmood Majoka ◽  
Arshad Naeem ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Sugar ◽  
Medical Intensive Care Unit ◽  
Stress Hyperglycemia ◽  
Stress Hyperglycaemia ◽  
Study Population ◽  
Medical Intensive Care ◽  
The Mean

Objective: To assess the frequency of stress hyperglycemia and mortality in patients with hyperglycemia admitted in medical Intensive Care Unit. Study Design: Cross-sectional study. Place and Duration of Study: Medical Intensive Care Unit, Combined Military Hospital Quetta, from Nov 2018 to Jun 2019. Methodology: A total of 150 adult patients of age between 18-80 years, of both genders, with Intensive Care Unit stay >24 hours, who were treated in medical Intensive Care Unit during study period, were included in the study. Those patients with duration of stay <24 hours, paediatric patients, surgical and pregnant patients and those who were on chronic steroid therapy and those who were given TPN and dextrose infusions were excluded. The blood sugar fasting was measured daily and blood sugar random was measured on admission and twice daily. The patients were segregated into three groups: Normoglycemia, Diabetes mellitus and Stress hyperglycaemia. The frequency of patients and outcome of patients in terms of death was observed in all groups. Results: The mean age of study population was 55.02 ± 18.14 years, with 99 (66%) were males while 51 (34%) were females. Among study population 77 (51.3%) had normoglycemia, 46 (30.7%) had Diabetes Mellitus while 27 (18%) had stress hyperglycaemia. Out of 77 patients with normoglycemia 10 (12.9%) died, while number of deaths in patients with diabetes mellitus and stress hyperglycaemia was 21 (45.6%) and 15 (55.5%) respectively. The mean maximum blood glucose in those who survived and died was 214.39 ± 100.69 mg/dl and 295.26 ± 122.60................ 

Sign in / Sign up

Export Citation Format

Share Document