Critically ill elderly patients in a developing world—mortality and functional outcome at 1 year: A prospective single-center study

Tripathy, Swagata; Mishra, Jayanti; Dash, Siddhartha

doi:10.1016/j.jcrc.2014.01.007

Cited by 34 publications

(47 citation statements)

References 32 publications

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“…From this, a total of 20 studies were identified for inclusion after the addition of 1 article identified by hand searching (Figure 1). Twelve studies recruited a heterogeneous group of patients, 8 , 20 , 21 , 23 , 26 – 33 3 studies recruited elderly patients, 34 – 36 2 studies each recruited post–liver transplant patients 37 , 38 and cardiac surgery patients, 7 , 22 and 1 recruited patients with acute kidney injury 39 . Fifteen articles 7 , 8 , 20 – 23 , 26 , 27 , 33 – 39 reported relevant clinical outcomes, of which 6 had low risk of bias 20 , 22 , 26 , 34 , 36 , 38 and were used to evaluate the association between malnutrition and ICU clinical outcomes (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…In approximately half of the studies, the clinician who carried out the nutrition screening and assessment was not identified * . Where this parameter was included, screening and assessment were performed by 1 or more dietitians in 5 studies, 21 , 27 , 28 , 32 , 34 physicians in 2 studies, 23 , 26 nurses in 1 study, 36 and a combination of physicians, nurses, and dietitians in the final study 8 . About 50% of the studies recruited predominantly patients from the medical ICU 8 , 20 , 23 , 26 , 27 , 31 – 35 and 1 study 39 from the surgical ICU.…”

Section: Resultsmentioning

confidence: 99%

“…Malnutrition risk was quantified using the MUST in 3 studies 7 , 22 , 36 . Studies with a low risk of bias showed that malnutrition risk determined by the MUST was independently associated with 1‐year postdischarge mortality (adjusted OR, 0.01; 95% CI, 0.01, 0.60; P = .01) 36 . No association was observed for postoperative complication (adjusted OR, 1.30; 95% CI, 0.90, 2.00; P = 0.11) or ICU LOS (adjusted OR, 1.20; 95% CI, 0.90, 2.00; P = .33) 22 …”

Section: Resultsmentioning

confidence: 99%

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Association Between Malnutrition and Clinical Outcomes in the Intensive Care Unit: A Systematic Review

Lew

Yandell

Fraser

et al. 2016

J Parenter Enteral Nutr

354

322

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Malnutrition is associated with poor clinical outcomes among hospitalized patients. However, studies linking malnutrition with poor clinical outcomes in the intensive care unit (ICU) often have conflicting findings due in part to the inappropriate diagnosis of malnutrition. We primarily aimed to determine whether malnutrition diagnosed by validated nutrition assessment tools such as the Subjective Global Assessment (SGA) or Mini Nutritional Assessment (MNA) is independently associated with poorer clinical outcomes in the ICU and if the use of nutrition screening tools demonstrate a similar association. PubMed, CINAHL, Scopus, and Cochrane Library were systematically searched for eligible studies. Search terms included were synonyms of malnutrition, nutritional status, screening, assessment, and intensive care unit. Eligible studies were case-control or cohort studies that recruited adults in the ICU; conducted the SGA, MNA, or used nutrition screening tools before or within 48 hours of ICU admission; and reported the prevalence of malnutrition and relevant clinical outcomes including mortality, length of stay (LOS), and incidence of infection (IOI). Twenty of 1168 studies were eligible. The prevalence of malnutrition ranged from 38% to 78%. Malnutrition diagnosed by nutrition assessments was independently associated with increased ICU LOS, ICU readmission, IOI, and the risk of hospital mortality. The SGA clearly had better predictive validity than the MNA. The association between malnutrition risk determined by nutrition screening was less consistent. Malnutrition is independently associated with poorer clinical outcomes in the ICU. Compared with nutrition assessment tools, the predictive validity of nutrition screening tools were less consistent.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Association Between Malnutrition and Clinical Outcomes in the Intensive Care Unit: A Systematic Review

Lew

Yandell

Fraser

et al. 2016

J Parenter Enteral Nutr

354

322

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“…Moreover addictions like tobacco and alcohol are more prevalent in them, which may contribute to morbidity and mortality. [28] Also spending power is more in higher socioeconomic class, therefore bearing the expense of costly treatments of critical care is also more in this group and least in low socioeconomic group. [25] Similar finding was encountered in our present study when we found that majority of this class gave a positive history of alcoholism or smoking or both, in some cases.…”

Section: Discussionmentioning

confidence: 99%

Study of Factors Affecting Deaths in Medicine Ward Patients Including MICU at a Teaching and Tertiary Care Hospital Located in Central India during Period 2013 to 2016

Pande¹

2018

jmscr

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“…In the few studies conducted in developing countries, QoL was reported as declined in survivors of critically ill patients after acute respiratory distress syndrome (ARDS) due H1N1 virus, acute kidney injury and severe sepsis12,13,14 ) . On top of that, the percentage of mortality in tertiary hospital in India was reported still high for elderly patients15 ) .…”

Section: Introductionmentioning

confidence: 99%

Quality of life of critically ill patients in a developing country: a prospective longitudinal study

et al. 2016

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[Purpose] To evaluate the quality of life of critical illness survivors in a developing country over the time after hospital discharge and to assess the influence of clinical variables on quality of life. [Subjects and Methods] A prospective longitudinal study was conducted in a large, tertiary, public hospital in Sao Paulo, Brazil. We included patients ≥18 years old, hospitalized in the intensive care unit with ≥24 hours of invasive mechanical ventilation. Quality of life was assessed using the Medical Outcomes Study 36-Item Short Form Health Survey, which was applied by telephone interview at the first, third and sixth months after hospital discharge. [Results] 75 patients were included in the study. Quality of life improved progressively after hospital discharge; role-physical was the most compromised domain. The physical component was influenced by the age. Quality of life was not influenced by Apache II categorization, length of invasive mechanical ventilation, intensive care unit stay or hospital stay. [Conclusion] Survivors of critical illness in a developing country present poor quality of life, which improves over time. Age influenced the physical component of quality of life.

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Critically ill elderly patients in a developing world—mortality and functional outcome at 1 year: A prospective single-center study

Cited by 34 publications

References 32 publications

Association Between Malnutrition and Clinical Outcomes in the Intensive Care Unit: A Systematic Review

Association Between Malnutrition and Clinical Outcomes in the Intensive Care Unit: A Systematic Review

Study of Factors Affecting Deaths in Medicine Ward Patients Including MICU at a Teaching and Tertiary Care Hospital Located in Central India during Period 2013 to 2016

Quality of life of critically ill patients in a developing country: a prospective longitudinal study

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