Evaluation of risk factors for mortality in intensive care units: A prospective study from a referral hospital in Turkey

Colpan, Aylin; Akıncı, Esragül; Erbay, Ayşe; Balaban, Neriman; Bodur, Hürrem

doi:10.1016/j.ajic.2004.09.005

Cited by 60 publications

(63 citation statements)

References 30 publications

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“…In line with this finding, other studies described (4,10,22) lack of significance between gender/age and the development of infections by resistant microorganisms, even mentioning analysis of patients over 75 years of age.…”

Section: Mortality-associated Factorssupporting

confidence: 73%

“…Besides, some studies confirm these findings regarding the significant association between patients who developed infections and/or were submitted to mechanical ventilation, including the occurrence of deaths (4,10,(26)(27)(28)(29) . One of these studies mentions that the chance of death is between two and ten times higher for patients using this device, with death rates that can range between 24 e 76% (27) .…”

Section: Mortality-associated Factorssupporting

confidence: 58%

“…In literature, however, divergence exists on the association between mortality and infection development, even when using multivariate logistic regression (4,10,22) .…”

Section: Mortality-associated Factorsmentioning

confidence: 99%

“…Many factors are related with the risk of catching HAI, such as disease severity, underlying disease, duration of ICU hospitalization and invasive procedures, the latter of which is frequently associated with infection by resistant microorganisms, together with high patient density and this population's susceptibility (10,16) .…”

Section: Mortality-associated Factorsmentioning

confidence: 99%

“…When patients developed infections caused by resistant microorganisms, this rate can rise up to 70% (3,(10)(11) . Brazilian studies reports similar rates, reaching 50% when associated with infections by resistant microorganisms (8)(9) .…”

Section: Introductionmentioning

confidence: 99%

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Bacterial Resistance and Mortality in an Intensive Care Unit

Oliveira

Silva

Diaz

et al. 2010

Rev. Latino-Am. Enfermagem

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The goal was to identify risk factors for healthcare-associated infections by resistant Resistencia bacteriana y mortalidad en un Centro de Terapia IntensivaSe objetivó identificar factores de riesgo para el desarrollo de infecciones relacionadas al cuidar en salud, por microorganismos resistentes, y también investigar su relación con la mortalidad de los pacientes en un centro de terapia intensiva. Se trata de un estudio epidemiológico prospectivo realizado entre 2005 y 2008, envolviendo 2.300 pacientes. Se utilizó la estadística descriptiva y el análisis de regresión logístico bivariado y multivariado. En el análisis bivariado, la infección por microorganismos resistentes estuvo significativamente asociada a pacientes con infección comunitaria (p=0,03; OR=1,79) y a la colonización por microorganismo resistente (p<0,01; OR=14,22). En el análisis multivariado la severidad clínica C (p=0,03; OR=0,25) y la colonización por microorganismo resistente (p<0,01; OR=21,73) fueron significativas. En relación a las muertes, se observó como factor de riesgo: el tipo de paciente, la severidad clínica, y el uso de ventilación mecánica. La constatación de la relación entre los microorganismos resistentes y la muerte, coloca en evidencia la necesidad de monitorizar la adhesión a las medidas de control de la infección con el objetivo de mejorar la calidad de la asistencia y, sobre todo, la sobrevivencia de los pacientes críticos.

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Section: Mortality-associated Factorssupporting

confidence: 73%

Section: Mortality-associated Factorssupporting

confidence: 58%

“…In literature, however, divergence exists on the association between mortality and infection development, even when using multivariate logistic regression (4,10,22) .…”

Section: Mortality-associated Factorsmentioning

confidence: 99%

Section: Mortality-associated Factorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bacterial Resistance and Mortality in an Intensive Care Unit

Oliveira

Silva

Diaz

et al. 2010

Rev. Latino-Am. Enfermagem

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Can SAPS II Predict Operative Mortality More Accurately Than POSSUM and P‐POSSUM in Patients with Colorectal Carcinoma Undergoing Resection?

et al. 2008

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Intérêt de l’indice de gravité simplifié ambulatoire (IGSA) appliqué à des patients admis dans l’unité de soins intensifs (USI) d’un service de pathologie infectieuse à Dakar

Dia

Diallo

Manga

et al. 2015

Bull. Soc. Pathol. Exot.

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The evaluation of patients by a scale of gravity allows a better categorization of patients admitted in intensive care unit (ICU). Our study had for objective to estimate interest of Ambulatory Simplified Acute Physiologic Score (ASAPS) applied to patients admitted in ICU of infectious diseases department of FANN hospital. It was about a descriptive and analytical retrospective study, made from the data found in patients' files admitted into the USI infectious diseases department of FANN hospital in Dakar, from January 1(st), 2009 till December 31st, 2009.The data of 354 patients' files were analyzed. The sex-ratio was 1.77 with an average age of 37.6 years ± 19.4 years old [5-94 years]. The majority of the patients were unemployed paid (39.6%). The most frequent failures were the following ones: neurological (80.5%), cardio-respiratory (16.7%). The average duration of stay was 6.2 days ± 8.2 days going of less than 24 hours to more than 10 weeks. The deaths arose much more at night (53.1%) than in the daytime (46.9%) and the strongest rate of death was recorded in January (61.5%), most low in October (26.7%). The global mortality was 48.3%. The rate of lethality according to the highest main diagnosis was allocated to the AIDS (80.5%). The average ambulatory simplified acute physiology score was 5.3 ± 3.6 with extremes of 0 and 18. The deaths in our series increased with this index (p = 0.000005). The female patients had a rate of lethality higher than that of the men people, 55.5% against 44.2% (p = 0.03). In spite of a predictive score of a high survival (ASAPS < 8), certain number of patients died (n = 105) that is 61.4% of the deaths. The metabolic disturbances, hyperleukocytosis or leukopenia when realised, the presence of a chronic disease, seemed also to influence this lethality. ASAPS only, although interesting, would not good estimate the gravity of patients, where from the necessity thus of a minimum biological balance sheet. It seems better adapted for patients with a high value (ASAPS≥8). This score when it is low, is not correlated, in our study, at a high survival rate as waited in this population.

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Evaluation of risk factors for mortality in intensive care units: A prospective study from a referral hospital in Turkey

Cited by 60 publications

References 30 publications

Bacterial Resistance and Mortality in an Intensive Care Unit

Bacterial Resistance and Mortality in an Intensive Care Unit

Can SAPS II Predict Operative Mortality More Accurately Than POSSUM and P‐POSSUM in Patients with Colorectal Carcinoma Undergoing Resection?

Intérêt de l’indice de gravité simplifié ambulatoire (IGSA) appliqué à des patients admis dans l’unité de soins intensifs (USI) d’un service de pathologie infectieuse à Dakar

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