ICU Mortality Across Prepandemic and Pandemic Cohorts in a Resource-Limited Setting

Anesi, George L; Savarimuthu, Stella; Invernizzi, Jonathan; Hyman, Robyn; Ramkillawan, Arisha; Eddey, Creaghan; Wise, Robert; Smith, Michelle TD.

doi:10.1016/j.chstcc.2023.100005

Cited by 6 publications

(4 citation statements)

References 36 publications

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“…This was not observed in the results of our study and coincides with another research conducted in the USA [34]. Regarding patient mortality, the literature has reported 19.7% in the African population hospitalized in the ICU without a diagnosis of COVID-19 [35] and 19.1% in the population admitted to the medical and surgical ICU at Brigham and Women's Hospital in Boston, Massachusetts [14]. These figures are lower than those reported in our results (11.6%).…”

Section: Diseases and Nutritional Risk By Sexsupporting

confidence: 88%

Assessment of Nutritional Status in Critically Ill Patients Using the Malnutrition Universal Screening Tool—MUST

Díaz Chavarro,

Molina-Recio,

Assis Reveiz

et al. 2023

Preprint

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Purpose: To identify factors linked with nutritional risk via the Malnutrition Universal Screening Tool scale assessment among critically ill patients from a hospital in Cali (Colombia). Materials and methods: A retrospective, analytical observational study was conducted with patients admitted to an intensive care unit (ICU). Sociodemographic, clinical, hematological, and biochemical parameters were analyzed, as well as their association with nutritional risk and patient mortality. Binary logistic regression was applied to outline nutritional risk. Results: Overall, 28.4% prevalence of elevated nutritional risk was observed. An association was found between nutritional risk and hemoglobin and hematocrit values, primary diseases accounting for ICU admission, gastrointestinal symptoms, and nutritional support route (p < 0.05). Mortality was 11.6% and it was correlated with nutritional risk, hemoglobin, and blood urea nitrogen. Conclusions: Gastrointestinal symptoms and the type of nutritional support received during hospitalization may increase nutritional risk, whereas polycythemia was a protective factor. We found an associative model to determine nutritional risk with high specificity and an adequate diagnostic validity index.

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Section: Diseases and Nutritional Risk By Sexsupporting

confidence: 88%

Assessment of Nutritional Status in Critically Ill Patients Using the Malnutrition Universal Screening Tool—MUST

Díaz Chavarro,

Molina-Recio,

Assis Reveiz

et al. 2023

Preprint

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show abstract

“…Moreover, our studies for efficacy probabilities have considered this phenomenon since they evaluate in-hospital CA patients with respiratory failure and pulseless electrical activity as primary CA etiology and rhythm [ 8 , 9 ].The generalizability of our findings holds significant implications for other tertiary hospitals in middle and low-income countries, where the demand for ICU beds in health systems exceeds supply due to the limited number of hospitals equipped to handle complex cases [ 28 ]. Consequently, as a means of enhancing the resilience of health systems, there is a notable frequency of RRT activations to provide support in hospital wards and triage the patients, particularly during high-strain periods of the healthcare systems, as we could see during the pandemic period [ 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing the cost-effectiveness of capnography for end-tidal CO2 monitoring during in-hospital cardiac arrest: A middle-income country perspective analysis

da Rosa Decker,

Marzzani,

de Ferreira

et al. 2024

American Heart Journal Plus: Cardiology Research and Practice

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“…This was not observed in the results of our study and coincided with another research conducted in the USA [ 40 ]. Regarding patient mortality, the literature has reported 19.7% of the African population hospitalized in the ICU without a diagnosis of COVID-19 [ 41 ] and 19.1% of the population admitted to the medical and surgical ICU at Brigham and Women’s Hospital in Boston, Massachusetts [ 15 ]. These figures are lower than those reported in our results (11.6%).…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Nutritional Risk Assessment in Critically Ill Patients Using the Malnutrition Universal Screening Tool (MUST)

Díaz Chavarro,

Molina-Recio,

Assis Reveiz

et al. 2024

JCM

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Background: Malnutrition is an underdiagnosed condition that negatively affects the clinical outcomes of patients, being associated with an increased risk of adverse events, increased hospital stay, and higher mortality. Therefore, nutritional assessment is a required and necessary process in patient care. The objective of this study was to identify the factors associated with nutritional risk by applying the Malnutrition Universal Screening Tool (MUST) scale in a population of critically ill patients. Methods: This was an observational, analytical, and retrospective study. Sociodemographic, clinical, hematological, and biochemical variables and their relationship with nutritional risk and mortality were analyzed. Results: Of 630 patients, the leading cause of admission was pathologies of the circulatory and respiratory system (50%); 28.4% were at high nutritional risk; and mortality was 11.6% and associated with nutritional risk, hemoglobin, and plasma urea nitrogen. Conclusions: The presence of gastrointestinal symptoms and the type of nutritional support received during hospitalization could increase the likelihood of presenting a medium/high nutritional risk, while polycythemia reduced this probability. An associative model was found to determine nutritional risk with an adequate specificity and diagnostic validity index.

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ICU Mortality Across Prepandemic and Pandemic Cohorts in a Resource-Limited Setting

Cited by 6 publications

References 36 publications

Assessment of Nutritional Status in Critically Ill Patients Using the Malnutrition Universal Screening Tool—MUST

Assessment of Nutritional Status in Critically Ill Patients Using the Malnutrition Universal Screening Tool—MUST

Assessing the cost-effectiveness of capnography for end-tidal CO2 monitoring during in-hospital cardiac arrest: A middle-income country perspective analysis

Factors Associated with Nutritional Risk Assessment in Critically Ill Patients Using the Malnutrition Universal Screening Tool (MUST)

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