La pathologie iatrogène en réanimation: étude prospective

Bouhaja, B; Mermech, M.; Mestiri, T.; Ayed, Mounir Ben; Dhaouadi, M.; Ammar, Mohamed Salah Ben

doi:10.1016/s1164-6756(99)80088-7

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…L'incidence des EI varie de 7 à 39 % [2][3][4][5][6][7][8][9][10][11][12][13]. En Tunisie, les chiffres d'incidence varient de 10 à 37,5 % [14][15][16]. Les complications des techniques invasives et les infections nosocomiales sont les plus fréquemment observées en réani-mation [17][18][19][20][21].…”

Section: Introductionunclassified

“…Dans 0,9 % des cas, les EI s'accompagnent d'une aggravation clinique ou de décès[38]. Dans l'étude de Bouhaja et al[14], la mortalité était de 32 % dans le groupe ayant présenté un EI alors que la mortalité dans le groupe indemne de complications n'était que de 10,4 %. Toutefois, la mortalité attribuable des EI est difficile à déterminer pour de multiples raisons : hétérogé-néité des patients de réanimation avec de nombreux facteurs confondants, présence de plusieurs EI pour un même patient et interaction entre ces différents évènements.…”

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Les évènements iatrogènes en réanimation : incidence, facteurs de risques et impacts sur la morbi-mortalité

Hassen

Ayed

Tilouche

et al. 2015

Anesthésie & Réanimation

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Section: Introductionunclassified

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Les évènements iatrogènes en réanimation : incidence, facteurs de risques et impacts sur la morbi-mortalité

Hassen

Ayed

Tilouche

et al. 2015

Anesthésie & Réanimation

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The diseases we cause: Iatrogenic illness in a department of internal medicine

Madeira

Melo

Porto³

et al. 2007

European Journal of Internal Medicine

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Background: The aim of this study was to estimate the incidence, main causes, and risk factors of iatrogenic disease occurring in a department of internal medicine. Methods: Over a 1-year period, physicians systematically filled out a 2-page questionnaire for all patients admitted to the ward. A database was created and the data were statistically analyzed. Patients undergoing immunosuppressive, chemo-, or radiation therapy were excluded. Missing data were completed by reviewing the patients' charts. The patients were then divided into two groups: those with and those without iatrogenic disease. The groups were compared using several parameters including gender, age, social features, days of hospitalization, associated illness, functional status, medical impression, prognosis, associated renal or liver function impairment, drugs taken daily, and outcome. In the group with iatrogenic disease, the type, severity, and predictability were also analyzed. Results: Of the 879 patients admitted to the ward, 445 completed questionnaires and were included in the study. A total of 102 patients (22.9%) developed 121 iatrogenic events. Forty-four patients (43.1%) were admitted for iatrogenic illness, 10 (9.8%) developed lifethreatening events, and in 3 (6.8%) it was the cause of death. Fifty-eight patients (56.8%) registered 77 episodes of iatrogenic disease during their hospital stay, 20 (19.6%) developed life-threatening events, and 9 (11.7%) died, 4 (5.2%) of an iatrogenic cause (nosocomial infections). Significant differences were found in 20 out of 26 parameters studied ( p b 0.005 for all cases; 95% confidence interval). Eighteen percent of all iatrogenic disease was severe, 61.9% predictable, 54.5% avoidable, and 59% drug-related, 80% of which was due to side effects or adverse reactions. Infection and metabolic and electrolyte disorders were the most frequent effects. Conclusions: It is possible to identify risk factors for iatrogenic events. Chronically ill elderly inpatients are the main target of iatrogenic events.

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La pathologie iatrogène en réanimation: étude prospective

Cited by 2 publications

References 21 publications

Les évènements iatrogènes en réanimation : incidence, facteurs de risques et impacts sur la morbi-mortalité

Les évènements iatrogènes en réanimation : incidence, facteurs de risques et impacts sur la morbi-mortalité

The diseases we cause: Iatrogenic illness in a department of internal medicine

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