Przyczyny hospitalizacji chorych zakażonych wirusem HIV na oddziale intensywnej terapii — jednoośrodkowe badanie obserwacyjne

Łojko, Piotr; Piechota, Mariusz

doi:10.5603/ait.2015.0032

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…When their symptoms worsen, they are referred to the ICU, which is why most cases are derived from the ward. Studies show that HIV patients are hospitalized due to co-morbidities 13,14 . In fact, co-infections with hepatitis C virus are related to increased hospitalization and mortality rates.…”

Section: Discussionmentioning

confidence: 99%

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Factors associated with oral biofilm in ICU patients with infectious diseases

Damascena

Rodrigues

Costa

et al. 2017

Rev. odontol. UNESP

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ResumoIntrodução: A hospitalização pode provocar deterioração da saúde bucal, repercutindo em todo o corpo. A UTI pode ser um ambiente favorável ao acúmulo de biofilme oral em pacientes críticos. Objetivo: Identificar fatores associados à presença do biofilme em pacientes da UTI de um hospital de doenças infectocontagiosas. Método: Estudo retrospectivo, descritivo e inferencial, com abordagem quantitativa. Os dados foram obtidos em prontuários de pacientes da UTI, de janeiro de 2012 a julho de 2015. O biofilme foi avaliado de acordo com o índice de Greene e Vermillion. Os fatores influentes foram analisados por regressão logística. Resultado: Entre os pacientes da UTI, 69,1% eram homens, 60,7% pacientes com AIDS, 66,3% pacientes na enfermaria, 50,6% intubados e 50,0% sedados. Seus elementos orais eram na maioria normais. As seguintes características foram significativamente associadas a biofilmes orais: alterações orais nos lábios, gengivas, bochechas e palatos e sangramento. Pacientes da enfermaria apresentaram menor risco de apresentar biofilmes. Conclusão: o aumento do acúmulo de biofilme oral foi observado em pacientes com alterações na boca e a procedência do paciente foi associada à presença de biofilme.Descritores: Hospital; paciente; saúde bucal; manifestações orais; biofilme. AbstractIntroduction: Hospitalization may cause a decline in oral health and affect the entire body. The intensive care unit (ICU) may be a favorable environment for oral biofilm to accumulate in critically ill patients. Objective: To identify factors associated with oral biofilm in ICU patients in a hospital for infectious diseases. Method: This was a retrospective, descriptive and inferential study with a quantitative approach. Data were collected from 178 medical records of patients from January 2012 to July 2015. Biofilm presence was assessed according to the Greene and Vermillion index. Potential influential factors were analyzed by logistic regression. Result: Among ICU patients, 69.1% were men, 60.7% had acquired immune deficiency (AIDS), 66.3% were ward patients, 50.6% were intubated, and 50.0% were sedated. The oral elements of the patients were mostly normal. The following characteristics were significantly associated with oral biofilm: changes in the lips, gums, cheeks, and palates and bleeding. Patients from the ward had a lower risk of biofilm. Conclusion: Increased oral biofilm accumulation was observed in patients with oral changes, and patient origin was associated with the presence of biofilm.

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Section: Discussionmentioning

confidence: 99%

“…In fact, co-infections with hepatitis C virus are related to increased hospitalization and mortality rates. In American and Western European countries, 5-12% of ICU patients are HIV positive 14 …”

Section: Discussionmentioning

confidence: 99%

Factors associated with oral biofilm in ICU patients with infectious diseases

Damascena

Rodrigues

Costa

et al. 2017

Rev. odontol. UNESP

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“…Comparative data on admissions of young adults to the ICU are incomplete. Such information could only be found among demographic data of the patients admitted to ICUs with various medical conditions [3–5].…”

Section: Introductionmentioning

confidence: 99%

Young Adults Among Patients Admitted to Polish Intensive Care Units in the Silesian ICU Registry

et al. 2019

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Background Patients under 30 years of age constitute a unique population in the Intensive Care Unit (ICU). The aim of this study was to obtain information on young adults admitted to Polish ICUs and to identify independent predictors of favorable outcome in this population. Material/Methods Data from 20 651 adult patients from the Silesian Registry of Intensive Care Units conducted in the Silesian Region of Poland since October 2010 were analyzed. Patients aged 18–29 years were identified and their data were compared to the remaining population. Preadmission and admission variables that independently influence the favorable outcome (defined as survival of ICU stay and discharge in a condition other than vegetative state or minimally conscious state) were identified. Results Among 20 609 analyzed adult patients, 850 (4.1%) were under the age of 30 years. Young adults had a lower mean APACHE II and SAPS III score at admission and were more frequently admitted to the ICU due to trauma, poisonings, acute neurological disorders, and obstetric complications. ICU mortality was over 2 times lower (20.1% vs. 45.3%, p<0.001). Independent variables affecting favorable outcome in this population were: admission to ICU from the operating theatre and multiple trauma as a primary cause of admission. Conclusions The greater chance of favorable outcome in adults under the age of 30 years admitted to the ICU is due to their unique characteristics. Favorable outcome in young adults is most likely among patients admitted to the ICU following multiple trauma or admitted from the operating theatre.

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Przyczyny hospitalizacji chorych zakażonych wirusem HIV na oddziale intensywnej terapii — jednoośrodkowe badanie obserwacyjne

Cited by 2 publications

References 17 publications

Factors associated with oral biofilm in ICU patients with infectious diseases

Factors associated with oral biofilm in ICU patients with infectious diseases

Young Adults Among Patients Admitted to Polish Intensive Care Units in the Silesian ICU Registry

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