Portal de investigação
Critically ill patients with high predicted mortality: Incidence and outcome
Data de publicação:
Data Ahead of Print:
Autores da FMUP
Participantes de fora da FMUP
- Oliveira, Andre
- Vieira, Tatiana
- Rodrigues, Ana
- Jorge, Nuria
- Tavares, Luis
- Costa, Laura
- Pereira, Joao Goncalves
Unidades de investigação
Abstract
Objective: As calculated by the severity scores, an unknown number of patients are admitted to the Intensive Care Unit (ICU) with a very high risk of death. Clinical studies have poorly addressed this population, and their prognosis is largely unknown. Design: Post hoc analysis of a multicenter, cohort, longitudinal, observational, retrospective study (CIMbA). Setting: Sixteen Portuguese multipurpose ICUs. Patients: Patients with a Simplified Acute Physiology Score II (SAPS II) predicted hospital mortality above 80% on admission to the ICU (high -risk group); A comparison with the remaining patients was obtained. Interventions: None. Main Variables of Interest: Hospital, 30 days, 1 year mortality. Results: We identified 4546 patients (59.9% male), 12.2% of the whole population. Their SAPS II predicted hospital mortality was 89.0 +/- 5.8%, whilst the observed mortality was lower, 61.0%. This group had higher mortality, both during the first 30 days (aHR 3.52 [95% CI 3.34-3.71]) and from day 31 to day 365 after ICU admission (aHR 1.14 [95%CI 1.04-1.26]), respectively. However, their hospital standardized mortality ratio was similar to the other patients (0.69 vs. 0.69, P = .92). At one year of follow-up, 30% of patients in the high-risk group were alive. Conclusions: Roughly 12% of patients admitted to the ICU for more than 24 h had a SAPS II score predicted mortality above 80%. Their hospital standardized mortality was similar to the less severe population and 30% were alive after one year of follow-up. (c) 2023 The Author(s). Published by Elsevier Espan similar to a, S.L.U. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Dados da publicação
- ISSN/ISSNe:
- 1578-6749, 0210-5691
- Tipo:
- Article
- Páginas:
- 85-91
- PubMed:
- 37985339
- Link para outro recurso:
- www.scopus.com
Medicina Intensiva Ediciones Doyma, S.L.
Citações Recebidas na Web of Science: 3
Citações Recebidas na Scopus: 4
Documentos
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Filiações
Keywords
- Epidemiology; Mortality; Intensive care; Follow up; SAPS II; High-risk
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Citar a publicação
Oliveira A,Vieira T,Rodrigues A,Jorge N,Tavares L,Costa L,Paiva JA,Pereira JG. Critically ill patients with high predicted mortality: Incidence and outcome. Med. Intensiva. 2024. 48. (2):p. 85-91. IF:3,000. (3).
