Acute spontaneous intracerebral hemorrhage and traumatic brain injury are the most common causes of critical illness in the ICU and have high early mortality

BMC Neurology
Yeting ZhouChen-Xi Yang

Abstract

Critical care covers multiple disciplines. However, the causes of critical illness in the ICU, particularly the most common causes, remain unclear. We aimed to investigate the incidence and the most common causes of critical illness and the corresponding early mortality rates in ICU patients. A retrospective cohort study was performed to examine critically ill patients (aged over 15 years) in the general ICU in Shuyang County in northern China (1/2014-12/2015). The incidences and causes of critical illnesses and their corresponding early mortality rates in the ICU were determined by an expert panel. During the 2-year study period, 1,211,138 person-years (PY) and 1645 critically ill patients (mean age, 61.8 years) were documented. The median Glasgow Coma Scale (GCS) score was 6 (range, 3-15). The mean acute physiology and chronic health evaluation II (APACHE II) score was 21.2 ± 6.8. The median length of the ICU stay was 4 days (range, 1-29 days). The most common causes of critical illness in the ICU were spontaneous intracerebral hemorrhage (SICH) (26%, 17.6/100,000 PY) and traumatic brain injury (TBI) (16.8%, 11.4/100,000 PY). During the first 7 days in the ICU, SICH was the most common cause of death (42.2%, 7.4/10,000 PY), f...Continue Reading

References

Sep 28, 2002·The Journal of Trauma·Michelle D TaylorLena M Napolitano
Jul 9, 2004·Critical Care Medicine·Tasnim SinuffUNKNOWN Values Ethics and Rationing in Critical Care Task Force
Jul 23, 2005·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Wayne D RosamondJane H Brice
Sep 9, 2005·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Mariana Isabel Vargas RománErvigio Corral Torres
Jan 25, 2008·Palliative Medicine·Barbara Gomes, Irene J Higginson
Oct 12, 2010·Lancet·Neill K J AdhikariGordon D Rubenfeld
Oct 5, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Chien-Lung ChanHsin-Tsung Huang
Nov 20, 2013·African Health Sciences·A F HefnyF M Abu-Zidan
Apr 18, 2014·The Lancet. Respiratory Medicine·Giuliana Cerro, William Checkley
Apr 22, 2015·Journal of Neurotrauma·David A HarrisonUNKNOWN Risk Adjustment In Neurocritical care (RAIN) Study Investigators
Aug 4, 2016·Critical Care : the Official Journal of the Critical Care Forum·Theodore J Iwashyna, Adam M Deane

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Citations

Dec 7, 2019·Stem Cell Reviews and Reports·Jiaying YuanXuehong Liu
Mar 14, 2021·Seizure : the Journal of the British Epilepsy Association·Quincy K TranAli Pourmand
Jun 14, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Nikolaos Panagiotis MargosJohn Ellul

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