Main characteristics observed in patients with hematologic diseases admitted to an intensive care unit of a Brazilian university hospital

Revista Brasileira de terapia intensiva
Lídia Miranda BarretoVandack Nobre

Abstract

To evaluate the clinical characteristics of patients with hematological disease admitted to the intensive care unit and the use of noninvasive mechanical ventilation in a subgroup with respiratory dysfunction. A retrospective observational study from September 2011 to January 2014. Overall, 157 patients were included. The mean age was 45.13 (± 17.2) years and 46.5% of the patients were female. Sixty-seven (48.4%) patients had sepsis, and 90 (57.3%) patients required vasoactive vasopressors. The main cause for admission to the intensive care unit was acute respiratory failure (94.3%). Among the 157 studied patients, 47 (29.9%) were intubated within the first 24 hours, and 38 (24.2%) underwent noninvasive mechanical ventilation. Among the 38 patients who initially received noninvasive mechanical ventilation, 26 (68.4%) were subsequently intubated, and 12 (31.6%) responded to this mode of ventilation. Patients who failed to respond to noninvasive mechanical ventilation had higher intensive care unit mortality (66.7% versus 16.7%; p = 0.004) and a longer stay in the intensive care unit (9.6 days versus 4.6 days, p = 0.02) compared with the successful cases. Baseline severity scores (SOFA and SAPS 3) and the total leukocyte count we...Continue Reading

Citations

Sep 15, 2020·Journal of Intensive Care·Lídia Miranda BarretoUNKNOWN Núcleo Interdisciplinar de Investigação em Medicina Intensiva (NIIMI)
Sep 19, 2021·European Journal of Medical Research·Li JiangHongbing Ma

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