Outcome of acute mesenteric ischemia in the intensive care unit: a retrospective, multicenter study of 780 cases

Intensive Care Medicine
Marc LeoneJean-Yves Lefrant

Abstract

In the intensive care unit (ICU), the outcomes of patients with acute mesenteric ischemia (AMI) are poorly documented. This study aimed to determine the risk factors for death in ICU patients with AMI. A retrospective, observational, non-interventional, multicenter study was conducted in 43 ICUs of 38 public institutions in France. From January 2008 to December 2013, all adult patients with a diagnosis of AMI during their hospitalization in ICU were included in a database. The diagnosis was confirmed by at least one of three procedures (computed tomography scan, gastrointestinal endoscopy, or upon surgery). To determine factors associated with ICU death, we established a logistic regression model. Recursive partitioning analysis was applied to construct a decision tree regarding risk factors and their interactions most critical to determining outcomes. The death rate of the 780 included patients was 58 %. Being older, having a higher sequential organ failure assessment (SOFA) severity score at diagnosis, and a plasma lactate concentration over 2.7 mmol/l at diagnosis were independent risk factors of ICU mortality. In contrast, having a prior history of peripheral vascular disease or an initial surgical treatment were independen...Continue Reading

References

May 26, 2004·Archives of Internal Medicine·W Andrew OldenburgCharles D Burger
Jun 16, 2004·Intensive Care Medicine·Konrad ReinhartDonald L Bredle
Jul 26, 2006·World Journal of Surgery·Maria Asuncion Acosta-MeridaJuan Maria Hernandez-Romero
Aug 10, 2006·Surgical Infections·Jean-Louis Vincent
Jul 16, 2008·Current Gastroenterology Reports·Todd Berland, W Andrew Oldenburg
Jun 27, 2009·Digestion·Yoshio HagaKohji Tanakaya
Oct 18, 2011·Surgery·Prateek K GuptaRobert J Fitzgibbons
Nov 28, 2012·Radiologic Clinics of North America·Seung Soo Lee, Seong Ho Park
Nov 19, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael T CudnikBrian C Hiestand
Nov 21, 2013·The British Journal of Surgery·S Acosta, M Björck
Mar 29, 2014·The New England Journal of Medicine·Michael P Casaer, Greet Van den Berghe

❮ Previous
Next ❯

Citations

Mar 27, 2016·Critical Care Clinics·Thomas W CarverAmit Taneja
Nov 12, 2015·Intensive Care Medicine·Sebastian A HaasStefan Kluge
Jan 26, 2016·Current Opinion in Critical Care·Gaël Piton, Gilles Capellier
Jun 19, 2015·Intensive Care Medicine·C CosséJ-M Regimbeau
Jun 21, 2015·Annals of Intensive Care·Fabrice DaviaudFrédéric Pène
Jan 29, 2016·Journal of Cellular and Molecular Medicine·Xu-Yu ZhangKe-Xuan Liu
Jun 9, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Pierre BouzatJean-François Payen
Aug 5, 2016·Intensive Care Medicine·Pierre SingerGordon Doig
Nov 7, 2016·Critical Care : the Official Journal of the Critical Care Forum·Damien ContouNicolas de Prost
Mar 8, 2017·The American Journal of Gastroenterology·Alexandre NuzzoOlivier Corcos
Sep 25, 2017·Critical Care Medicine·Matthieu JammeFrédéric Pène
Apr 28, 2018·Current Opinion in Clinical Nutrition and Metabolic Care·Lore BilliauwsFrancisca Joly
Feb 14, 2018·Critical Care Nurse·Rosemary K Lee, Ana M Cabrera
Feb 19, 2016·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Stefano SartiniMarcello Pastorelli
May 28, 2020·European Heart Journal. Acute Cardiovascular Care·Marie RenaudierNicolas Mongardon
Jun 21, 2017·Gastroenterology Research and Practice·Stefan LudewigUtz Settmacher
Sep 16, 2017·Shock·Fernanda Yamamoto Ricardo-da-SilvaWothan Tavares de Lima
Aug 11, 2020·World Journal of Gastroenterology : WJG·Meng JiangChristoph F Dietrich
Nov 20, 2016·Annals of Intensive Care·Simon BourcierFrédéric Pène
Aug 17, 2018·Intensive Care Medicine Experimental·Quoc Thang HoangAlexy Tran-Dinh
Feb 9, 2017·Intensive Care Medicine·Annika Reintam BlaserUNKNOWN ESICM Working Group on Gastrointestinal Function
May 31, 2019·BMC Gastroenterology·Martin CaluwaertsPhilippe Hantson
Jan 15, 2020·Open Medicine·Alfonso CanforaBruno Amato
Sep 19, 2019·World Journal of Surgery·María Asunción Acosta-MéridaMaría Mar Callejón-Cara
Jan 9, 2021·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Renato Pietroletti
Nov 14, 2020·Anesthesia and Analgesia·Catharina Conrad, Holger K Eltzschig
Jan 21, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Andrew S MillerDanette Wright
Mar 5, 2021·Clinics and Research in Hepatology and Gastroenterology·Antonella MaimoneMassimo Conio
Feb 21, 2021·European Heart Journal. Acute Cardiovascular Care·Marie RenaudierNicolas Mongardon
Mar 20, 2021·Critical Reviews in Clinical Laboratory Sciences·Maryam Saberi-KarimianMajid Ghayour-Mobarhan
Oct 21, 2019·Annals of Vascular Surgery·Fabien LareyreJuliette Raffort
Apr 25, 2021·Journal of Medical Case Reports·Swastik Sourav MishraPankaj Kumar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.