Clinical, epidemiological and therapeutic characteristics in patients treated in the intensive care unit
Keywords:
epidemiology, risk factors, therapy, mortality, critical patient, intensive care unit.Abstract
Introduction: Data of characteristics of critically ill patients generally come from of European countries.Objective: To identify the clinical, epidemiological and therapeutic characteristics of patients treated in the intensive care unit.
Methods: An observational, prospective study was carried out in the intensive care unit, in periods of the years 2018, 2019 and 2020. Patients admitted for more than 24 hours were included. The variables age, sex, origin and diagnosis of the patients, degree of severity, risk factors, community infections and those associated with health care were defined.
Results: The patient's average age was 38.6 years (36.1-46.3) and 61.0 % belonged to female. APACHE II mean value and standard deviation was 8.9+6.4 and 1,2 + 2.1 for SOFA. Mortality was 7.0 %. Hypoalbuminemia (24.5 %) were the most important risk factor; 27.3 % of patients received a central venous catheter and 13.9 % mechanical ventilation. Community infections were developed by 54.0% of patients and 8.0 % acquired healthcare associated infections.
Conclusions: The population it is characterized by being close to fourth decade, belonging to female sex, proceeding from operating room, clinical conditions, hypoalbuminemia and low values of APACHE II and SOFA scores. Mortality remains stable and the incidence of community infections is high.
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References
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2. Orban JC, Walrave Y, Mongardon N, Allaouchiche B, Argaud L, Aubrun F, et al. Causes and Characteristics of Death in Intensive Care Units: A Prospective Multicenter Study. Anesthesiology. 2017; 126(5):882-9. DOI: 10.1097/ALN.0000000000001612
3. Ling L, Ho CM, Ng PY, Chan KCK, Shum HP, Chan CY, et al. Characteristics and outcomes of patients admitted to adult intensive care units in Hong Kong: a population retrospective cohort study from 2008 to 2018. J Intensive Care.2021; 9(1): 2. DOI: 10.1186/s40560-020-00513-9
4. Ruiz C, Díaz MA, Marcelo J, Bravo S, Panay S, Escobar C, et al. Características y evolución de los pacientes que ingresan a una Unidad de Cuidados Intensivos de un hospital público. Rev Méd Chile. 2016; 144(10): 1297-304. DOI: 10.4067/S0034-98872016001000009
5. López MJ, Olaechea P, Palomar M, Insausti J, Álvarez F; ENVIN-HELICS Study Group. Quality control of the surveillance programme of ICU-acquired infection (ENVIN-HELICS registry) in Spain. J Hosp Infect. 2013; 84(2):126-31. DOI: 10.1016/j.jhin.2013.02.018
6. Grupo de Investigadores del Proyecto Disminución de la Infección Nosocomial en Unidades de Cuidados Intensivos. Incidencia de infecciones relacionadas con el cuidado sanitario en unidades de cuidados intensivos en Cuba: año 2015 e informe de tendencias del primer quinquenio. Invest Medico quir. 2017 [acceso: 06/08/2021]; 9(1): 67-95. Disponible en: https://www.revcimeq.sld.cu/index.php/imq/article/viewFile/374/462
7. González JC, Vázquez YE, Arias A, Cabrera JO. Características de la población atendida en una unidad de cuidados intensivos cubana: estudio del proyecto DINUCIs. Medisur. 2020 [acceso: 06/08/2021]; 18(5): 858-68. Disponible en: https://medisur.sld.cu/index.php/medisur/article/view/4482
8. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985 [acceso 06/08/2021]; 13(10): 818-29. Disponible en: https://www.researchgate.net/publication/19234189_APACHE_II_a_severity_of_-disease_classification_system
9. Olaechea PM, Álvarez-Lerma F, Palomar M, Gimeno R, Gracia MP, Mas N, et al. Characteristics and outcomes of patients admitted to Spanish ICU: A prospective observational study from the ENVIN-HELICS registry (2006-2011). Med Intensiva. 2016; 40(4):216-29. DOI: 10.1016/j.medin.2015.07.003
10. CDC/NHSN Surveillance Definitions for Specific Types of Infections. En: National Healthcare Safety Network (NHSN) Patient Safety Component Manual. 2021. [acceso: 06/08/2021]. Disponible en: https://www.cdc.gov/nhsn/pdfs/pscmanual/17pscnosinfdef_current.pdf
11. CDC/NHSN Surveillance Definition of Healthcare-Associated Infection and Criteria for Specific Types of Infections in the Acute Care Setting. April 2013 CDC/NHSN Protocol Corrections, Clarification, and Additions. CDC. 2013 [acceso: 06/08/2021]. Disponible en: https://www.cdc.gov/nhsn/pdf/pscmanual/errata2013.pdf
12. Vincent JL, Lefrant JY, Kotfis K, Nanchal R, Martin-Loeches I, Wittebole X, et al. Comparison of European ICU patients in 2012 (ICON) versus 2002 (SOAP). Intensive Care Med. 2018; 44(3):337-44. DOI: 10.1007/s001134-017-5043-2
13. Luna LDS, Soares DS, Silva Junior GB, Cavalcante MG, Malveira LRC, Meneses GC, et al. Clinical characteristics, outcomes and risk factors for death among critically ill patients with HIV-related acute kidney injury. Rev Inst Med Trop Sao Paulo. 2016; 58:52. DOI: 10.1590/S1678-9946201658052
14. Todorov A, Kaufmann F, Arslani K, Haider A, Bengs S, Goliasch G, et al. Gender differences in the provision of intensive care: a Bayesian approach. Intensive Care Med. 2021; 47(5): 577-87. DOI: 10.1007/s00134-021-06393-3
15. Pupo JM, González JC, Cabrera JO, Martí GM. Morbilidad materna extrema según causas de admisión en cuidados intensivos. Rev Cub Med Inten Emerg. 2017 [acceso 06/08/2021]; 16(3): 49-60. Disponible en: https://www.revmie.sld.cu/index.php/mie/article/view/259
16. Arnold AP, Cassis LA, Eghbali M, Reue K, Sandberg K. Sex hormones and sex chromosomes cause sex differences in the development of cardiovascular diseases. Vasc Biol. 2017; 37(5): 746-56. DOI: 10.1161/ATVBAHA.116.307301
17. Divatia JV, Amin PR, Ramakrishanan N, Kapadia F, Todi S, Sahu S, et al. The Indian Intensive Care Case Mix and Practice Patterns Study. J Crit Care Med. 2016; 20(4): 216-25. DOI: 10.4103/0972-5229.180042
18. Prescott HC, Angus DC. Enhancing Recovery From Sepsis. A Review. JAMA. 2018; 319(1):62-75. DOI: 10.1001/jama.2017.17687
19. Chen Y, Hu Y, Zhang J, Shen Y, Huang J, Yin J, et al. Clinical characteristics, risk factors, immune status and prognosis of secondary infection of sepsis: a retrospective observational study. BMC Anesthesiology. 2019; 19(1):185. DOI: 10.1186/S12871-019-0849-9
20. Park QW, Chun BC, Kin JM, Sohn JW, Peck KR, Kim YS, et al. Epidemiological and clinical characteristics of community-acquired severe sepsis and septic shock: a prospective observational study in 12 university hospitals in Korea. J Korean Med Sci. 2012; 27(11): 1308-14. DOI: 10.3346/jkms.2012.27.11.1308
Published
2021-10-30
How to Cite
1.
González Aguilera JC, Leyva Lorenzo VM, Vázquez Belizón YE, Arias Ortiz A, Cabrera Lavernia JO. Clinical, epidemiological and therapeutic characteristics in patients treated in the intensive care unit. Rev Cubana Med Milit [Internet]. 2021 Oct. 30 [cited 2025 Apr. 19];50(4):e02101581. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1581
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