Search Results
Results 701 - 750 of 1592
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Kesler Kenneth A - - 2008
BACKGROUND: Bronchopleural fistula remains a significant source of morbidity and mortality after right pneumonectomy. We reviewed our initial experience with a novel "carinaplasty" airway closure technique aimed at reducing the risks of bronchopleural fistula. METHODS: Since 2003, 51 consecutive patients who required right pneumonectomy at our institution underwent carinaplasty airway ...
Ra Jin - - 2008
BACKGROUND: Surgical resection for the treatment of esophageal cancer remains a high-risk procedure. To develop a model to predict risk of postoperative death, we sought to identify factors associated with postoperative mortality for Medicare patients undergoing esophagectomy for cancer. METHODS: We evaluated patients in the Surveillance, Epidemiology, and End Results ...
Ertan Tamer - - 2008
BACKGROUND: The aim of this study was to evaluate the predictive accuracy of different scoring systems on patients undergoing emergency colorectal surgery. METHODS: The Acute Physiology and Chronic Health Evaluation II or III, the Simplified Acute Physiology Score II, the Mortality Probability Model II, and the Colo-rectal POSSUM scoring systems ...
Keegan Mark T - - 2008
OBJECTIVE: To investigate the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) III scoring system in patients admitted to the intensive care unit (ICU) after major vascular surgery. DESIGN: Retrospective cohort study. SETTING: A tertiary referral center. PARTICIPANTS: Three thousand one hundred forty-eight patients who underwent major vascular ...
Thompson D S - - 2008
During a period of 10 years, 293 of 4270 admissions to the general intensive care unit (ICU) at Medway Maritime Hospital had 356 bacteraemias due to one of 14 microorganisms. Incidence of bacteraemia was least on the third day after admission, significantly greater on the fifth day and stable thereafter. ...
Valenti V - - 2009
BACKGROUND: The Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM) and later modifications (P-POSSUM y CR-POSSUM) have been used to predict morbidity and mortality rates among patients with rectal cancer undergoing surgery. These calculations need some adjustment, however. The aim of this study was to ...
van Aswegen H - - 2008
Gunshot and/or stab wounds to the trunk are injuries seen in South African hospitals. Patients are managed in the intensive care unit. Prolonged mechanical ventilation with immobilization results in some degree of muscle dysfunction. Our goal was to determine if patients recover adequately spontaneously following critical illness. No formal rehabilitation ...
Ishizuka Mitsuru - - 2008
BACKGROUND/AIMS: The purpose of this study was to determine the most useful predictive scoring system for the postoperative mortality of patients with colorectal perforation using the Acute Physiological and Chronic Health Evaluation II (APACHE II), Sequential Organ Failure Assessment (SOFA) and Physiological and Operative Severity Score for the enUmeration of ...
Juern Jeremy - - 2008
The inherent danger of illegal manufacture of methamphetamine is explosion and fire with the "cookers" presenting to burn centers for treatment. Recent studies have shown that methamphetamine burn patients required resuscitation volumes two to three times that of the standard Parkland formula and experienced a higher mortality rate. The purpose ...
Lee Chien-Chang - - 2008
The prognostic value of procalcitonin (PCT) in patients with sepsis at the emergency department (ED) has not been evaluated. We conducted a prospective observational study to compare the prognostic value of PCT on sepsis and compared with a validated score, Mortality in Emergency Department Sepsis (MEDS) score, and C-reactive protein ...
Gursel Gul - - 2008
PURPOSE: The aim of this study was to investigate modifiable risk factors and predictors for treatment failure (TF) in patients with ventilator-associated pneumonia (VAP) receiving appropriate antibiotic therapy. MATERIALS AND METHODS: An observational cohort study performed in an intensive care unit (ICU) of a University hospital. Eighty-nine patients with VAP ...
El Nibras, M A; ...
Introduction: Prediction of outcome of based on personal experience is subjective. There is a need for a method of prediction to suit our current state of practice. Objectives: To evaluate a modified APACHE II system in predicting mortality in acute variceal bleeding. Patients and methods: Prospective study conducted from June ...
Zambon Massimo - - 2008
BACKGROUND: Over the last decade, several studies have suggested that survival rates for patients with acute lung injury (ALI) or ARDS may have improved. We performed a systematic analysis of the ALI/ARDS literature to document possible trends in mortality between 1994 and 2006. METHODS: We used the Medline database to ...
ElBashier ElHadi Mohamed - - 2008
OBJECTIVES: This study aims to determine the indications, course and outcome of pre-operative and post-thyroidectomy tracheostomy. SUBJECTS AND METHODS: This is a prospective descriptive study conducted in Khartoum Teaching Hospital in the period between March 2000 and March 2005. Fifty-nine patients had tracheostomy out of 964 thyroidectomy patients, giving an ...
Byrn John C - - 2008
OBJECTIVES: To present, to our knowledge, the largest experience with colectomy for fulminant Clostridium difficile colitis and to propose factors significant in predicting mortality. DESIGN: Retrospective medical record review. SETTING: University teaching hospital. PATIENTS: Seventy-three patients undergoing colectomy between 1994 and 2005 for C difficile-associated pseudomembranous colitis. MAIN OUTCOME MEASURES: ...
Charalambous Michalis P - - 2008
BACKGROUND: To determine the effects of hypertonic saline (HS) as fluid resuscitation during or after major spinal surgery. We hypothesized that the administration of HS perioperatively would decrease morbidity and mortality rates. METHODS: A two-year retrospective, pair-matched, case-control study of adult patients (57 pairs matched 1:1) admitted to the intensive ...
Jordan Simon - - 2008
On the basis of the evidence available, the authors would suggest a decision making algorithm to determine the need for ICU admission postoperatively similar to that shown in Fig. 1. First, patients should quit smoking at least 1 month and preferably 2 months before surgery. Those over the age of ...
Maillet Jean-Michel - - 2008
OBJECTIVE: To determine the feasibility, safety, and efficacy on PaO(2)/F(I)O(2) ratio of prone positioning (PP) for acute respiratory distress syndrome (ARDS) after cardiac surgery. DESIGN: Retrospective review of information entered prospectively in the authors' database. SETTING: A private community nonteaching hospital. PARTICIPANTS: Sixteen patients who developed ARDS after cardiac surgery ...
Andreasen J B - - 2008
OBJECTIVE: To determine incidence, predictors and outcome [intensive care unit (ICU) mortality and length of stay (LOS)] after postoperative junctional ectopic tachycardia (JET) in an unselected paediatric population. DESIGN: Patients with JET (n=89) were compared with non-JET controls (n=178) in a nested case-control study. SETTING: Tertiary ICU at Skejby Sygehus, ...
Chen Yen-Yuan - - 2008
BACKGROUND: The effect on long-term mortality of decisions made to withhold life-supporting therapies (LST) for critically ill patients is unclear. We hypothesized that mortality 60 days after ICU admission is not influenced by a decision to withhold use of LST in the context of otherwise providing all indicated care. METHODS: ...
Gulbins H - - 2008
INTRODUCTION: The number of patients with an indication for cardiac surgery in their ninth decade of life is increasing. This study analyses the single-center results with combined and redo cardiac surgical procedures in octogenarians retrospectively. PATIENTS AND METHODS: Three groups were evaluated: (I) Two hundred and thirty six patients with ...
D'Journo Xavier Benoit - - 2008
OBJECTIVE: To evaluate the clinical relevance of preoperative airway colonisation in patients undergoing oesophagectomy for cancer after a neoadjuvant chemoradiotherapy. METHODS: From 1998 to 2005, 117 patients received neoadjuvant chemoradiotherapy for advanced stage oesophageal cancer. Among them, 45 non-randomised patients underwent a bronchoscopic bronchoalveolar lavage (BAL group) prior to surgery ...
Paparella Domenico - - 2009
BACKGROUND: Antithrombin (AT) drop during cardiac surgery has been described. The causes and the effects of this phenomenon are not clear. The objective of the study is to evaluate the relationship of AT postoperative values on short and mid-term outcome after cardiac surgery. METHODS: Between January and June 2005, 405 ...
Lissalde-Lavigne G - - 2008
BACKGROUND: Classic mortality prediction models in intensive care units (ICUs) are based on clinical scores, which do not contain any coagulation test (SAPS-II or SOFA scores). OBJECTIVES: To determine whether coagulation tests can improve mortality prediction in patients with septic shock. Patients and methods: One hundred fifty-eight consecutive patients with ...
Arumainayagam Nimalan - - 2008
OBJECTIVE: To describe and assess an enhanced recovery protocol (ERP) for the peri-operative management of patients undergoing radical cystectomy (RC), which was started at our institution on 1 October 2005, as RC is associated with increased morbidity and longer inpatient stays than other major urological procedures. PATIENTS AND METHODS: An ...
Ospina-Tascón Gustavo A - - 2008
OBJECTIVE: Lack of evidence that some monitoring systems can improve outcomes has raised doubts about their use in the intensive care unit (ICU). The objective of this study was to determine which monitoring techniques have been shown to improve outcomes in ICU patients. DESIGN: Comprehensive literature review. METHODS: We conducted ...
J. Litmathe
In cardiac surgery shorter hospital stays and decreased costs can be reached by early extubation and fast-track management protocols. The feasibility of such protocols in elderly patients is still discussed controversially. We analyzed 800 consecutive patients undergoing CABG. Total 496 patients (62 %) underwent early extubation, defined as extubation within ...
N.A. Ainuddin
In this study, daily KBDI values were calculated and temporal trends were analyzed at four selected stations; Kota Bharu, Kuching, Sandakan and Subang in Malaysia for the period 1990-1995 using a KBDI software. The highest monthly mean KBDI values were 1550 in February, 1120 in July, 1355 in April, 1370 ...
Tashkandy Mohammad A - - 2008
OBJECTIVE: This study highlighted the reasons which contributed to longer stay of patients in Emergency Department (ED) who were advised admission. METHODOLOGY: This study was conducted from August 4 to 11, 2004G as a retrospective review of the ED cards of patients admitted to inpatients wards of Al-Noor Specialist Hospital, ...
Iglesias Manuela - - 2008
BACKGROUND: The purpose of this study was to evaluate the feasibility of integrating an artificial, pumpless extracorporeal membrane ventilator (Novalung) to near static mechanical ventilation and its efficacy in patients with severe postresectional acute respiratory distress syndrome (ARDS) unresponsive to optimal conventional treatment. METHODS: Indications were severe postresectional and unresponsive ...
Nseir Saad - - 2008
INTRODUCTION: Ventilator-associated tracheobronchitis (VAT) is associated with increased duration of mechanical ventilation. We hypothesized that, in patients with VAT, antibiotic treatment would be associated with reduced duration of mechanical ventilation. METHODS: We conducted a prospective, randomized, controlled, unblinded, multicenter study. Patients were randomly assigned (1:1) to receive or not receive ...
Ucgun Irfan - - 2008
BACKGROUND: Exacerbation of chronic obstructive pulmonary disease (COPD) is an important cause of morbidity and mortality, but the effect of metabolic compensation of respiratory acidosis (RA) on mortality is not fully understood. OBJECTIVE: To investigate the relationship between metabolic compensation and mortality in COPD patients with RA. METHODS: We prospectively ...
Seymour Christopher W - - 2008
Extubation failure is associated with poor intensive care unit and hospital outcomes. Minute ventilation recovery time, an integrative measure of a patient's respiratory reserve, has been shown in a pilot study to predict extubation outcome; however, the methodology is subjective and impractical for routine use. The authors hypothesize that minute ...
Moran John L - - 2008
OBJECTIVE: Intensive care unit (ICU) outcomes have been the subject of controversy. The objective was to model hospital mortality and ICU length-of-stay time-change of patients recorded in the Australian and New Zealand Intensive Care Society adult patient database. DESIGN: Retrospective, cohort study of prospectively collected data on index patient admissions. ...
Mohil Ravindra Singh - - 2008
Using crude mortality and morbidity rates for comparing outcomes can be misleading. The aim of the present study was to compare the outcome of various surgical modalities without and with risk adjustment using Physiologic and Operative Severity Scoring for the enUmeration of Mortality and morbidity (POSSUM) score in cases of ...
Gheyle L - - 2008
OBJECTIVE: To investigate indications, features and outcome of pediatric tracheotomy in our ENT department. METHODS: A retrospective chart review of all pediatric patients who underwent tracheotomy between 1992 and 2006 in the Children's Hospital of the Universitair Ziekenhuis Brussel. The main parameters of the study were age, gender, indications, morbidity ...
Wheeler Arthur - - 2008
OBJECTIVE: To compare characteristics and outcomes of patients treated with drotrecogin alfa (activated) (DrotAA) in clinical practice to those treated in a phase III randomized controlled trial (PROWESS). DESIGN: Observational data were collected retrospectively from patients who received DrotAA as part of physician-directed treatment. SETTING: Intensive care units of five ...
Storm Christian - - 2008
INTRODUCTION: Persistent coma is a common finding after cardiac arrest and has profound ethical and economic implications. Evidence suggests that therapeutic hypothermia improves neurological outcome in these patients. In this analysis, we investigate whether therapeutic hypothermia influences the length of intensive care unit (ICU) stay and ventilator time in patients ...
Wiedemann Herbert P - - 2008
Restricting fluid intake and promoting fluid excretion (a "dry" or conservative strategy) is more effective than a "we or liberal strategy in patients with acute lung injury and acute respiratory distress syndrome. In a multicenter, randomized, prospective clinical comparison of the two strategies in 1000 patients, those in the conservative-strategy ...
Brunelli Alessandro - - 2008
OBJECTIVE: Outcome endpoints are still the most widely used indicators of performance. However, they need to be risk-adjusted in order to be reliable instruments of audit. Recently, the European Society Objective Score (ESOS) was developed from the online European Thoracic Surgery Database as an audit tool. In this study, we ...
Graham Eric M - - 2008
The aim of this study was to determine if preoperative propranolol therapy has a deleterious effect on postoperative variables in patients with tetralogy of Fallot. Data from 97 patients who underwent complete repair of tetralogy of Fallot were reviewed. The patients were divided into 2 groups: those receiving preoperative propranolol ...
Zambon Massimo - - 2008
PURPOSE: The aim of this study is to evaluate the feasibility of applying sepsis bundles in the intensive care unit (ICU) and their effect on outcomes. METHODS: In this prospective, observational study in a 31-bed capacity department of intensive care, we measured the time taken to perform sepsis bundle interventions ...
Marx G - - 2008
A recent survey conducted by the Competence Network Sepsis (SepNet) revealed that severe sepsis and/or septic shock occurs in 75000 inhabitants (110 per 100,000) and sepsis occurs in 79000 inhabitants (116 per 100,000) in Germany annually. The prevalence of urosepsis in this survey was 7%. Early diagnosis of sepsis prior ...
Moroy Perran - - 2007
OBJECTIVE: To determine which variables are associated with postpartum length of hospital stay in eclamptic patients. MATERIALS AND METHODS: The study sample comprised 98 eclamptic patients who were admitted to our perinatology unit during the period between January 1998 and May 2003. The study sample was divided into two postpartum ...
Chou Deng-Wei - - 2007
BACKGROUND/PURPOSE: In recent years, the number of cases of melioidosis has increased substantially in Taiwan. However, there have been no publications specifically studying patients who have bacteremic melioidosis in Taiwan. This study aimed to determine the clinical characteristics and outcome of patients with bacteremic melioidosis in Taiwan. METHODS: We retrospectively ...
Yin Young-Chen - - 2007
BACKGROUND: The elderly segment of the population in Taiwan is increasing rapidly. According to the latest information from the Directorate-General of Budget, Accounting and Statistics, Executive Yuan, Taiwan, 1,553,367 civilians of the total population of 22,879,510 (6.8%) are seventy years old and older in 2007. The proportion of high-risk patients ...
Grace Robert F - - 2007
OBJECTIVE: To determine the survival and outcome of elderly patients admitted to the intensive care unit at Cairns Base Hospital. METHODS: A retrospective review of patients aged 60 years or over admitted to the ICU (a Level 2 general unit) at Cairns Base Hospital, a regional hospital in Queensland, during ...
El Solh Ali A - - 2008
OBJECTIVES: To evaluate the effect on 28-day mortality of implementation of a sepsis "bundle" protocol for the treatment of older adults with septic shock. DESIGN: Observational prospective study with a historical control group. SETTING: Tertiary care center. PARTICIPANTS: Eighty-seven consecutive patients recruited between May 2004 and February 2007 matched to ...
Wernovsky Gil - - 2007
The medical records of all patients born between 1 September, 2000, and 31 August, 2002, and undergoing the first stage of Norwood reconstruction, were retrospectively reviewed for details of the perioperative course. We found 99 consecutive patients who met the criterions for inclusion. Hospital mortality for the entire cohort was ...
Souris Anne-Camille - - 2007
The Przewalski's horse (Equus ferus przewalskii) became extinct in the wild in the 1960s, but survived as a species due to captive breeding. There have been several initiatives to re-introduce the species in central Asia, but until now only two projects in Mongolia establish free-ranging populations. Data on basic ecology ...
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