| Intracranial pressure monitoring and case mix-adjusted mortality in intracranial hemorrhage. | |
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MedLine Citation:
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PMID: 12771630 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Intracranial pressure (ICP) monitoring is frequently used in intensive care treatment of patients with intracranial hemorrhage. Data demonstrating an improved outcome from this intervention are lacking. We analyzed standardized mortality ratios in patients with and without ICP monitoring to determine its efficacy. DESIGN: A nonrandomized study of case records of consecutively admitted intensive care unit (ICU) patients with intracranial hemorrhage. SETTING: General and medical ICU of a 900-bed tertiary-care hospital. PATIENTS: A total of 225 patients with intracranial hemorrhage (mainly nontraumatic) admitted consecutively between April 1997 and March 2000. MEASUREMENTS: Simplified Acute Physiology Score (SAPS) II, diagnosis, age, sex, use of ICP monitoring, and in-hospital mortality rates were collected from the hospital's ICU database. Expected mortality was provided by means of SAPS II. Standardized mortality ratios were calculated and compared in 119 patients with ICP monitoring and 106 patients without ICP monitoring. MAIN RESULTS: The case mix-adjusted hospital mortality in the group with ICP monitoring was in the expected range (standardized mortality ratio, 1.09 [95% confidence interval (CI), 0.87-1.31]). Patients without ICP monitoring had a significantly higher standardized mortality ratio than expected (1.26 [95% CI, 1.06-1.46]). CONCLUSIONS: A beneficial effect of ICP monitoring in patients with intracranial hemorrhage may be reflected in an improved standardized mortality ratio. |
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Authors:
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Andreas Valentin; Thomas Lang; Ronald Karnik; Hans Peter Ammerer; Jürgen Ploder; Jörg Slany |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Critical care medicine Volume: 31 ISSN: 0090-3493 ISO Abbreviation: Crit. Care Med. Publication Date: 2003 May |
Date Detail:
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Created Date: 2003-05-28 Completed Date: 2003-06-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0355501 Medline TA: Crit Care Med Country: United States |
Other Details:
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Languages: eng Pagination: 1539-42 Citation Subset: AIM; IM |
Affiliation:
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II Medical Department, University of Vienna, Austria. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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APACHE Aged Austria / epidemiology Causality Diagnosis-Related Groups / statistics & numerical data* Female Glasgow Coma Scale Hospital Bed Capacity, 500 and over Hospital Mortality* Humans Intensive Care / standards* Intracranial Hemorrhages / diagnosis*, mortality*, therapy Intracranial Pressure* Logistic Models Male Middle Aged Monitoring, Physiologic / standards* Retrospective Studies Survival Analysis Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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