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Open Access 01-03-2012 | Year in Review 2011

Year in review in Intensive Care Medicine 2011. II. Cardiovascular, infections, pneumonia and sepsis, critical care organization and outcome, education, ultrasonography, metabolism and coagulation

Authors: Massimo Antonelli, Marc Bonten, Jean Chastre, Giuseppe Citerio, Giorgio Conti, J. Randall Curtis, Daniel De Backer, Goran Hedenstierna, Michael Joannidis, Duncan Macrae, Jordi Mancebo, Salvatore M. Maggiore, Alexandre Mebazaa, Jean-Charles Preiser, Patricia Rocco, Jean-François Timsit, Jan Wernerman, Haibo Zhang

Published in: Intensive Care Medicine | Issue 3/2012

Excerpt

Mebazaa and colleagues in two interesting papers [1, 2] described the clinical presentation, management, and outcomes of acute heart failure (AHF) through the Acute Heart Failure Global Survey of Standard Treatment (ALARM-HF) on AHF conducted in nine countries in four continents. In the first paper [1] data from 4,953 patients with AHF were collected via questionnaire from 666 hospitals. Clinical presentation included decompensated congestive HF (38.6%), pulmonary edema (36.7%), and cardiogenic shock (11.7%). Patients with a de novo episode of AHF (36.2%) were younger, had less comorbidities and lower blood pressure despite greater left ventricular ejection fraction (LVEF), and were more often admitted to ICU. Overall, intravenous (IV) diuretics were given in 89.7%, vasodilators in 41.1%, and inotropic agents (dobutamine, dopamine, adrenaline, noradrenaline, and levosimendan) in 39% of cases. Hospital death rate was 12%, the majority due to cardiogenic shock (43%). More patients with de novo AHF (14.2%) than patients with a pre-existing episode of AHF (10.8%) (p = 0.0007) died. There was graded mortality in intensive care unit (ICU), critical care unit (CCU), and ward patients with mortality in ICU patients being the highest (17.8%) (p < 0.0001). The conclusion stressed the concept that the recognition of subgroups might improve management and outcome by defining specific therapeutic requirements. …

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Follath F, Yilmaz MB, Delgado JF, Parissis JT, Porcher R, Gayat E, Burrows N, McLean A, Vilas-Boas F, Mebazaa A (2011) Clinical presentation, management and outcomes in the Acute Heart Failure Global Survey of Standard Treatment (ALARM-HF). Intensive Care Med 37:619–626PubMedCrossRef

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Title: Year in review in Intensive Care Medicine 2011. II. Cardiovascular, infections, pneumonia and sepsis, critical care organization and outcome, education, ultrasonography, metabolism and coagulation
Authors: Massimo Antonelli
Marc Bonten
Jean Chastre
Giuseppe Citerio
Giorgio Conti
J. Randall Curtis
Daniel De Backer
Goran Hedenstierna
Michael Joannidis
Duncan Macrae
Jordi Mancebo
Salvatore M. Maggiore
Alexandre Mebazaa
Jean-Charles Preiser
Patricia Rocco
Jean-François Timsit
Jan Wernerman
Haibo Zhang
Publication date: 01-03-2012
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 3/2012
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-012-2467-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Year in review in Intensive Care Medicine 2011. II. Cardiovascular, infections, pneumonia and sepsis, critical care organization and outcome, education, ultrasonography, metabolism and coagulation

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

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