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Open Access 01-03-2018 | Original

Comparison of European ICU patients in 2012 (ICON) versus 2002 (SOAP)

Authors: Jean-Louis Vincent, Jean-Yves Lefrant, Katarzyna Kotfis, Rahul Nanchal, Ignacio Martin-Loeches, Xavier Wittebole, Samir G. Sakka, Peter Pickkers, Rui Moreno, Yasser Sakr, on behalf of the ICON and SOAP investigators, SOAP investigators

Published in: Intensive Care Medicine | Issue 3/2018

Abstract

Purpose

To evaluate differences in the characteristics and outcomes of intensive care unit (ICU) patients over time.

Methods

We reviewed all epidemiological data, including comorbidities, types and severity of organ failure, interventions, lengths of stay and outcome, for patients from the Sepsis Occurrence in Acutely ill Patients (SOAP) study, an observational study conducted in European intensive care units in 2002, and the Intensive Care Over Nations (ICON) audit, a survey of intensive care unit patients conducted in 2012.

Results

We compared the 3147 patients from the SOAP study with the 4852 patients from the ICON audit admitted to intensive care units in the same countries as those in the SOAP study. The ICON patients were older (62.5 ± 17.0 vs. 60.6 ± 17.4 years) and had higher severity scores than the SOAP patients. The proportion of patients with sepsis at any time during the intensive care unit stay was slightly higher in the ICON study (31.9 vs. 29.6%, p = 0.03). In multilevel analysis, the adjusted odds of ICU mortality were significantly lower for ICON patients than for SOAP patients, particularly in patients with sepsis [OR 0.45 (0.35–0.59), p < 0.001].

Conclusions

Over the 10-year period between 2002 and 2012, the proportion of patients with sepsis admitted to European ICUs remained relatively stable, but the severity of disease increased. In multilevel analysis, the odds of ICU mortality were lower in our 2012 cohort compared to our 2002 cohort, particularly in patients with sepsis.

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Title: Comparison of European ICU patients in 2012 (ICON) versus 2002 (SOAP)
Authors: Jean-Louis Vincent
Jean-Yves Lefrant
Katarzyna Kotfis
Rahul Nanchal
Ignacio Martin-Loeches
Xavier Wittebole
Samir G. Sakka
Peter Pickkers
Rui Moreno
Yasser Sakr
on behalf of the ICON and SOAP investigators
SOAP investigators
Publication date: 01-03-2018
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 3/2018
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-017-5043-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison of European ICU patients in 2012 (ICON) versus 2002 (SOAP)

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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