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Intensive Care Medicine
Published in: Intensive Care Medicine 3/2005

01-03-2005 | Year in Review 2004

Year in review in intensive care medicine, 2004. III. Outcome, ICU organisation, scoring, quality of life, ethics, psychological problems and communication in the ICU, immunity and hemodynamics during sepsis, pediatric and neonatal critical care, experimental studies

Authors: Peter Andrews, Elie Azoulay, Massimo Antonelli, Laurent Brochard, Christian Brun-Buisson, Geoffrey Dobb, Jean-Yves Fagon, Herwig Gerlach, Johan Groeneveld, Jordi Mancebo, Philipp Metnitz, Stefano Nava, Jerome Pugin, Michael Pinsky, Peter Radermacher, Christian Richard, Robert Tasker, Benoit Vallet

Published in: Intensive Care Medicine | Issue 3/2005

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Excerpt

Recent epidemiological studies have contributed important information to a better understanding of intensive care practice and the outcome of our patients. Garrouste-Ortegas et al. [1] examined the association between body mass index (BMI) and mortality in adult intensive care patients. They divided patients into four groups based on BMI. Although severity of illness at admission was similar between the groups, patients with a BMI lower than 18.5% experienced significantly higher ICU and hospital mortality rates. The authors concluded that BMI could thus be of importance in risk adjustment and recommend including it in the development of future scoring systems. Wunsch et al. [2] examined the association between day and time of ICU admission and hospital mortality in 102 ICUs in the United Kingdom. They found crude mortality rates to be higher for Saturday and Sunday admissions. After risk adjustment, however, mortality rates were not associated with differences in hospital mortality. Another United Kingdom study, this one by Harrison et al. [3], analyzed seasonal differences in the mortality of intensive care patients in ICUs. Winter was defined as the period from December to February and nonwinter, thus as the period from March to November. Crude hospital mortality rates were higher during winter. After adjustment for case-mix these differences disappeared. Unit occupancy and workload were not associated with the increased mortality. The excess winter mortality observed in ICUs in the United Kingdom, according to these authors, can thus be explained by variations in case mix and not by seasonal factors. …
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Metadata
Title
Year in review in intensive care medicine, 2004. III. Outcome, ICU organisation, scoring, quality of life, ethics, psychological problems and communication in the ICU, immunity and hemodynamics during sepsis, pediatric and neonatal critical care, experimental studies
Authors
Peter Andrews
Elie Azoulay
Massimo Antonelli
Laurent Brochard
Christian Brun-Buisson
Geoffrey Dobb
Jean-Yves Fagon
Herwig Gerlach
Johan Groeneveld
Jordi Mancebo
Philipp Metnitz
Stefano Nava
Jerome Pugin
Michael Pinsky
Peter Radermacher
Christian Richard
Robert Tasker
Benoit Vallet
Publication date
01-03-2005
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 3/2005
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-005-2573-9

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