We also found the positive predictive values of serum calcium, PaO2, base excess levels, BISAP and APACHE II scores, and EPIC score were low. The reason might be the study design itself. This study aimed to assess and compare the ability of laboratory markers and scoring systems to early predict organ failure. In order to make sure “early prediction”, we made up strictly “Exclusion criteria”. W...

conclusions central nervous system depressant was an important risk factor for vap among poisoned patients. hypoventilation due to cns depression can lead to vap. the apache ii and length of hospital stay were shown as independent predictors of vap and mortality among these patients. results the mean age of the patients was 33.9 ± 14.3 years. the probable vap incidence and mortality were 22% an...

Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of nosocomial pneumonia. To characterize pathogen-derived and host-related factors in intensive care unit (ICU) patients with MRSA pneumonia, we evaluated the Improving Medicine through Pathway Assessment of Critical Therapy in Hospital-Acquired Pneumonia (IMPACT-HAP) database. We performed multivariate regression analyses of 2...

BACKGROUND Recombinant human activated protein C was shown in the Recombinant Human Activated Protein C Worldwide Evaluation in Severe Sepsis (PROWESS) study to reduce mortality among patients with severe sepsis. A post hoc reanalysis by the Food and Drug Administration (FDA) of data from this study suggested that the reduction in mortality was restricted to patients with Acute Physiology and C...

BACKGROUND The purpose of this study was to evaluate the risk factors for mechanical ventilation in the patients with scrub typhus admitted to intensive care unit (ICU) at a university hospital. METHODS We retrospectively selected and analyzed clinical data from the medical records of 70 patients (32 men, 38 women) admitted to the ICU with scrub typhus between 2004 and 2014. The patients had ...

OBJECTIVE To evaluate the ability of a variety of scoring systems to predict mortality of patients admitted to an intensive care unit (ICU) with acute respiratory failure (ARF) secondary to AIDS-related Pneumocystis carinii pneumonia (PCP). METHODS All patients with AIDS-related PCP admitted to ICU at St. Paul's Hospital between January 1, 1985 and April 1, 1991 were reviewed. For each case, ...

Severe community-acquired pneumonia (CAP) is an important cause of intensive care unit (ICU) admissions. Many different pneumonia scoring systems have been developed in order to assess the severity of pneumonia and to decide the ICU follow-up and treatment. But still debate is going on about their performances and also they have not been tested yet if they can predict ICU mortality in severe CA...

To explore dynamic changes and clinical significance of serum IMD and PCT in patients with acute pancreatitis. According to acute pancreatitis guide, patients with acute pancreatitis were divided into mild acute pancreatitis (MAP group, n = 60) and severe acute pancreatitis (SAP group, n = 30). Serum IMD and serum PCT contents in MAP group and SAP group were detected in 24 hours, 48 hours, 72 h...

background: there are challenges ahead of short-term hospitalization of low-risk patients hospitalized only for monitoring of severe disease who may die soon after admission. the purpose of this study was to suggest strategies for the management of icu stay lengths and to ensure optimal use of icu resources.   methods: the study was conducted retrospectively on 246 patients admitted to 9 genera...