Background: Malnutrition has been linked to poor outcomes after elective joint arthroplasty, but the risk of unplanned postoperative intensive care unit (ICU) admission in malnourished arthroplasty patients is unknown. Methods: 1098 patients were followed as part of a prospective risk stratification program at a tertiary, high-volume arthroplasty center. Chronic malnutrition was defined as ...

Two hundred and twenty one patients of chest disease other than Tuberculosis were admitted at thoracic unit, Jinnah Postgraduate Medical Centre during the year 1982 (January December) are analysed. Average ages for males and females were 49 and 42 years respectively. There was a male predominance in 40 60 years age group. Females were fairly equally represented in all age groups. Male to Female...

The Early Warning Score (EWS) is a simple physiological scoring system suitable for bedside application. The ability of a modified Early Warning Score (MEWS) to identify medical patients at risk of catastrophic deterioration in a busy clinical area was investigated. In a prospective cohort study, we applied MEWS to patients admitted to the 56-bed acute Medical Admissions Unit (MAU) of a Distric...

Total joint arthroplasty (TJA) is a relatively safe orthopedic procedure. However, complications do occur, and some may necessitate admission to the intensive care unit (ICU). Our purpose was to determine risk factors associated with admittance to ICU after TJA. We evaluated 22,343 primary and revision total hip and knee arthroplasties from 1999 to 2008. One hundred thirty patients were admitte...

Over the last 15 years, the management of critically ill cancer patients requiring intensive care unit admission has substantially changed. High mortality rates (75-85%) were reported 10-20 years ago in cancer patients requiring life sustaining treatments. Because of these high mortality rates, the high costs, and the moral bur­ den for patients and their families, ICU admission of cancer patie...

Smoking and withdrawal from smoking complicates the assessment and treatment of mental illness. We aimed to establish whether psychiatric inpatients smoke different amounts after admission than beforehand and, if so, to find out why. Forty-three inpatients on a working age adult psychiatry ward completed self-report questionnaires about smoking habits. Those who smoked a different amount after ...

BACKGROUND AND AIMS Studies carried out in different countries have shown that source of patient admission in Intensive Care Units (ICUs) is associated to death. Patients admitted from wards show a greater ICU mortality. The aim of the present study was to investigate the association between admission source and outcome in a Pediatric Intensive Care Unit (PICU). MATERIALS AND METHODS We studi...

BACKGROUND AND PURPOSE Intravenous tissue plasminogen activator improves outcome after ischemic stroke when given within 3 hours of symptoms onset in carefully selected patients. However, only a small proportion of acute stroke patients are currently eligible for thrombolysis, mainly because of excessive delay to hospital presentation. We sought to determine the factors associated with early ad...

Conclusions Optimal cooperation between our tertiary facilities and non-teaching hospitals and clinics as well as the prehospital transport systems allows significant limitations in avoidable obstetric maternal morbidity and mortality. Cerebral hemorrhage and amniotic fluid embolism carry the heaviest toll in non-avoidable deaths. Authors’ details Hôpitaux Universitaires de Strasbourg, Anesthés...

OBJECTIVE To evaluate the prevalence and outcome of acute kidney injury in paediatric intensive care units using the modified RIFLE score (pRIFLE). DESIGN Historical cohort study. SETTING A paediatric intensive care unit in a regional Hong Kong hospital. PATIENTS; All paediatric patients aged 1 month to 18 years admitted to a local paediatric intensive care unit in the years 2005 to 2007. M...