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Clinical outcomes and prognostic factors in patients directly transferred to the intensive care unit from long-term care beds in institutions and hospitals: a retrospective clinical study

Title
Clinical outcomes and prognostic factors in patients directly transferred to the intensive care unit from long-term care beds in institutions and hospitals: a retrospective clinical study
Authors
Lee, Su HwanKim, Soo JungChoi, Yoon HeeLee, Jin HwaChang, Jung HyunRyu, Yon Ju
Ewha Authors
장중현이진화류연주최윤희김수정이수환
SCOPUS Author ID
장중현scopus; 이진화scopus; 류연주scopus; 최윤희scopus; 김수정scopus
Issue Date
2018
Journal Title
BMC GERIATRICS
ISSN
1471-2318JCR Link
Citation
BMC GERIATRICS vol. 18
Keywords
Long-term careNursing homesIntensive care unitsPneumonia
Publisher
BMC
Indexed
SCIE; SSCI; SCOPUS WOS scopus
Document Type
Article
Abstract
Background: There has been a steady increase in the aging population and an increase in the need for long-term care beds in institutions and hospitals (LTCHs) in Korea. The aim of this study was to investigate prognosis and to identify factors contributing to mortality of critically ill patients with respiratory problems who were directly transferred to intensive care units (ICU) from LTCHs. Methods: Following a retrospective review of clinical data and radiographic findings between July 2009 and September 2016, we included 111 patients with respiratory problems who had visited the emergency room (ER) transferred from LTCHs due to respiratory symptoms and who were then admitted to the ICU. Results: The mean age of the 111 patients was 79years, and 71 patients (64%) were male. Pneumonia developed in 98 patients (88.3%), pulmonary thromboembolism in 4 (3.6%) and pulmonary tuberculosis in 3 (2.7%). Overall mortality was 19.8% (22/111). Multiple-drug-resistant (MDR) pathogens (odds ratio [OR], 17.43; 95% confidence interval [CI], 1.96-155.40) and serum albumin levels <2.15g/dL, which were derived through ROC (sensitivity, 72.7%; specificity, 85.4%) (OR, 28.05; 95% CI, 5.47-143.75), were independent predictors for mortality. The need for invasive ventilation (OR, 2.74; 95% CI, 1.02-7.32) and history of antibiotic use within the 3months (OR, 3.23; 95% CI, 1.32-7.90) were risk factors for harboring MDR pathogens. Conclusions: The presence of MDR pathogens and having low serum albumin levels may be poor prognostic factors in patients with respiratory problems who are admitted to the ICU from LTCHs. A history of antibiotic use within the 3months and the need for invasive ventilation can be helpful in choosing the appropriate antibiotics to combat MDR pathogens at the time of admission.
DOI
10.1186/s12877-018-0950-9
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의과대학 > 의학과 > Journal papers
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