التفاصيل البيبلوغرافية
| العنوان: |
Trends in ICU mortality and underlying risk over three decades among mechanically ventilated patients. A group level analysis of cohorts from infection prevention studies |
| المؤلفون: |
James C. Hurley |
| المصدر: |
Annals of Intensive Care, Vol 13, Iss 1, Pp 1-13 (2023) |
| بيانات النشر: |
SpringerOpen, 2023. |
| سنة النشر: |
2023 |
| المجموعة: |
LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: |
Mortality, Infection prevention, Decontamination, APACHE II, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: |
Abstract Background Has either the underlying risk or the mortality incidence among ICU patients receiving mechanical ventilation (MV) in the literature changed in recent decades? Interpreting ICU mortality trends requires an adjusted analysis accounting for changes in underlying patient risk. Methods Control and intervention groups from 147 randomized concurrent control trials (RCCT) of various VAP prevention interventions, as listed primarily within 13 Cochrane reviews and 63 observational studies listed primarily within four systematic reviews. Eligible studies were those including ICU patients with > 50% of patients receiving > 24 h of MV with mortality data available. ICU mortality (censored day 21 or before) or late (after day 21) mortality together with group-mean age, and group-mean APACHE II scores were extracted from all groups. These incidences were summarized in five meta-regression models versus publication year being variously adjusted for age, APACHE II scores, type of study intervention and other group level parameters. Results Among 210 studies published between 1985 and 2021, 169 being found in systematic reviews, the increase per decade in mean mortality incidence, group-mean APACHE II scores, and group-mean age, were |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
2110-5820 |
| Relation: |
https://doaj.org/toc/2110-5820 |
| DOI: |
10.1186/s13613-023-01159-0 |
| URL الوصول: |
https://doaj.org/article/305142d886dd414a8b1108028494c783 |
| رقم الانضمام: |
edsdoj.305142d886dd414a8b1108028494c783 |
| قاعدة البيانات: |
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