Prevalence and clinical characterisation of patients with severe partial respiratory failure admitted to an intensive care unit
Prevalência e caracterização clínica dos doentes com insuficiência respiratória parcial grave internados numa UCI
Alexandra Borba1, Sofia Lourenço2, Paulo Marcelino3,
, Susan Marum3, Ana Paula Fernandes3, Luís Mourão4
Corresponding author
pmarcelino@fm.ul.pt
Corresponding author/Correspondência: Hospital de Curry Cabral, Unidade de Cuidados Intensivos Rua da Beneficência, 8, 1069-166 Lisboa
Corresponding author/Correspondência: Hospital de Curry Cabral, Unidade de Cuidados Intensivos Rua da Beneficência, 8, 1069-166 Lisboa
1 Interna do Internato Complementar de Pneumologia / Resident, specialising in Pulmonology
2 Interna do Internato Complementar de Medicina Interna / Resident, specialising in Internal Medicine
3 Assistente Hospitalar de Medicina Interna, subespecialista em Medicina Intensiva / Consultant, Internal Medicine, sub-specialist in Intensive Medicine
4 Hospital de Curry Cabral, Unidade de Cuidados Intensivos
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The prevalence and clinical characteristics of these patients were evaluated.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">This work aims to study the rate of and to clinically characterise the patient population admitted to an Intensive Care Unit with acute severe partial respiratory failure.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In 16-bed ICU of a central Hospital in Lisbon, patients admitted in the year 2004 were analysed. Patients with SPRF were recruited form patients with an ICU stay> 24 hours. They were selected according to PaO2 and FiO2 and clinically characterized.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">During the study period 472 patients were admitted, and 378 presented an ICU stay> 24 hours and were enrolled. From those, 142 (37.6%) met criteria for SPRF. Of these, 45 (31.7%) a pulmonary aetiology of SPRF was identified. Patients with SRPF were older, had longer ICU stay, and presented higher severity indexes and mortality. The prevalence of adult respiratory distress syndrome was possible to evaluate in the deceased patients with SPRF (n<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>52). In these we could find 12 (23%) patients that met criteria for that entity. By multivariate analysis the mortality of patients with SRPF correlated with older age and the presence of circulatory failure (p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.001).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">SPRF is a situation highly prevalent in the ICU studied. To better understand the prevalence of this entity, properly designed studies are needed in order to establish its epidemiology and clinical characteristics.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span class="elsevierStyleSectionTitle">Objectivos</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">A insuficiência respiratória parcial aguda (IRPA) grave é uma situação comum na prática dos cuidados intensivos, mas os estudos existentes são insuficientes. Com este trabalho pretendeu-se estudar a prevalência e caracterizar clinicamente a população de doentes internados numa UCI que apresentam insuficiência respiratória parcial aguda grave.</p> <span class="elsevierStyleSectionTitle">Material e métodos</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Numa unidade de cuidados intensivos médico-cirúrgica avaliaram-se retrospectivamente os doentes internados durante o ano de 2004.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">37,6% dos doentes apresentaram IRPA grave. A análise estatística demonstrou que estes doentes diferiam dos doentes sem IRPA nos tempos de internamento e ventilação, índices de gravidade e mortalidade.</p> <span class="elsevierStyleSectionTitle">Conclusão</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">A IRPA é uma situação com elevada prevalência e relevância em cuidados intensivos, mas as características destes doentes estão mal definidas, em parte devido à ausência de critérios claros na sua definição.</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Para melhor compreender este fenómeno são necessários mais estudos, prospectivos e multicêntricos.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Takala" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Crit Care Med" "fecha" => "1999" "volumen" => "27" "paginaInicial" => "2367" "paginaFinal" => "2374" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10579250" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735115/0000001400000003/v1_201305151454/S2173511508702653/v1_201305151454/en/main.assets" "Apartado" => array:4 [ "identificador" => "9552" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original Article/Artigo Original" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735115/0000001400000003/v1_201305151454/S2173511508702653/v1_201305151454/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511508702653?idApp=UINPBA00004E" ]
| Year/Month | Html | Total | |
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| 2024 November | 6 | 5 | 11 |
| 2024 October | 28 | 33 | 61 |
| 2024 September | 32 | 19 | 51 |
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| 2024 May | 25 | 22 | 47 |
| 2024 April | 19 | 24 | 43 |
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| 2024 February | 21 | 23 | 44 |
| 2024 January | 18 | 20 | 38 |
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| 2023 October | 14 | 33 | 47 |
| 2023 September | 14 | 34 | 48 |
| 2023 August | 23 | 25 | 48 |
| 2023 July | 17 | 28 | 45 |
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