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Titolo:
Association of pulmonary artery catheter use with in-hospital mortality
Autore:
Afessa, B; Spencer, S; Khan, W; LaGatta, M; Bridges, L; Freire, AX;
Indirizzi:
Univ Florida, Hlth Sci Ctr, Univ Med Ctr, Dept Med,Div Pulm & Crit Care, Jacksonville, FL 32209 USA Univ Florida Jacksonville FL USA 32209 t Care, Jacksonville, FL 32209 USA Univ Tennessee, Dept Med, Div Pulm & Crit Care, Memphis, TN 38104 USA UnivTennessee Memphis TN USA 38104 lm & Crit Care, Memphis, TN 38104 USA
Titolo Testata:
CRITICAL CARE MEDICINE
fascicolo: 6, volume: 29, anno: 2001,
pagine: 1145 - 1148
SICI:
0090-3493(200106)29:6<1145:AOPACU>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
CRITICALLY ILL PATIENTS; RIGHT-HEART CATHETERIZATION; ACUTE MYOCARDIAL-INFARCTION; SURGERY; HEMODYNAMICS; DISEASE; SYSTEM; SIGNS; CARE; TIME;
Keywords:
pulmonary artery flotation catheterization; multiple organ failure; Acute Physiology and Chronic Health Evaluation; mortality; respiratory failure; intensive care units; mechanical ventilation; severity of illness; length of hospital stay; outcome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Afessa, B Mayo Clin & Mayo Fdn, Div Pulm & Crit Care Med, 200 1st St SW, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn 200 1st St SW Rochester MN USA 55905 05 USA
Citazione:
B. Afessa et al., "Association of pulmonary artery catheter use with in-hospital mortality", CRIT CARE M, 29(6), 2001, pp. 1145-1148

Abstract

Objective: To determine the association of pulmonary artery catheter (PAG)use with in-hospital mortality. Design: Prospective, observational study. Setting: The medical intensive care units (MICU) of two teaching hospitals. Methods: The study included 751 adults who were admitted to the MICU, excluding those who stayed for < 24 hrs, Demographics and the worst Acute Physiology and Chronic Health Evaluation (APACHE) II score within the first 24 hrs of MICU admission were obtained. Daily logistic organ dysfunction system(LODS) scores were calculated. The associations of in-hospital mortality with the admission source, admission disease category, APACHE II scores, theworst LODS scores, mechanical ventilation, and PAC use were determined using chi-square, Mann-Whitney U, and multiple logistic regression analysis tests, p Values < 0.05 were considered significant. Results: Mean patient age was 52.6 +/- 17.1 yrs; 425 (57%) were male; 464 (62%) were African-American, 275 (37%) Caucasian, 6 (1%) Asian, and 6 (1%) Hispanic. PAC was used in 119/751 (16%), The median APACHE II and worst LODS scores were 19 and 4, respectively. The in-hospital mortality rate was 159/751 (21%). The median APACHE II score for survivors was 17.5, compared with 28.0 for nonsurvivors (p < .0001). The worst median LODS score was 4 forsurvivors, compared with 11 for nonsurvivors (p < .0001), Sixty-four (54%)of the 119 patients with PAC died, compared with 95 (15%) of the 632 without PAC (p < .0001), Multiple logistic regression analysis showed that higher APACHE Ii-predicted mortality rate (p = .0088) and worst daily LODS score(p < .0001) were associated with increased mortality. The admission source, admission disease category, PAC use, and mechanical ventilation were not associated with in-hospital mortality,Conclusions: This study could not detect an association between PAC use and mortality. The APACHE Ii-predicted mortality rate and the development of multiple organ dysfunction were the main determinants of poor outcome in critically ill patients admitted to MICU.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 18:26:24