Outcome of patients with severe asthma in the intensive care unit
| Autor: | Alzeer Abdulaziz, BaHammam Ahmed, Masood Mohammed, Basha Sayed, Alhamad Esam, Sohail Sayed |
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| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: | |
| Zdroj: | Annals of Saudi Medicine, Vol 26, Iss 6, Pp 461-465 (2006) |
| Druh dokumentu: | article |
| ISSN: | 0256-4947 0975-4466 |
| Popis: | Background: Because little has been reported about the outcome of severe asthma outside the US and western Europe, we performed a retrospective case analysis of patients treated in the medical intensive care unit (MICU) of a university hospital in Riyadh, Saudi Arabia, to de-termine the management, complications and outcome of severe asthma requiring ICU admission. Methods: The records of patients with severe asthma admitted to the MICU between the periods of January 1996 to December 2003 were re-viewed. Sixty-one episodes from 54 patients were studied, of which 27 (44%) were male. Results: All patients were hypercapnic; 23 (38%) were ventilated. The Acute Physiological and Health Evaluation (APACHE) score II was significantly higher in the ventilated group (P< 0.0001). The pH was sig-nificantly lower and PaCO 2 was significantly higher in the ventilated group (P< 0.0001). All patients survived. Only 42% of patients our series received inhaled corticosteroids before admission. Conclusion: Our results suggestthat severe asthma requiring ICU ad-mission is now safely managed in ICUs. Our results are comparable to recently published data on the treatment of severe asthma in the ICU. |
| Databáze: | Directory of Open Access Journals |
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