INTRODUCTION Severe acute pancreatitis (SAP) requiring admission to a critical care unit is associated with high mortality and long lengths of stay. We describe the case mix, outcome, and activity of admissions with SAP who were identified from a high-quality clinical database. METHODS We conducted a secondary analysis of the ICNARC (Intensive Care National Audit & Research Centre) Case Mix P...

This study aims to analyze the factors that affect the prognosis of continuous renal replacement therapy (CRRT) in elderly patients with acute kidney injury (AKI). Data obtained from 41 elderly patients with AKI who underwent CRRT in our department between January 2001 and December 2010 was retrospectively evaluated in this study. The enrolled patients were 80 to 100 years old, with a mortality...

OBJECTIVE To assess the performance of Acute Physiology and Chronic Health Evaluation II (APACHE II) and Simplified Acute Physiology Score II (SAPS II) in Thai critically ill patients. MATERIAL AND METHOD Prospective observational cohort study conducted between July 1, 2004 and October 31, 2005 in the Intensive Care Unit (ICU) of Songklanagarind Hospital, an 800-beds tertiary referral univers...

BACKGROUND AND OBJECTIVES To promote early detection of AKI, recently proposed pretest probability models combine sub-Kidney Disease Improving Global Outcomes (KDIGO) AKI criteria with baseline AKI risk. The primary objective of this study was to determine sub-KDIGO thresholds that identify patients with septic shock at highest risk for AKI. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS This ...

BACKGROUND Given their clinical, research, and administrative purposes, scores on the Acute Physiology and Chronic Health Evaluation (APACHE) II should be reliable, whether calculated by health care personnel or a clinical information system. OBJECTIVE To determine reliability of APACHE II scores calculated by a clinical information system and by health care personnel before and after a multi...

conclusions in this study, a low albumin level (≤ 3 mg/dl) was an indicator of nutritional status. patients’ albumin levels, bmi, nutritional status, apache ii score, and sofa score were associated with mortality. age in itself did not predict mortality in the elderly. objectives in this study, the effect of body mass index (bmi) and albumin values at first admission to the icu on the course an...

Subjects: All patients in the three medical ICUs who were intubated and mechanically ventilated for acute respiratory failure were screened and included if they were: >18 years old, projected to need mechanical ventilation >14 days, and had an initial APACHE II score >25. Specific exclusion criteria were established to ensure the safe performance of percutaneous tracheostomy (anatomical factors...

OBJECTIVE To determine the first 24 hours mean values of APACHE II score for two outcomes (alive or dead) in patients admitted in chest ICUs. METHODS A prospective study was conducted in the Department of Chest, Jinnah Postgraduate Medical Centre Hospital, Karachi from January 2009 to December 2009. Patients of all ages and either gender admitted in chest ICU for any cause, were consecutively...