tailieunhanh - Báo cáo y học: " Infections of respiratory or abdominal origin in ICU patients: what are the differences"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Infections of respiratory or abdominal origin in ICU patients: what are the differences? | Volakli et al. Critical Care 2010 14 R32 http content 14 2 R32 c CRITICAL CARE RESEARCH Open Access Infections of respiratory or abdominal origin in ICU patients what are the differences c I k S I -J l I 1 I I I Z l I c k I J r 2 ỉ r T. w lr K I I z k I I I r r 3 A D I k S rd r J k S ĩr I I4 r r J W c i l r5 I s k k I I Iir ik Xz 7 Xk X 1 Elena volaKli Claudia spies Argyris MiCRdiopouios AB Jonan Groeneveld Yasser SaKr Jean-Louis Vincent Abstract Introduction There are few data related to the effects of different sources of infection on outcome. We used the Sepsis Occurrence in Acutely ill Patients SOAP database to investigate differences in the impact of respiratory tract and abdominal sites of infection on organ failure and survival. Methods The SOAP study was a cohort multicenter observational study which included data from all adult patients admitted to one of 198 participating intensive care units ICUs from 24 European countries during the study period. In this substudy patients were divided into two groups depending on whether on admission they had abdominal infection but no respiratory infection or respiratory infection but no abdominal infection. The two groups were compared with respect to patient and infection-related characteristics organ failure patterns and outcomes. Results Of the 3 147 patients in the SOAP database 777 25 patients had sepsis on ICU admission 162 21 had abdominal infection without concurrent respiratory infection and 380 49 had respiratory infection without concurrent abdominal infection. Age sex and severity scores were similar in the two groups. On admission septic shock was more common in patients with abdominal infection vs. P who were also more likely to have early coagulation failure vs. P and acute renal failure vs. P . In contrast patients with respiratory infection were more liKely to have early neurological failure vs. P . The median length of ICU stay