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DC Field | Value | Language |
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dc.contributor.author | Renaud, Bertrand | - |
dc.contributor.author | Labarère, José | - |
dc.contributor.author | Coma, Eva | - |
dc.contributor.author | Santin, Aline | - |
dc.contributor.author | Hayon, Jan | - |
dc.contributor.author | Gurguí, Mercè | - |
dc.contributor.author | Camus, Nicolas | - |
dc.contributor.author | Roupie, Eric | - |
dc.contributor.author | Hémery, François | - |
dc.contributor.author | Hervé, Jérôme | - |
dc.contributor.author | Salloum, Mirna | - |
dc.contributor.author | Fine, Michael J. | - |
dc.contributor.author | Brun-Buisson, Christian | - |
dc.date.accessioned | 2018-11-30T12:39:39Z | - |
dc.date.available | 2018-11-30T12:39:39Z | - |
dc.date.issued | 2009-04-09 | - |
dc.identifier.uri | http://hdl.handle.net/2445/126632 | - |
dc.description.abstract | Introduction: To identify risk factors for early (< three days) intensive care unit (ICU) admission of patients hospitalised with community-acquired pneumonia (CAP) and not requiring immediate ICU admission, and to stratify the risk of ICU admission on days 1 to 3. Methods: Using the original data from four North American and European prospective multicentre cohort studies of patients with CAP, we derived and validated a prediction rule for ICU admission on days 1 to 3 of emergency department (ED) presentation, for patients presenting with no obvious reason for immediate ICU admission (not requiring immediate respiratory or circulatory support). Results: A total of 6560 patients were included (4593 and 1967 in the derivation and validation cohort, respectively), 303 (4.6%) of whom were admitted to an ICU on days 1 to 3. The Risk of Early Admission to ICU index (REA-ICU index) comprised 11 criteria independently associated with ICU admission: male gender, age younger than 80 years, comorbid conditions, respiratory rate of 30 breaths/minute or higher, heart rate of 125 beats/minute or higher, multilobar infiltrate or pleural effusion, white blood cell count less than 3 or 20 G/L or above, hypoxaemia (oxygen saturation < 90% or arterial partial pressure of oxygen (PaO2) < 60 mmHg), blood urea nitrogen of 11 mmol/L or higher, pH less than 7.35 and sodium less than 130 mEq/L. The REA-ICU index stratified patients into four risk classes with a risk of ICU admission on days 1 to 3 ranging from 0.7 to 31%. The area under the curve was 0.81 (95% confidence interval (CI) = 0.78 to 0.83) in the overall population. Conclusions: The REA-ICU index accurately stratifies the risk of ICU admission on days 1 to 3 for patients presenting to the ED with CAP and no obvious indication for immediate ICU admission and therefore may assist orientation decisions. | - |
dc.format.extent | 11 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BioMed Central | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1186/cc7781 | - |
dc.relation.ispartof | Critical Care, 2009, vol. 13, num. R54 | - |
dc.relation.uri | https://doi.org/10.1186/cc7781 | - |
dc.rights | cc by (c) Camus et al., 2009 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.source | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) | - |
dc.subject.classification | Unitats de cures intensives | - |
dc.subject.classification | Pneumònia adquirida a la comunitat | - |
dc.subject.other | Intensive care units | - |
dc.subject.other | Community-acquired pneumonia | - |
dc.title | Risk stratification of early admission to the intensive care unit of patients with no major criteria of severe community-acquired pneumonia: development of an international prediction rule | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.date.updated | 2018-07-25T10:40:26Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 19358736 | - |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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RenaudB.pdf | 329.3 kB | Adobe PDF | View/Open |
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