The epidemiology of acute respiratory failure in hospitalized patients: A Brazilian prospective cohort study

Franca, Suelene Aires; Toufen, Carlos; Hovnanian, Andre; Albuquerque, André Luís Pereira de; Borges, Eduardo R.; Pizzo, Vladimir Ribeiro Pinto; Carvalho, Carlos Roberto Ribeiro

doi:10.1016/j.jcrc.2010.10.010

Cited by 31 publications

(46 citation statements)

References 18 publications

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“…[11] Emergency surgery is a risk factor for RI, which has been validated in most of reports. [1,4,13] In this study, patients with RI had a prolonged length of intensive care unit stay, a prolonged length of hospitalization, an increased intensive care unit mortality rate, and a hospital mortality, which are similar to those reported by Franca et al [4] Patients with RI had a decreased one-year survival rate compared with those without RI. Although the precise cause of death was not clear, sequel plays an important role.…”

Section: Discussionsupporting

confidence: 88%

“…[1][2][3][4] In this study, the incidence of RI was 37.2%, which was higher than that reported elsewhere. There are two reasons.…”

Section: Discussionmentioning

confidence: 67%

“…[1][2][3][4] It is associated with increased hospital mortality, increased costs, and a decreased long-term survival rate. [4][5] Studies on the risk factors and outcomes of acute RI focused on patients with hematologic malignancies or solid tumors who received non-operative treatment. However, there were World J Emerg Med, Vol 4, No 1, 2013 Xing et al few studies on the risk factors and prognosis of critically ill cancer patients receiving mechanical ventilation owning to acute RI after surgery.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors and prognosis of critically ill cancer patients with postoperative acute respiratory insufficiency

Xing

Gao

Wang

et al. 2013

World Journal of Emergency Medicine

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BACKGROUND: This study aimed to investigate the risk factors and outcome of critically ill cancer patients with postoperative acute respiratory insuffi ciency. METHODS:The data of 190 critically ill cancer patients with postoperative acute respiratory insuffi ciency were retrospectively reviewed. The data of 321 patients with no acute respiratory insuffi ciency as controls were also collected. Clinical variables of the fi rst 24 hours after admission to intensive care unit were collected, including age, sex, comorbid disease, type of surgery, admission type, presence of shock, presence of acute kidney injury, presence of acute lung injury/acute respiratory distress syndrome, acute physiologic and chronic health evaluation (APACHE II) score, sepsis-related organ failure assessment (SOFA), and PaO 2 /FiO 2 ratio. Duration of mechanical ventilation, length of intensive care unit stay, intensive care unit death, length of hospitalization, hospital death and one-year survival were calculated. RESULTS:The incidence of acute respiratory insufficiency was 37.2% (190/321). Multivariate logistic analysis showed a history of chronic obstructive pulmonary diseases (P=0.001), surgeryrelated infection (P=0.004), hypo-volemic shock (P<0.001), and emergency surgery (P=0.018), were independent risk factors of postoperative acute respiratory insufficiency. Compared with the patients without acute respiratory insuffi ciency, the patients with acute respiratory insuffi ciency had a prolonged length of intensive care unit stay (P<0.001), a prolonged length of hospitalization (P=0.006), increased intensive care unit mortality (P=0.001), and hospital mortality (P<0.001). Septic shock was shown to be the only independent prognostic factor of intensive care unit death for the patients with acute respiratory insufficiency (P=0.029, RR: 8.522, B=2.143, SE=0.982, Wald=4.758). Compared with the patients without acute respiratory insufficiency, those with acute respiratory insuffi ciency had a shortened one-year survival rate (78.7% vs. 97.1%, P<0.001).CONCLUSION: A history of chronic obstructive pulmonary diseases, surgery-related infection, hypovolemic shock and emergency surgery were risk factors of critically ill cancer patients with postoperative acute respiratory insuffi ciency. Septic shock was the only independent prognostic factor of intensive care unit death in patients with acute respiratory insufficiency. Compared with patients without acute respiratory insufficiency, those with acute respiratory insufficiency had adverse shortterm outcome and a decreased one-year survival rate.

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Section: Discussionsupporting

confidence: 88%

“…[1][2][3][4] In this study, the incidence of RI was 37.2%, which was higher than that reported elsewhere. There are two reasons.…”

Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

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Risk factors and prognosis of critically ill cancer patients with postoperative acute respiratory insufficiency

Xing

Gao

Wang

et al. 2013

World Journal of Emergency Medicine

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“…Grande parte dos pacientes sépticos apresenta edema intersticial, além da redução do surfactante, o que acarretará em desequilíbrio entre a ventilação e a perfusão pulmonar, resultando em hipoxemia, diminuição da complacência pulmonar e necessidade de ventilação mecânica para a adequada oxigenação tecidual 13 .…”

Section: Discussionunclassified

Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave

et al. 2017

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Introdução: As unidades de terapia intensiva (UTIs) têm sido organizadas como setores estratégicos para o suporte especializado de assistência ao paciente grave. Objetivo: Verificar as ações do enfermeiro para a identificação precoce das alterações sistêmicas causadas pela sepse grave relacionadas às alterações hemodinâmicas, neurológicas, respiratórias, renais e nutricionais dos pacientes internados em UTIs adulto. Métodos: Estudo descritivo com 24 enfermeiros. Os dados foram coletados por meio de formulário composto de questões estruturadas. Resultados: Apenas 36% dos enfermeiros possuem especialização em UTI adulto; verificou-se que os profissionais identificam parcialmente os sinais e sintomas apresentados pelo paciente séptico. Conclusão: Os enfermeiros encontram dificuldade na identificação precoce das alterações sistêmicas causadas pela sepse grave relacionada às alterações hemodinâmicas, neurológicas, respiratórias, renais e nutricionais dos pacientes internados em UTI adulto, o que pode estar relacionado com a falta de treinamento e de protocolos estabelecidos pelas instituições.Palavras-chave: unidade de terapia intensiva; sepse; síndrome de resposta inflamatória sistêmica; enfermagem. ABSTRACT Introduction:Intensive care units (ICUs) have been organized as strategic sectors for specialized support assistance to critically ill patients. Objective: To assess the actions of the nurse for the early identification of systemic changes caused by severe sepsis, related to hemodynamic, neurological, respiratory, renal and nutrition changes of patients in adult ICUs. Methods: Descriptive studies with 24 nurses. Data were collected using a questionnaire composed of structured questions. Results: Only 36% of nurses have expertise in adult ICUs, professionals partially identify the signs and symptoms presented by the septic patient. Conclusion: Nurses find difficulty in the early identification of systemic changes caused by severe sepsis, related to hemodynamic, neurological, respiratory, renal and nutritional changes seen in patients in adult ICUs, which may be related to lack of training and of protocols established by the institutions.

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“…8 The epidemiological characteristics of ARF may be influenced by regional aspects. 11,12 Endemic diseases, mainly infectious, are relevant for solid organ transplants. 13 However, contemporary data from emerging countries regarding this complication in renal transplant patients are scarce.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with hospital mortality in renal transplant patients admitted to the intensive care unit with acute respiratory failure

Silva

Freitas

Bafi

et al. 2017

Jornal Brasileiro De Nefrologia

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The epidemiology of acute respiratory failure in hospitalized patients: A Brazilian prospective cohort study

Abstract: Acute respiratory failure represents a large percentage of all ICU patients, and the high mortality is related to some preventable factors such as the time to ICU admission.

Cited by 31 publications

References 18 publications

Risk factors and prognosis of critically ill cancer patients with postoperative acute respiratory insufficiency

Risk factors and prognosis of critically ill cancer patients with postoperative acute respiratory insufficiency

Ações do enfermeiro na identificação precoce de alterações sistêmicas causadas pela sepse grave

Factors associated with hospital mortality in renal transplant patients admitted to the intensive care unit with acute respiratory failure

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