Abstract：
:Predicting unexpected intensive care unit (ICU) re-admission and mortality after critical illness is difficult. This study assessed the associations between eosinopenia on the day of ICU discharge and outcomes after critical illness. This retrospective cohort study involved a total of 1446 critically ill patients who survived their first ICU admission between January 2009 and March 2010 in a multidisciplinary ICU in Western Australia. Eosinopenia was defined as eosinophil count <0.01×109/l and the date of censor for survival was 31 October 2011. Of the 1446 patients included in the study, 106 patients (7.3%) were re-admitted to the ICU during the same hospitalisation and 178 patients died (12.3%) after ICU discharge. Eosinopenia at ICU discharge occurred in 130 patients (9.7%) and was more common among those who were subsequently re-admitted (18.6 vs 8.6%) or died after ICU discharge (22.5 vs 7.5%). Eosinopenia remained associated with ICU re-admission (odds ratio 2.50, 95% confidence interval 1.38-4.50; P=0.002) and post-ICU mortality (hazard ratio 2.65, 95% confidence interval 1.77-3.98; P=0.001) after adjusting for age, gender, nocturnal discharge, neutrophil count at ICU discharge, elective surgical admission, Sequential Organ Failure Assessment scores, Acute Physiology and Chronic Health Evaluation II predicted mortality and chronic medical diseases. Eosinopenia at ICU discharge explained about 8.4% of the variability and was the third most important factor in explaining the variability in survival after ICU discharge. In summary, eosinopenia at ICU discharge was associated with an increased risk of unexpected ICU re-admission and post-ICU mortality.
journal_name
Anaesth Intensive Carejournal_title
Anaesthesia and intensive careauthors
Yip B,Ho KMdoi
10.1177/0310057X1304100130subject
Has Abstractpub_date
2013-03-01 00:00:00pages
231-41issue
2eissn
0310-057Xissn
1448-0271pii
20120844journal_volume
41pub_type
杂志文章abstract：:Twenty-two cases of diaphragmatic hernia, presenting from 1978 to 1982, were reviewed. Sixteen patients presented before 24 hours of life, of whom nine survived (56%). Six were late presenters who all did well. Seven babies had ten documented episodes of persistent foetal circulation (PFC) occurring as early as three ...
journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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更新日期：1981-02-01 00:00:00
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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abstract：:Epidural opioids provide high quality analgesia with no clinically apparent effect on the circulation or on specific organ blood flow. Little investigative data is available to support these impressions of circulatory stability. Ten patients presenting for thoracotomy were studied at rest preoperatively to determine i...
journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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