Realistic Survival Outcomes After Vasopressor Use in the Intensive Care Unit

被引：5

作者：

Farkas, Daniel T. ^{[1
]}

Rahnemai-Azar, Amir A. ^{[1
]}

Kunhammed, Shameem Shah ^{[1
]}

Greenbaum, Arieh ^{[1
]}

Bibi, Shahida ^{[1
]}

John, Mohan Mathew ^{[1
]}

机构：

[1] Albert Einstein Coll Med, Bronx Lebanon Hosp Ctr, Dept Surg, Bronx, NY 10467 USA

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2016年 / 33卷 / 09期

关键词：

survival; outcomes; vasopressors; CARDIOPULMONARY-RESUSCITATION; CLINICAL PREDICTORS; HOSPITAL MORTALITY; ICU; ADMISSION; ASSOCIATION; REGISTRY; PATIENT; MODEL; STAY;

D O I：

10.1177/1049909115593065

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Aim: Patients in the intensive care unit (ICU) have significantly increased mortality rates. Frequently, clinicians are called upon to help families make decisions regarding aggressiveness of care. Having a realistic expectation of outcome is critical for these discussions. This article looked at survival and outcomes following initiation of vasopressors. Methods: All patients admitted to the ICU between January and June 2011were included. Patients were classified into those who had been started on vasopressors (VP+) and those who had not (VP-). Outcomes of these groups including survival were calculated and compared. Results: A total of 1023 patients were included: 169 in the VP+ group and 854 in the VP- group. The survival rate in the VP+ group was 29.6% compared to 92.0% in the VP- group. This was both clinically and statistically significant (P < .001). Conclusion: Patients started on vasopressors in the ICU have very poor outcomes. Being able to quantify this accurately is important to clinicians having discussions with family members.

引用

页码：871 / 874

页数：4

共 16 条

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