Juniper Publishers Journal of Anesthesia and Intensive Care Medicine

Juniper Publishers - Journal of Anesthesia Abstract Background: The Simplified Acute Physiology Score 3 (SAPS 3) scoring system was developed through a worldwide prospective study to predict hospital mortality in critically ill patients. The present study focuses on how outcomes, according to SAPS 3 score, differ in patients receiving or not receiving mechanical ventilation. Methods: We retrospectively reviewed electronic medical records of patients admitted to the surgical or medical ICU from October to December 2014. The SAPS 3 model scores were evaluated for all patients, and for subgroups of patients receiving mechanical ventilation (MV group) or not (Non-MV group). The MV group was further subdivided into two groups, based on the ventilator weaning (simple [MV-SW] and others [MV-Others]), to compare patient characteristics and mortality, based on SAPS 3 scores. Results: The SAPS 3 score and mortality were significantly higher, and the length of ICU stay...

Juniper Publishers - Journal of Anesthesia Summary FIn sub-Saharan Africa and singularly in Ivory Coast the anesthesia of the children in urgen cyisa real Challenge because of many risks to which it exposes. The lack of data at the University Hospital of Cocody has motivated this study whose the aim was to search the elements which can make it possible to predict the pediatric mortality in case of anesthesia in urgency in order to anticipate their occurred and in the worst case drawing up a protocol medical car for the children. Population and method: It was carried out over one 05 years period going from July 2008 to June 2012. It concerned all the children whose age lay between 0 and 15 years, which were taken charges with the min urgency under anesthesia with the service with anesthesia reanimation D "a Hospital and University D "Abidjan-Coast D" Ivory. Results and discussion: The factors forecast raised in this study are: Digestive patholog...

Juniper Publishers - Journal of Anesthesia Abstract Background: Pre-existing disease is the most important factor in the prediction of health-related quality of life (HRQoL) after intensive care. We hypothesised that the “inpatient care trajectories” in the years before admission to the ICU is a stronger predictor of HRQoL and mortality after intensive care than pre-existing disease, and that it has significant effects on overall costs. Method: A retrospective investigation in two combined medical and surgical ICUs in Sweden. Inpatient care was assessed from the County administrative registry. HRQoL (SF-36) was measured at 6, 12, 24, and 36 months after discharge. Results: Of 1092 patients, 459 (73%) had pre-existing diseases, and among them 360 (57%) had at least one inpatient episode less than 3 years before the ICU period, during which the group used significantly more hospital resources than the combined cost for all ICU care during the same time. The ...