Hypothesizing that the determinants of death within 30 days of admission to ICU are different to those for death after 90 days, Garland et al looked at a Canadian 11 ICU registry. We’re familiar with survival curves levelling to population baseline rate after a few months (if you can make it 3 months it’s almost like it …
In this Scottish national audit project a single NEWS score of >8 in the presence of sepsis predicted a >30% chance of ICU admission or dying within 30 days. Interesting from a triage perspective but how about adding the power of a single lactate of more than 2.0 to decide who with sepsis you really should …
LITFL Wessex ICS BottomLine Emcrit
Which co-morbidities really matter (at least in Scotland!)?
July 30, 2014
For over 1000 Scottish teaching hospital admissions, using univariate logistic regression: IHD, ALD, COPD, obesity, rheumatological disease, functional status and, just barely, age all impact upon unit or hospital death. Surprisingly many conditions such as DM, malignancy, tromboembolic disease, CVA and several others did not.