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Clinical outcomes and prognostic factors in patients directly transferred to the intensive care unit from long-term care beds in institutions and hospitals: A retrospective clinical study

BMC Geriatrics Nov 01, 2018

Lee SH, et al. - Researchers conducted this retrospective review of clinical data and radiographic findings between July 2009 and September 2016 to investigate the prognosis of, and determine the factors contributing to, mortality of critically ill patients with respiratory problems who were directly transferred to intensive care units (ICU) from long-term care beds in institutions and hospitals (LTCHs). Upon analysis of 111 patients with respiratory problems who had visited the emergency room transferred from LTCHs due to respiratory symptoms and who were then admitted to the ICU, they identified the presence of multiple-drug-resistant (MDR) pathogens and low serum albumin levels as poor prognostic factors. Findings suggested a history of antibiotic use within the 3-month period and the necessity for invasive ventilation as valuable in choosing the appropriate antibiotics to combat MDR pathogens at the time of admission.

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