Key result
A deranged physiologic parameter at ICU admission linked to ~364% higher in-hospital mortality.
Why the study?
Are single deranged physiologic parameters at ICU admission associated with in-hospital mortality in critically ill adults in a low-income country?
Cohort (n=269)
No
Are single deranged physiologic parameters at ICU admission associated with in-hospital mortality in critically ill adults in a low-income country?
Effect estimate: adjusted OR 4.64 (95% CI 1.95-11.09)
Absolute Event Rate: 64% vs 18%
p-value: p=<0.001
Single deranged physiologic parameters at ICU admission are strong predictors of in-hospital mortality in a low-income setting, performing similarly to complex scoring systems.
Single deranged parameters may aid rapid triage in low-resource ICUs; leaves open prospective validation against scoring systems.
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Baker et al. (2015) conducted a cohort in Critically ill adults admitted to the ICU (n=269). Presence of a deranged physiologic parameter at admission vs. Absence of a deranged physiologic parameter was evaluated on In-hospital mortality (adjusted OR 4.64, 95% CI 1.95-11.09, p=<0.001). The presence of a deranged physiologic parameter at ICU admission was associated with increased in-hospital mortality compared to its absence (64% vs 18%; adjusted OR 4.64; 95% CI 1.95-11.09).
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