Key result
Charlson comorbidity score, tracheostomy, and C-reactive protein levels ≥ /dL predicted post-ICU in-hospital mortality, which occurred in 22.6% of patients.
Observational (n=296)
No
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Charlson comorbidity score, elevated CRP (≥ 6 mg/dL), and the need for tracheostomy can identify patients at high risk of in-hospital mortality after ICU discharge.
CONTEXT: Post-intensive care unit (ICU) mortality predictors are unknown. OBJECTIVE: To assess post-ICU in-hospital mortality predictors. MATERIALS AND METHODS: Analysis of 296 patients discharged alive from a medical-surgical ICU during an 18-month period. RESULTS: Post-ICU in-hospital mortality was 22.6%. Nonsurvivors had significantly higher Charlson comorbidity score and more often had a tracheostomy. C-reactive protein (CRP) "alert measurement", ≥ 6 mg/dL, independently discriminated survivors from nonsurvivors. DISCUSSION: A CRP "alert measurement" or the need for tracheostomy may be used to identify patients with high risk of dying after ICU discharge. CONCLUSIONS: Charlson comorbidity score, CRP and tracheostomy predicted post-ICU in-hospital mortality.
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Araújo et al. (2012) conducted an observational in Post-ICU discharge (n=296). Risk factor assessment (Charlson comorbidity score, CRP, tracheostomy) was evaluated on Post-ICU in-hospital mortality. Charlson comorbidity score, tracheostomy, and C-reactive protein levels ≥ /dL predicted post-ICU in-hospital mortality, which occurred in 22.6% of patients.
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