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Báo cáo y học: "The distinct clinical profile of chronically critically ill patients: a cohort study"

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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: The distinct clinical profile of chronically critically ill patients: a cohort study. | Available online http ccforum.eom content 10 3 R89 Research The distinct clinical profile of chronically critically ill patients a cohort study Elisa Estenssoro1 Rosa Reina1 Héctor S Canales1 María Gabriela Saenz1 Francisco E Gonzalez1 María M Aprea1 Enrique Laffaire1 Victor Gola1 and Arnaldo Dubin2 1Servicio de Terapia Intensiva Hospital Interzonal General San Martín La Plata Buenos Aires Argentina 2Critical Care Unit Sanatorio Otamendi y Miroli Buenos Aires Argentina Corresponding author Elisa Estenssoro elisaestenssoro@speedy.com.ar Received 8 Mar 2006 Revisions requested 6 Apr 2006 Revisions received 23 Apr 2006 Accepted 9 May 2006 Published 19 Jun 2006 Critical Care 2006 10 R89 doi 10.1186 cc4941 This article is online at http ccforum.com content 10 3 R89 2006 Estenssoro et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Our goal was to describe the epidemiology clinical profiles outcomes and factors that might predict progression of critically ill patients to chronically critically ill CCI patients a still poorly characterized subgroup. Methods We prospectively studied all patients admitted to a university-affiliated hospital intensive care unit ICU between 1 July 2002 and 30 June 2005. On admission we recorded epidemiological data the presence of organ failure multiorgan dysfunction syndrome MODS underlying diseases McCabe score acute respiratory distress syndrome ARDS and shock. Daily we recorded MODS ARDS shock mechanical ventilation use lengths of ICU and hospital stay LOS and outcome. CCI patients were defined as those having a tracheotomy placed for continued ventilation. Clinical complications and time to tracheal decannulation were registered. Predictors of progression to

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