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Song J, Li M, Hou J. 3-day reversible spontaneous coma in an adult with valve replacement. Asian J Surg 2024; 47:2413-2414. [PMID: 38267273 DOI: 10.1016/j.asjsur.2024.01.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 01/11/2024] [Indexed: 01/26/2024] Open
Affiliation(s)
- Juelin Song
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China
| | - Mei Li
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China; West China School of Nursing, Sichuan University, Chengdu, Sichuan, PR China
| | - Jianglong Hou
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China.
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Rivera-Lopez R, Gutierrez-Rodriguez R, Lopez-Caler C, Aguilar-Alonso E, Castillo-Lorente E, Garcia-Delgado M, Arias-Verdu MD, Iglesias-Posadilla D, Barrueco-Francioni JE, Quesada-Garcia G, Rivera-Fernandez R. Relationship between functional status prior to onset of critical illness and mortality: a prospective multicentre cohort study. Anaesth Intensive Care 2017; 45:351-358. [PMID: 28486893 DOI: 10.1177/0310057x1704500310] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This prospective study aimed to assess the association between prior functional status and hospital mortality for patients admitted to four intensive care units in Spain between 2006 and 2012. Prior functional status was classified into three groups, using a modification of the Glasgow Outcome Scale (GOS), including group 1 with no limitations on activities of daily living; group 2 with some limitations but self-sufficient; and group 3 who were dependent on others for their activities of daily living. Of the 1,757 patients considered (mean Simplified Acute Physiology Score [SAPS] predicted mortality 14.8% and hospital mortality 13.7%), group 1 had the lowest observed hospital mortality (8.3%) compared to the SAPS 3 predicted mortality (11.6%). The observed mortality for group 2 (20.6%) and group 3 (27.4%) were both higher than predicted (19.2% and 21.2% respectively; odds ratio [OR] 1.97, 95% confidence interval [CI] 1.38-2.82 for group 2 and OR 2.90, 95% CI 1.78-4.72 for group 3 compared to group 1). Combining prior functional status and Sequential Organ Failure Assessment (SOFA) score with SAPS 3 further improved the ability of the SAPS 3 scores in predicting hospital mortality (area under the receiver operating characteristic curve 0.85 [95% CI 0.82-0.88] versus 0.84 [95% CI 0.81-0.87] respectively). In summary, patients with limited functional status prior to ICU admission had a higher risk of observed hospital mortality than predicted. Assessing prior functional status using a relatively simple questionnaire, such as a modified GOS, has the potential to improve the accuracy of existing prognostic models.
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Affiliation(s)
- R Rivera-Lopez
- Cardiologist, Cardiology Care Unit, Hospital Virgen de las Nieves, Granada, Spain
| | | | - C Lopez-Caler
- Intensivist, Intensivist, Intensive Care Unit, Hospital Regional Carlos Haya, Málaga, Spain
| | - E Aguilar-Alonso
- Intensivist, Intensive Care Unit, Hospital Infanta Margarita, Andalusian Health Service, Cordoba, Spain
| | - E Castillo-Lorente
- Intensivist, Intensive Care Unit, Hospital Neurotraumatológico, Jaén, Spain
| | - M Garcia-Delgado
- Intensivist, Intensive Care Unit, Hospital Virgen de las Nieves, Granada, Spain
| | - M D Arias-Verdu
- Intensivist, Intensive Care Unit, Hospital Regional Carlos Haya, Málaga, Spain
| | | | | | - G Quesada-Garcia
- Intensivist, Intensive Care Unit, Hospital Regional Carlos Haya, Málaga, Spain
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Rodriguez RA, Shamy M, Dowlatshahi D, Nathan HJ. Can Mismatch Negativity Reduce Uncertainty in the Prediction of Awakening From Coma During Extracorporeal Membrane Oxygenation? J Cardiothorac Vasc Anesth 2015; 29:1627-31. [PMID: 25604601 DOI: 10.1053/j.jvca.2014.09.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2014] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Dar Dowlatshahi
- Division of Neurology; Ottawa Hospital Research Institute, Ottawa, ON, Canada
| | - Howard J Nathan
- Department of Anaesthesia, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada
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Rodriguez RA, Bussière M, Froeschl M, Nathan HJ. Auditory-evoked potentials during coma: Do they improve our prediction of awakening in comatose patients? J Crit Care 2014; 29:93-100. [DOI: 10.1016/j.jcrc.2013.08.020] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2013] [Revised: 08/15/2013] [Accepted: 08/25/2013] [Indexed: 10/26/2022]
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Brown C, Hogue CW. Invited commentary. Ann Thorac Surg 2013; 95:890-1. [PMID: 23438524 DOI: 10.1016/j.athoracsur.2012.09.069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2012] [Revised: 09/25/2012] [Accepted: 09/26/2012] [Indexed: 11/18/2022]
Affiliation(s)
- Charles Brown
- Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, The Johns Hopkins Hospital, 1800 Orleans Zayed 6208, Baltimore, MD 21287, USA
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