Autoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literature
Autoimmune rheumatic diseases (AIRD) are not uncommon in the general population and up to one third of hospitalized patients with AIRD may need admission to intensive care unit (ICU). This paper describes the causes of admission, the clinical features and outcome of 24 AIRD patients admitted to a me...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2005
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- eng
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/27269
- Acceso en línea:
- https://doi.org/10.1191/0961203305lu2082oa
https://repository.urosario.edu.co/handle/10336/27269
- Palabra clave:
- Intensive care units
Mortality
Rheumatic diseases
Rheumatoid arthritis
Systemic lupus erythematosus
- Rights
- License
- Restringido (Acceso a grupos específicos)
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e038806a-b13c-46c8-a3df-a975e89a1de036ed2b00-d40a-4c0c-a888-f4c645cd52f6e9d219aa-4a06-4f19-88a2-aca830750ccf11904006-ff4b-4811-9d4b-a6dcfaab1da17bbc464a-47d8-4f02-ab5c-e9525c5143e219474778600414186056002020-08-19T14:41:33Z2020-08-19T14:41:33Z2005-04-01Autoimmune rheumatic diseases (AIRD) are not uncommon in the general population and up to one third of hospitalized patients with AIRD may need admission to intensive care unit (ICU). This paper describes the causes of admission, the clinical features and outcome of 24 AIRD patients admitted to a medical ICU from a third level hospital. Thirteen patients had systemic lupus erythematosus (54.2%), three rheumatoid arthritis (12.5%), three pulmonary renal syndrome (12.5%), two dermatopolymyositis (8.3%), two scleroderma (8.3%) and one antiphospholipid syndrome (4.2%). The main causes for ICU admission were rheumatic disease flare-up (37.5%), infection (37.5%) and complications derived from rheumatic disease (29.1%). Mortality during ICU stay was 16.7% (four patients). Excluding shock requiring vasopressor support, no statistical difference was found between survivors and nonsurvivors; although there was a trend to higher test severity scores (APACHE II, ODIN) in nonsurvivors. Our results reveal a lower mortality rate in AIRD patients admitted to the ICU than reported previously. Severity scores such as APACHE II are predictors of mortality in patients with AIRD in the ICU.application/pdfhttps://doi.org/10.1191/0961203305lu2082oaISSN: 0961-2033EISSN: 1477-0962https://repository.urosario.edu.co/handle/10336/27269engSAGE Publications320No. 4315LupusVol. 14Lupus, ISSN: 0961-2033;EISSN: 1477-0962, Vol 14, No.4 (2005); pp. 315-320https://journals.sagepub.com/doi/10.1191/0961203305lu2082oaRestringido (Acceso a grupos específicos)http://purl.org/coar/access_right/c_16ecLupusinstname:Universidad del Rosarioreponame:Repositorio Institucional EdocURIntensive care unitsMortalityRheumatic diseasesRheumatoid arthritisSystemic lupus erythematosusAutoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literatureEnfermedades reumáticas autoinmunes en la unidad de cuidados intensivos: experiencia de un hospital terciario de referencia y revisión de la literaturaarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Camargo, J FTobón, G JFonseca, NDiaz, J LMolina, FAnaya, Juan-ManuelUribe Alarcon, Maria Victoria10336/27269oai:repository.urosario.edu.co:10336/272692022-05-02 07:37:13.478457https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co |
dc.title.spa.fl_str_mv |
Autoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literature |
dc.title.TranslatedTitle.spa.fl_str_mv |
Enfermedades reumáticas autoinmunes en la unidad de cuidados intensivos: experiencia de un hospital terciario de referencia y revisión de la literatura |
title |
Autoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literature |
spellingShingle |
Autoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literature Intensive care units Mortality Rheumatic diseases Rheumatoid arthritis Systemic lupus erythematosus |
title_short |
Autoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literature |
title_full |
Autoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literature |
title_fullStr |
Autoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literature |
title_full_unstemmed |
Autoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literature |
title_sort |
Autoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literature |
dc.subject.keyword.spa.fl_str_mv |
Intensive care units Mortality Rheumatic diseases Rheumatoid arthritis Systemic lupus erythematosus |
topic |
Intensive care units Mortality Rheumatic diseases Rheumatoid arthritis Systemic lupus erythematosus |
description |
Autoimmune rheumatic diseases (AIRD) are not uncommon in the general population and up to one third of hospitalized patients with AIRD may need admission to intensive care unit (ICU). This paper describes the causes of admission, the clinical features and outcome of 24 AIRD patients admitted to a medical ICU from a third level hospital. Thirteen patients had systemic lupus erythematosus (54.2%), three rheumatoid arthritis (12.5%), three pulmonary renal syndrome (12.5%), two dermatopolymyositis (8.3%), two scleroderma (8.3%) and one antiphospholipid syndrome (4.2%). The main causes for ICU admission were rheumatic disease flare-up (37.5%), infection (37.5%) and complications derived from rheumatic disease (29.1%). Mortality during ICU stay was 16.7% (four patients). Excluding shock requiring vasopressor support, no statistical difference was found between survivors and nonsurvivors; although there was a trend to higher test severity scores (APACHE II, ODIN) in nonsurvivors. Our results reveal a lower mortality rate in AIRD patients admitted to the ICU than reported previously. Severity scores such as APACHE II are predictors of mortality in patients with AIRD in the ICU. |
publishDate |
2005 |
dc.date.created.spa.fl_str_mv |
2005-04-01 |
dc.date.accessioned.none.fl_str_mv |
2020-08-19T14:41:33Z |
dc.date.available.none.fl_str_mv |
2020-08-19T14:41:33Z |
dc.type.eng.fl_str_mv |
article |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.type.spa.spa.fl_str_mv |
Artículo |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.1191/0961203305lu2082oa |
dc.identifier.issn.none.fl_str_mv |
ISSN: 0961-2033 EISSN: 1477-0962 |
dc.identifier.uri.none.fl_str_mv |
https://repository.urosario.edu.co/handle/10336/27269 |
url |
https://doi.org/10.1191/0961203305lu2082oa https://repository.urosario.edu.co/handle/10336/27269 |
identifier_str_mv |
ISSN: 0961-2033 EISSN: 1477-0962 |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
dc.relation.citationEndPage.none.fl_str_mv |
320 |
dc.relation.citationIssue.none.fl_str_mv |
No. 4 |
dc.relation.citationStartPage.none.fl_str_mv |
315 |
dc.relation.citationTitle.none.fl_str_mv |
Lupus |
dc.relation.citationVolume.none.fl_str_mv |
Vol. 14 |
dc.relation.ispartof.spa.fl_str_mv |
Lupus, ISSN: 0961-2033;EISSN: 1477-0962, Vol 14, No.4 (2005); pp. 315-320 |
dc.relation.uri.spa.fl_str_mv |
https://journals.sagepub.com/doi/10.1191/0961203305lu2082oa |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_16ec |
dc.rights.acceso.spa.fl_str_mv |
Restringido (Acceso a grupos específicos) |
rights_invalid_str_mv |
Restringido (Acceso a grupos específicos) http://purl.org/coar/access_right/c_16ec |
dc.format.mimetype.none.fl_str_mv |
application/pdf |
dc.publisher.spa.fl_str_mv |
SAGE Publications |
dc.source.spa.fl_str_mv |
Lupus |
institution |
Universidad del Rosario |
dc.source.instname.none.fl_str_mv |
instname:Universidad del Rosario |
dc.source.reponame.none.fl_str_mv |
reponame:Repositorio Institucional EdocUR |
repository.name.fl_str_mv |
Repositorio institucional EdocUR |
repository.mail.fl_str_mv |
edocur@urosario.edu.co |
_version_ |
1814167605389295616 |