Outcome of patients with severe asthma in the intensive care unit
<b>Background: </b> Because little has been reported about the outcome of severe asthma outside the US and western Europe, we performed a retrospective case analysis of patients treated in the medical intensive care unit (MICU) of a university hospital in Riyadh, Saudi Arabia, to de-term...
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Format: | Article |
Language: | English |
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King Faisal Specialist Hospital and Research Centre
2006-01-01
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Series: | Annals of Saudi Medicine |
Online Access: | http://www.saudiannals.net/article.asp?issn=0256-4947;year=2006;volume=26;issue=6;spage=461;epage=465;aulast=Alzeer |
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author | Alzeer Abdulaziz BaHammam Ahmed Masood Mohammed Basha Sayed Alhamad Esam Sohail Sayed |
author_facet | Alzeer Abdulaziz BaHammam Ahmed Masood Mohammed Basha Sayed Alhamad Esam Sohail Sayed |
author_sort | Alzeer Abdulaziz |
collection | DOAJ |
description | <b>Background: </b> Because little has been reported about the outcome of severe asthma outside the US and western Europe, we performed a retrospective case analysis of patients treated in the medical intensive care unit (MICU) of a university hospital in Riyadh, Saudi Arabia, to de-termine the management, complications and outcome of severe asthma requiring ICU admission. <b> Methods: </b> The records of patients with severe asthma admitted to the MICU between the periods of January 1996 to December 2003 were re-viewed. Sixty-one episodes from 54 patients were studied, of which 27 (44%) were male. <b> Results: </b> All patients were hypercapnic; 23 (38%) were ventilated. The Acute Physiological and Health Evaluation (APACHE) score II was significantly higher in the ventilated group (P< 0.0001). The pH was sig-nificantly lower and PaCO<sub> 2</sub> was significantly higher in the ventilated group (P< 0.0001). All patients survived. Only 42% of patients our series received inhaled corticosteroids before admission. <b> Conclusion: </b> Our results suggestthat severe asthma requiring ICU ad-mission is now safely managed in ICUs. Our results are comparable to recently published data on the treatment of severe asthma in the ICU. |
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format | Article |
id | doaj.art-7150fb90a93946b58f0d270f1e619d01 |
institution | Directory Open Access Journal |
issn | 0256-4947 0975-4466 |
language | English |
last_indexed | 2024-04-13T00:38:58Z |
publishDate | 2006-01-01 |
publisher | King Faisal Specialist Hospital and Research Centre |
record_format | Article |
series | Annals of Saudi Medicine |
spelling | doaj.art-7150fb90a93946b58f0d270f1e619d012022-12-22T03:10:14ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662006-01-01266461465Outcome of patients with severe asthma in the intensive care unitAlzeer AbdulazizBaHammam AhmedMasood MohammedBasha SayedAlhamad EsamSohail Sayed<b>Background: </b> Because little has been reported about the outcome of severe asthma outside the US and western Europe, we performed a retrospective case analysis of patients treated in the medical intensive care unit (MICU) of a university hospital in Riyadh, Saudi Arabia, to de-termine the management, complications and outcome of severe asthma requiring ICU admission. <b> Methods: </b> The records of patients with severe asthma admitted to the MICU between the periods of January 1996 to December 2003 were re-viewed. Sixty-one episodes from 54 patients were studied, of which 27 (44%) were male. <b> Results: </b> All patients were hypercapnic; 23 (38%) were ventilated. The Acute Physiological and Health Evaluation (APACHE) score II was significantly higher in the ventilated group (P< 0.0001). The pH was sig-nificantly lower and PaCO<sub> 2</sub> was significantly higher in the ventilated group (P< 0.0001). All patients survived. Only 42% of patients our series received inhaled corticosteroids before admission. <b> Conclusion: </b> Our results suggestthat severe asthma requiring ICU ad-mission is now safely managed in ICUs. Our results are comparable to recently published data on the treatment of severe asthma in the ICU.http://www.saudiannals.net/article.asp?issn=0256-4947;year=2006;volume=26;issue=6;spage=461;epage=465;aulast=Alzeer |
spellingShingle | Alzeer Abdulaziz BaHammam Ahmed Masood Mohammed Basha Sayed Alhamad Esam Sohail Sayed Outcome of patients with severe asthma in the intensive care unit Annals of Saudi Medicine |
title | Outcome of patients with severe asthma in the intensive care unit |
title_full | Outcome of patients with severe asthma in the intensive care unit |
title_fullStr | Outcome of patients with severe asthma in the intensive care unit |
title_full_unstemmed | Outcome of patients with severe asthma in the intensive care unit |
title_short | Outcome of patients with severe asthma in the intensive care unit |
title_sort | outcome of patients with severe asthma in the intensive care unit |
url | http://www.saudiannals.net/article.asp?issn=0256-4947;year=2006;volume=26;issue=6;spage=461;epage=465;aulast=Alzeer |
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