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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Main Authors: Alzeer Abdulaziz, BaHammam Ahmed, Masood Mohammed, Basha Sayed, Alhamad Esam, Sohail Sayed
Format: Article
Language:English
Published: King Faisal Specialist Hospital and Research Centre 2006-01-01
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&#x0025;) were male. <b> Results: </b> All patients were hypercapnic; 23 (38&#x0025;) were ventilated. The Acute Physiological and Health Evaluation (APACHE) score II was significantly higher in the ventilated group (P&#60; 0.0001). The pH was sig-nificantly lower and PaCO<sub> 2</sub> was significantly higher in the ventilated group (P&#60; 0.0001). All patients survived. Only 42&#x0025; 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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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&#x0025;) were male. <b> Results: </b> All patients were hypercapnic; 23 (38&#x0025;) were ventilated. The Acute Physiological and Health Evaluation (APACHE) score II was significantly higher in the ventilated group (P&#60; 0.0001). The pH was sig-nificantly lower and PaCO<sub> 2</sub> was significantly higher in the ventilated group (P&#60; 0.0001). All patients survived. Only 42&#x0025; 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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AT bashasayed outcomeofpatientswithsevereasthmaintheintensivecareunit
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