Prognosis of cirrhotic patients admitted to the general ICU.
Gael PitonClaire ChaignatMikhael GiabicaniJean-Paul CervoniFabienne TamionEmmanuel WeissCatherine Paugam-BurtzGilles CapellierVincent Di MartinoPublished in: Annals of intensive care (2016)
Mortality of cirrhotic patients admitted to a general ICU was comparable to that of other studies. A pragmatic score integrating the SOFA score, INR, and the need for extrarenal epuration was strongly associated with mortality. Among the 16 % of patients presenting with score 4 at ICU admission, 100 % died in the 3-month follow-up period. The prognostic evaluation on day 3 remains essential for the majority of patients. However, this score calculable at ICU admission might identify patients in whom the benefit of intensive care escalation should be discussed, in particular when liver transplantation is contraindicated.
Keyphrases
- end stage renal disease
- intensive care unit
- ejection fraction
- newly diagnosed
- chronic kidney disease
- emergency department
- mechanical ventilation
- prognostic factors
- peritoneal dialysis
- risk factors
- clinical trial
- cardiovascular disease
- open label
- patient reported outcomes
- coronary artery disease
- acute respiratory distress syndrome