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Autoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literature

dc.creatorCamargo, J Fspa
dc.creatorTobón, G Jspa
dc.creatorFonseca, Nspa
dc.creatorDiaz, J Lspa
dc.creatorUribe Alarcon, Maria Victoria
dc.creatorMolina, Fspa
dc.creatorAnaya, Juan-Manuelspa
dc.date.accessioned2020-08-19T14:41:33Z
dc.date.available2020-08-19T14:41:33Z
dc.date.created2005-04-01spa
dc.description.abstractAutoimmune 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.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1191/0961203305lu2082oa
dc.identifier.issnISSN: 0961-2033
dc.identifier.issnEISSN: 1477-0962
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/27269
dc.language.isoengspa
dc.publisherSAGE Publicationsspa
dc.relation.citationEndPage320
dc.relation.citationIssueNo. 4
dc.relation.citationStartPage315
dc.relation.citationTitleLupus
dc.relation.citationVolumeVol. 14
dc.relation.ispartofLupus, ISSN: 0961-2033;EISSN: 1477-0962, Vol 14, No.4 (2005); pp. 315-320spa
dc.relation.urihttps://journals.sagepub.com/doi/10.1191/0961203305lu2082oaspa
dc.rights.accesRightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.accesoRestringido (Acceso a grupos específicos)spa
dc.sourceLupusspa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subject.keywordIntensive care unitsspa
dc.subject.keywordMortalityspa
dc.subject.keywordRheumatic diseasesspa
dc.subject.keywordRheumatoid arthritisspa
dc.subject.keywordSystemic lupus erythematosusspa
dc.titleAutoimmune rheumatic diseases in the intensive care unit: experience from a tertiary referral hospital and review of the literaturespa
dc.title.TranslatedTitleEnfermedades reumáticas autoinmunes en la unidad de cuidados intensivos: experiencia de un hospital terciario de referencia y revisión de la literaturaspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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