Acute respiratory failure prognosis in prolonged ICU stays

Qais Zaid Alhamdan; Waleed Okash R. Alanazi; Abdulaziz Hamoud Bin Saqyan; Fahad Ali A. Alzahrani; Abdulwahab Abdulaziz Alhussain; Thamer Mohammed Althewaikh; Bandar Alhaydan; Fahad Awad Asiri; Abdulaziz Abdullah Mohammed Hussain; Ammar Ahmad Hassan Alasiri

doi:10.24911/IJMDC.51-1699385358

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Original Article

Online Publishing Date:
30 / 11 / 2023

IJMDC. 2024; 8(1): 146-150

doi: 10.24911/IJMDC.51-1699385358

Acute respiratory failure prognosis in prolonged ICU stays

Qais Zaid Alhamdan, Waleed Okash R. Alanazi, Abdulaziz Hamoud Bin Saqyan, Fahad Ali A. Alzahrani, Abdulwahab Abdulaziz Alhussain, Thamer Mohammed Althewaikh, Bandar Alhaydan, Fahad Awad Asiri, Abdulaziz Abdullah Mohammed Hussain, Ammar Ahmad Hassan Alasiri.

Abstract
Objective:
This study aimed to assess the outcome of patients with acute respiratory failure and need of mechanical ventilation who stayed for more than 21 days in the ICU.
Methods:
All acute respiratory failure patients in King Saud Medical City, Riyadh Saudi Arabia and adults ICU who required a lengthy intensive care unit stay of more than 21 days between January 2022 and August 2023 were identified in this retrospective study. Information was extracted from the hospital database by trained physicians.
Results:
Total 121 patients (mean age 61.2±15.8 years) were included. Of which, 24.1% patients were more than 70 years. Sepsis was the most common cause of prolonged ICU stay both in survivors and non-survivors with 77.8% and 76.1%, respectively. Compared to patients who survived, non-survivors had higher acute physiology and chronic health evaluation (APACHE 4) scores were considerably older. Moreover, non-survivors were more likely than survivors to have renal failure, arrhythmia, hepatic failure, or significant gastrointestinal tract bleeding as reasons for a lengthy ICU stay. Patients who were admitted to ICU because they needed further surgery were more likely to survive.
Conclusion:
When acute respiratory fever (ARF) patients needed a lengthy stay in the ICU, their prognosis was not good. A high risk of in-hospital death was linked to older ages, more than 28 days ICU stay, more than 25 APACHE 4 score, unstable hemodynamic condition, hepatic failure, renal failure, major gastrointestinal tract bleeding, and needing FiO2 ≥40%.

Key words: Acute respiratory failure, prognosis, ICU stays, mechanical ventilation, APACHE

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Pubmed Style

Alhamdan QZ, Alanazi WOR, Saqyan AHB, Alzahrani FAA, Alhussain AA, Althewaikh TM, Alhaydan B, Asiri FA, Hussain AAM, Alasiri AAH. Acute respiratory failure prognosis in prolonged ICU stays. IJMDC. 2024; 8(1): 146-150. doi:10.24911/IJMDC.51-1699385358

Web Style

Alhamdan QZ, Alanazi WOR, Saqyan AHB, Alzahrani FAA, Alhussain AA, Althewaikh TM, Alhaydan B, Asiri FA, Hussain AAM, Alasiri AAH. Acute respiratory failure prognosis in prolonged ICU stays. https://www.ijmdc.com/?mno=176712 [Access: March 26, 2024]. doi:10.24911/IJMDC.51-1699385358

AMA (American Medical Association) Style

Alhamdan QZ, Alanazi WOR, Saqyan AHB, Alzahrani FAA, Alhussain AA, Althewaikh TM, Alhaydan B, Asiri FA, Hussain AAM, Alasiri AAH. Acute respiratory failure prognosis in prolonged ICU stays. IJMDC. 2024; 8(1): 146-150. doi:10.24911/IJMDC.51-1699385358

Vancouver/ICMJE Style

Alhamdan QZ, Alanazi WOR, Saqyan AHB, Alzahrani FAA, Alhussain AA, Althewaikh TM, Alhaydan B, Asiri FA, Hussain AAM, Alasiri AAH. Acute respiratory failure prognosis in prolonged ICU stays. IJMDC. (2024), [cited March 26, 2024]; 8(1): 146-150. doi:10.24911/IJMDC.51-1699385358

Harvard Style

Alhamdan, Q. Z., Alanazi, . W. O. R., Saqyan, . A. H. B., Alzahrani, . F. A. A., Alhussain, . A. A., Althewaikh, . T. M., Alhaydan, . B., Asiri, . F. A., Hussain, . A. A. M. & Alasiri, . A. A. H. (2024) Acute respiratory failure prognosis in prolonged ICU stays. IJMDC, 8 (1), 146-150. doi:10.24911/IJMDC.51-1699385358

Turabian Style

Alhamdan, Qais Zaid, Waleed Okash R. Alanazi, Abdulaziz Hamoud Bin Saqyan, Fahad Ali A. Alzahrani, Abdulwahab Abdulaziz Alhussain, Thamer Mohammed Althewaikh, Bandar Alhaydan, Fahad Awad Asiri, Abdulaziz Abdullah Mohammed Hussain, and Ammar Ahmad Hassan Alasiri. 2024. Acute respiratory failure prognosis in prolonged ICU stays. International Journal of Medicine in Developing Countries, 8 (1), 146-150. doi:10.24911/IJMDC.51-1699385358

Chicago Style

Alhamdan, Qais Zaid, Waleed Okash R. Alanazi, Abdulaziz Hamoud Bin Saqyan, Fahad Ali A. Alzahrani, Abdulwahab Abdulaziz Alhussain, Thamer Mohammed Althewaikh, Bandar Alhaydan, Fahad Awad Asiri, Abdulaziz Abdullah Mohammed Hussain, and Ammar Ahmad Hassan Alasiri. "Acute respiratory failure prognosis in prolonged ICU stays." International Journal of Medicine in Developing Countries 8 (2024), 146-150. doi:10.24911/IJMDC.51-1699385358

MLA (The Modern Language Association) Style

Alhamdan, Qais Zaid, Waleed Okash R. Alanazi, Abdulaziz Hamoud Bin Saqyan, Fahad Ali A. Alzahrani, Abdulwahab Abdulaziz Alhussain, Thamer Mohammed Althewaikh, Bandar Alhaydan, Fahad Awad Asiri, Abdulaziz Abdullah Mohammed Hussain, and Ammar Ahmad Hassan Alasiri. "Acute respiratory failure prognosis in prolonged ICU stays." International Journal of Medicine in Developing Countries 8.1 (2024), 146-150. Print. doi:10.24911/IJMDC.51-1699385358

APA (American Psychological Association) Style

Alhamdan, Q. Z., Alanazi, . W. O. R., Saqyan, . A. H. B., Alzahrani, . F. A. A., Alhussain, . A. A., Althewaikh, . T. M., Alhaydan, . B., Asiri, . F. A., Hussain, . A. A. M. & Alasiri, . A. A. H. (2024) Acute respiratory failure prognosis in prolonged ICU stays. International Journal of Medicine in Developing Countries, 8 (1), 146-150. doi:10.24911/IJMDC.51-1699385358

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