Epidemiology and clinical characteristics of patients discharged from the ICU in a vegetative or minimally conscious state.

<h4>Purpose</h4>A significant percentage of patients are discharged from intensive care units (ICU) with disorders of counciousness (DoC). The aim of this retrospective, case-control study was to compare patients discharged from the ICU in a vegetative state (VS) or minimally conscious s...

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Autores principales:	Piotr Knapik, Dawid Borowik, Daniel Cieśla, Ewa Trejnowska
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d730a6eb20c34e98a957f9695a4c5e56
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spelling	oai:doaj.org-article:d730a6eb20c34e98a957f9695a4c5e562021-12-02T20:10:01ZEpidemiology and clinical characteristics of patients discharged from the ICU in a vegetative or minimally conscious state.1932-620310.1371/journal.pone.0253225https://doaj.org/article/d730a6eb20c34e98a957f9695a4c5e562021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253225https://doaj.org/toc/1932-6203<h4>Purpose</h4>A significant percentage of patients are discharged from intensive care units (ICU) with disorders of counciousness (DoC). The aim of this retrospective, case-control study was to compare patients discharged from the ICU in a vegetative state (VS) or minimally conscious state (MCS) and the rest of ICU survivors, and to identify independent predictors of DoC among ICU survivors.<h4>Methods</h4>Data from 14,368 adult ICU survivors identified in a Silesian Registry of Intensive Care Units (active in the Silesian Region of Poland between October 2010 and December 2019) were analyzed. Patients discharged from the ICU in a VS or MCS were compared to the remaining ICU survivors. Pre-admission and admission variables that independently influence ICU discharge with DoC were identified.<h4>Results</h4>Among the 14,368 analyzed adult ICU survivors, 1,064 (7.4%) were discharged from the ICU in a VS or MCS. The percentage of patients discharged from the ICU with DoC was similar in all age groups. Compared to non- DoC ICU patients, they had a higher mean APACHE II and SAPS III score at admission. Independent variables affecting ICU discharge with DoC included unconsciousness at ICU admission, cardiac arrest and craniocerebral trauma as primary cause of ICU admission, as well as a history of previous chronic neurological disorders and cerebral stroke (p<0.001).<h4>Conclusion</h4>Discharge in a VS and MCS was relatively frequent among ICU survivors. Discharge with DoC was more likely among patients who were unconscious at admission and admitted to the ICU due to cardiac arrest or craniocerebral trauma.Piotr KnapikDawid BorowikDaniel CieślaEwa TrejnowskaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253225 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Piotr Knapik Dawid Borowik Daniel Cieśla Ewa Trejnowska Epidemiology and clinical characteristics of patients discharged from the ICU in a vegetative or minimally conscious state.
description	<h4>Purpose</h4>A significant percentage of patients are discharged from intensive care units (ICU) with disorders of counciousness (DoC). The aim of this retrospective, case-control study was to compare patients discharged from the ICU in a vegetative state (VS) or minimally conscious state (MCS) and the rest of ICU survivors, and to identify independent predictors of DoC among ICU survivors.<h4>Methods</h4>Data from 14,368 adult ICU survivors identified in a Silesian Registry of Intensive Care Units (active in the Silesian Region of Poland between October 2010 and December 2019) were analyzed. Patients discharged from the ICU in a VS or MCS were compared to the remaining ICU survivors. Pre-admission and admission variables that independently influence ICU discharge with DoC were identified.<h4>Results</h4>Among the 14,368 analyzed adult ICU survivors, 1,064 (7.4%) were discharged from the ICU in a VS or MCS. The percentage of patients discharged from the ICU with DoC was similar in all age groups. Compared to non- DoC ICU patients, they had a higher mean APACHE II and SAPS III score at admission. Independent variables affecting ICU discharge with DoC included unconsciousness at ICU admission, cardiac arrest and craniocerebral trauma as primary cause of ICU admission, as well as a history of previous chronic neurological disorders and cerebral stroke (p<0.001).<h4>Conclusion</h4>Discharge in a VS and MCS was relatively frequent among ICU survivors. Discharge with DoC was more likely among patients who were unconscious at admission and admitted to the ICU due to cardiac arrest or craniocerebral trauma.
format	article
author	Piotr Knapik Dawid Borowik Daniel Cieśla Ewa Trejnowska
author_facet	Piotr Knapik Dawid Borowik Daniel Cieśla Ewa Trejnowska
author_sort	Piotr Knapik
title	Epidemiology and clinical characteristics of patients discharged from the ICU in a vegetative or minimally conscious state.
title_short	Epidemiology and clinical characteristics of patients discharged from the ICU in a vegetative or minimally conscious state.
title_full	Epidemiology and clinical characteristics of patients discharged from the ICU in a vegetative or minimally conscious state.
title_fullStr	Epidemiology and clinical characteristics of patients discharged from the ICU in a vegetative or minimally conscious state.
title_full_unstemmed	Epidemiology and clinical characteristics of patients discharged from the ICU in a vegetative or minimally conscious state.
title_sort	epidemiology and clinical characteristics of patients discharged from the icu in a vegetative or minimally conscious state.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/d730a6eb20c34e98a957f9695a4c5e56
work_keys_str_mv	AT piotrknapik epidemiologyandclinicalcharacteristicsofpatientsdischargedfromtheicuinavegetativeorminimallyconsciousstate AT dawidborowik epidemiologyandclinicalcharacteristicsofpatientsdischargedfromtheicuinavegetativeorminimallyconsciousstate AT danielciesla epidemiologyandclinicalcharacteristicsofpatientsdischargedfromtheicuinavegetativeorminimallyconsciousstate AT ewatrejnowska epidemiologyandclinicalcharacteristicsofpatientsdischargedfromtheicuinavegetativeorminimallyconsciousstate
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Epidemiology and clinical characteristics of patients discharged from the ICU in a vegetative or minimally conscious state.

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