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In resuscitation phase artificial colloids were used at low doses.The incidence of AKI (according to AKIN criteria), early AKI (defined as before day 3), recovery or progression and late AKI, and related factors with their development: comorbidities, severity scores, need for mechanical ventilation, development of shock and mortality were studied.
Mechanical ventilation, development of a pneumothorax, and low serum albumin were associated with a poor outcome.
The need for mechanical ventilation, development of a pneumothorax, and low serum albumin were independent predictors of increased mortality.
The need for mechanical ventilation, development of a pneumothorax, and low serum albumin were found to be independent predictors of mortality.
Predictors of mortality have not changed in the recent HAART era and need for mechanical ventilation, development of a pneumothorax, and low serum albumin still portend a poor outcome.
In a multivariate hazard model, two variables were independently associated with greater durations of mechanical ventilation: development of acute renal failure (hazard ratio = 1.47, 95% CI = 1.02 to 2.12) and prescription of an IDSA-noncompliant regimen (hazard ratio = 1.40, 95% CI = 1.02 to 1.93).
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Certain clinical factors such as low serum albumin, need for mechanical ventilation, and development of a pneumothorax were predictive of mortality [ 9, 11- 15].
Secondary issues included ICU and hospital LOS, mechanical ventilation support, development of individual organ failure and 28-day all-cause mortality.
We have demonstrated that in a large group of survivors of mechanical ventilation, the development of postextubation dysphagia is associated with poor outcomes, including pneumonia, reintubation and death.
In a multivariate analysis, prognosis was negatively influenced by respiratory insufficiency, the need for mechanical ventilation, and development of septic shock and renal failure after 72 hours of ICU stay.
During the ICU hospitalization, the number of infected patients, the mean number of infections per patient, the infected sites, the occurrence of bacteremia, severe sepsis or septic shock, antibiotic use and its duration, the duration of mechanical ventilation, and development of acute respiratory distress syndrome (ARDS) or acute renal failure were noted.
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