Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Multicenter Study Observational Study
A Multi-Center Thai University-Based Surgical Intensive Care Units Study (THAI-SICU Study): Outcome of ICU Care and Adverse Events.
Surgical intensive care units (SICUs) are special units for critically ill surgical patients both in the pre and postoperative period. There is little aggregated information about surgical patients who are admitted to the Thai surgical ICU. The objective of this report was to describe patient characteristics, outcomes of ICU care, incidence and outcomes of adverse events in the SICU in the participating SICUs. ⋯ This is the first large study of surgical critical care in Thailand, which had a systematic patient follow-up program. Most of the patients were elderly. Adverse events were most frequent during the first 5 days of admission and were associated with ICU and 28 days mortality.
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Multicenter Study
The Impact of Delirium on Clinical Outcomes in Multi-Center Thai Surgical Intensive Care Units: A Prospective Cohort Study.
Delirium in intensive care units (ICU) increases risks in prolonged mechanical ventilation, hospitalization, and mortality rate. The purpose of this study is to determine if delirium in the surgical intensive care units (SICU) is an independent predictor of clinical outcomes during hospitalization. ⋯ Delirium in an ICU was a major predictor of hospital mortality after adjusted for relevant covariates. Routine monitoring of delirium, early detection, and implementation of preventive strategy are recommended.
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Multicenter Study Observational Study
The Incidence, Characteristics and Outcomes of Pneumothorax in Thai Surgical Intensive Care Units (Thai-SICU Study).
To identify incidence, characteristics, and outcomes of pneumothorax among patients who specifically stayed in surgical intensive care units (SICUs). ⋯ Patients admitted to surgical intensive care units who developed pneumothorax had higher risk of intensive care unit mortality and 28-day hospital mortality than non-pneumothorax patients, as well as a longer intensive care unit and hospital length of stays.
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Multicenter Study Observational Study
Cost of Critically Ill Surgical Patients in Thailand: A Prospective Analysis of a Multicenter THAI-SICU Study.
To quantify the total cost per admission and daily cost of critically ill surgical patients and cost attributable to Acute Physiologic Assessment and Chronic Health Evaluation (APACHE) II score, invasive mechanical ventilation and major complications in surgical intensive care unit (SICU) including sepsis, acute respiratory distress syndrome (ARDS), acute lung injury (ALI), acute kidney injury (AKI), cardiac arrest, and myocardial infarction. ⋯ Cost of critically ill surgical patients in the public university hospital in Thailand was varied. The complications occurred in ICU increased the cost. To quantify the resource consumption of individual patient admitted to SICU, the costing method and cost components must be verified.
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Multicenter Study Observational Study
Predictors of Prolonged Length of Stay in General Surgical Intensive Care Unit.
The aims of this study were to explore the incidence, clinical factors, severity scores and outcome associated with prolonged length of intensive care unit (ICU) stay >3 days. ⋯ About one-fifth of the study patients had prolonged ICU stay (>3 days). Low preoperative serum albumin (<2.6 mg/dL), low preoperative hematocrit (<34%), ASA physical status class IV, underwent emergency surgery, having anesthetic complications, surgical complications, sepsis on ICU admission, having respiratory support with or without unstable hemodynamic were significantly associated with prolonged ICU stay.