Lukas Schwake1, Ines Wollenschläger, Wolfgang Stremmel, Jens Encke. 1. Department of Internal Medicine IV (Gastroenterology, Infectious Diseases, Intensive Care Medicine), Medical University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany. lukas_schwake@gmx.net
Abstract
OBJECTIVE: The aim of the present study was (1) to determine the prevalence of intensive care unit (ICU) admissions due to an adverse drug reaction (ADR), and (2) to compare affected patients with patients admitted to the ICU for the treatment of deliberate self-poisoning using medical drugs. DESIGN: Prospective observational cohort study. SETTING: Fourteen bed medical ICU including an integrated intermediate care (IMC) section at a tertiary referral center. PATIENTS: A total of 1,554 patients admitted on 1 January 2003 to 31 December 2003. RESULTS: Ninety-nine patients were admitted to the ICU with a diagnosis of ADR (6.4% of all admissions), 269 admissions (17.3%) were caused by deliberate self-poisoning. Patients admitted for treatment of ADR had a significantly higher age, a longer treatment duration in the ICU, a higher SAPS II score, and a higher 6-month mortality than those with deliberate self-poisoning. Most patients (71.7%) suffering from ADR required advanced supportive care in the ICU while the majority of patients (90.7%) with deliberate self-poisoning could be sufficiently treated in the IMC area. All diagnostic and therapeutic procedures in the ICU except mechanical ventilation were significantly more often performed in patients with ADR. CONCLUSIONS: This study provides further evidence that ADR is a frequent cause of admission to medical ICUs resulting in a considerable use of ICU capacities. In the present setting patients with ADR required longer and more intense medical treatment in the ICU than those with deliberate self-poisoning.
OBJECTIVE: The aim of the present study was (1) to determine the prevalence of intensive care unit (ICU) admissions due to an adverse drug reaction (ADR), and (2) to compare affected patients with patients admitted to the ICU for the treatment of deliberate self-poisoning using medical drugs. DESIGN: Prospective observational cohort study. SETTING: Fourteen bed medical ICU including an integrated intermediate care (IMC) section at a tertiary referral center. PATIENTS: A total of 1,554 patients admitted on 1 January 2003 to 31 December 2003. RESULTS: Ninety-nine patients were admitted to the ICU with a diagnosis of ADR (6.4% of all admissions), 269 admissions (17.3%) were caused by deliberate self-poisoning. Patients admitted for treatment of ADR had a significantly higher age, a longer treatment duration in the ICU, a higher SAPS II score, and a higher 6-month mortality than those with deliberate self-poisoning. Most patients (71.7%) suffering from ADR required advanced supportive care in the ICU while the majority of patients (90.7%) with deliberate self-poisoning could be sufficiently treated in the IMC area. All diagnostic and therapeutic procedures in the ICU except mechanical ventilation were significantly more often performed in patients with ADR. CONCLUSIONS: This study provides further evidence that ADR is a frequent cause of admission to medical ICUs resulting in a considerable use of ICU capacities. In the present setting patients with ADR required longer and more intense medical treatment in the ICU than those with deliberate self-poisoning.
Authors: H Dormann; A Neubert; M Criegee-Rieck; T Egger; M Radespiel-Tröger; T Azaz-Livshits; M Levy; K Brune; E G Hahn Journal: J Intern Med Date: 2004-06 Impact factor: 8.989
Authors: J Hallas; L F Gram; E Grodum; N Damsbo; K Brøsen; T Haghfelt; B Harvald; J Beck-Nielsen; J Worm; K B Jensen Journal: Br J Clin Pharmacol Date: 1992-01 Impact factor: 4.335
Authors: K Michel; P Ballinari; U Bille-Brahe; T Bjerke; P Crepet; D De Leo; C Haring; K Hawton; A Kerkhof; J Lönnqvist; I Querejeta; E Salander-Renberg; A Schmidtke; B Temesvary; D Wasserman Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2000-04 Impact factor: 4.328
Authors: A Marlen Schurig; Miriam Böhme; Katja S Just; Catharina Scholl; Harald Dormann; Bettina Plank-Kiegele; Thomas Seufferlein; Ingo Gräff; Matthias Schwab; Julia C Stingl Journal: Dtsch Arztebl Int Date: 2018-04-13 Impact factor: 5.594
Authors: Thilo Bertsche; Johannes Pfaff; Petra Schiller; Jens Kaltschmidt; Markus G Pruszydlo; Wolfgang Stremmel; Ingeborg Walter-Sack; Walter E Haefeli; Jens Encke Journal: Intensive Care Med Date: 2010-02-09 Impact factor: 17.440
Authors: Massimo Antonelli; Elie Azoulay; Marc Bonten; Jean Chastre; Giuseppe Citerio; Giorgio Conti; Daniel De Backer; François Lemaire; Herwig Gerlach; Goran Hedenstierna; Michael Joannidis; Duncan Macrae; Jordi Mancebo; Salvatore M Maggiore; Alexandre Mebazaa; Jean-Charles Preiser; Jerôme Pugin; Jan Wernerman; Haibo Zhang Journal: Intensive Care Med Date: 2010-01-28 Impact factor: 17.440