The incidence, characteristics, and outcomes of stroke and seizure in critically ill surgical patients: A multicenter cohort study of thai surgical intensive care units (THAI-SICU study)

© 2016, Medical Association of Thailand. All rights reserved. Objective: To explore the incidence, characteristics, and outcomes of patients affected with new onset of stroke and seizure in the surgical intensive care unit (SICU). Material and Method: This study identified new onset of stroke and se...

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Main Authors: Siraklow S., Trongtrakul K., Chittawatanarat K., Pathonsamit C., Teeratchanan T., Poopipatpab S.
Format: Journal
Published: 2017
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012195344&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/41580
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-415802017-09-28T04:22:06Z The incidence, characteristics, and outcomes of stroke and seizure in critically ill surgical patients: A multicenter cohort study of thai surgical intensive care units (THAI-SICU study) Siraklow S. Trongtrakul K. Chittawatanarat K. Pathonsamit C. Teeratchanan T. Poopipatpab S. © 2016, Medical Association of Thailand. All rights reserved. Objective: To explore the incidence, characteristics, and outcomes of patients affected with new onset of stroke and seizure in the surgical intensive care unit (SICU). Material and Method: This study identified new onset of stroke and seizure in 4,652 patients admitted to our multicenter prospective cohort study, a collaboration of nine university-affiliated surgical ICUs in Thailand between April 2011 to January 2013. Results: The authors found new stroke and seizure events at 0.2% and 1%, respectively. The significant characteristics found in stroke and seizure patients included: reason for ICU admission, American Society of Anesthesiologists (ASA) physical status classification, and severity of patients at ICU admission (evaluated by APACHE-II and SOFA day score in first 24 hours of ICU admission). In terms of outcomes, there was higher ICU mortality in both stroke and seizure groups than in nonstroke and non-seizure groups (18% vs. 36% vs. 9%, p < 0.001, respectively). In addition, ICU length of stay among stroke and seizure patients was also longer than non-stroke and non-seizure groups (6 (4-18) vs. 10 (4-16) vs. 2 (1-4) days, p < 0.001, respectively). However, multivariable regression analysis showed a statistical significance only in longer duration of ICU stay in stroke (6.07 days; 95% CI: 3.34-8.80) and seizure (3.88 days; 95% CI: 2.15-5.62) when compared with nonstroke and non-seizure patients, adjusted by ASA, APACHE-II and SOFA score). Conclusion: From Thai-SICUs study, patients admitted to surgical ICU who developed new episodes of stroke and seizure had longer ICU length of stay when adjusted by their severity score. 2017-09-28T04:22:06Z 2017-09-28T04:22:06Z 2016-09-01 Journal 01252208 2-s2.0-85012195344 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012195344&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/41580
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description © 2016, Medical Association of Thailand. All rights reserved. Objective: To explore the incidence, characteristics, and outcomes of patients affected with new onset of stroke and seizure in the surgical intensive care unit (SICU). Material and Method: This study identified new onset of stroke and seizure in 4,652 patients admitted to our multicenter prospective cohort study, a collaboration of nine university-affiliated surgical ICUs in Thailand between April 2011 to January 2013. Results: The authors found new stroke and seizure events at 0.2% and 1%, respectively. The significant characteristics found in stroke and seizure patients included: reason for ICU admission, American Society of Anesthesiologists (ASA) physical status classification, and severity of patients at ICU admission (evaluated by APACHE-II and SOFA day score in first 24 hours of ICU admission). In terms of outcomes, there was higher ICU mortality in both stroke and seizure groups than in nonstroke and non-seizure groups (18% vs. 36% vs. 9%, p < 0.001, respectively). In addition, ICU length of stay among stroke and seizure patients was also longer than non-stroke and non-seizure groups (6 (4-18) vs. 10 (4-16) vs. 2 (1-4) days, p < 0.001, respectively). However, multivariable regression analysis showed a statistical significance only in longer duration of ICU stay in stroke (6.07 days; 95% CI: 3.34-8.80) and seizure (3.88 days; 95% CI: 2.15-5.62) when compared with nonstroke and non-seizure patients, adjusted by ASA, APACHE-II and SOFA score). Conclusion: From Thai-SICUs study, patients admitted to surgical ICU who developed new episodes of stroke and seizure had longer ICU length of stay when adjusted by their severity score.
format Journal
author Siraklow S.
Trongtrakul K.
Chittawatanarat K.
Pathonsamit C.
Teeratchanan T.
Poopipatpab S.
spellingShingle Siraklow S.
Trongtrakul K.
Chittawatanarat K.
Pathonsamit C.
Teeratchanan T.
Poopipatpab S.
The incidence, characteristics, and outcomes of stroke and seizure in critically ill surgical patients: A multicenter cohort study of thai surgical intensive care units (THAI-SICU study)
author_facet Siraklow S.
Trongtrakul K.
Chittawatanarat K.
Pathonsamit C.
Teeratchanan T.
Poopipatpab S.
author_sort Siraklow S.
title The incidence, characteristics, and outcomes of stroke and seizure in critically ill surgical patients: A multicenter cohort study of thai surgical intensive care units (THAI-SICU study)
title_short The incidence, characteristics, and outcomes of stroke and seizure in critically ill surgical patients: A multicenter cohort study of thai surgical intensive care units (THAI-SICU study)
title_full The incidence, characteristics, and outcomes of stroke and seizure in critically ill surgical patients: A multicenter cohort study of thai surgical intensive care units (THAI-SICU study)
title_fullStr The incidence, characteristics, and outcomes of stroke and seizure in critically ill surgical patients: A multicenter cohort study of thai surgical intensive care units (THAI-SICU study)
title_full_unstemmed The incidence, characteristics, and outcomes of stroke and seizure in critically ill surgical patients: A multicenter cohort study of thai surgical intensive care units (THAI-SICU study)
title_sort incidence, characteristics, and outcomes of stroke and seizure in critically ill surgical patients: a multicenter cohort study of thai surgical intensive care units (thai-sicu study)
publishDate 2017
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012195344&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/41580
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