In mechanically ventilated patients in intensive care unit, anemia is commonly seen and it is probably associated with adverse outcomes including mortality. We aim to investigate the impact of duration of anemia and the duration of mechanical ventilation as well as clinical outcomes in critically ill patients in intensive care unit who required ventilatory support \>96 hr.
Anemia is one of the most common conditions encountered critically ill patients. Various mechanisms can put these patients at risk of anemia including gastrointestinal hemorrhage, iron deficiency, inflammation and infection, stress, and multiple blood testing. Anemia can affect cardiopulmonary function as depletion in oxygen content in body. In mechanically ventilated patients, anemia is associated with increased duration of mechanical ventilation, increased length of stay, and possibly increased mortality. Some research suggested that hemoglobin level \<8.5 g/dl was a potential risk factor for adverse outcome in critically ill patients required mechanical ventilation \>96 hr. However, most researches focused on hemoglobin levels and the associated adverse events in mechanically ventilated patients. To the best of our knowledge, there are few studies reported the impact of the duration of anemia and the clinical outcomes in these patients. We hypothesize that the short duration of anemia developed in mechanically ventilated patients has no effect on duration of mechanical ventilation. We, therefore, aim to investigate the impact of the duration of anemia on duration of mechanical ventilation in critically ill patients required ventilatory support \>96 hours.
Study Type
OBSERVATIONAL
Enrollment
236
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
Bangkok Noi, Bangkok, Thailand
Duration of mechanical ventilation
Days patients received mechanical ventilation
Time frame: 28 days after initiation of ventilatory support
Duration of anemia
Days patients had hemoglobin level \<8 g/dl while they were on ventilatory support
Time frame: 28 days after initiation of ventilatory support
Cardiovascular dysfunction
SOFA cardiovascular component equal to 1, 3, or 4
Time frame: 28 days after initiation of ventilatory support
Respiratory dysfunction
SOFA respiratory component \>1
Time frame: 28 days after initiation of ventilatory support
Renal dysfunction
SOFA respiratory component \>1
Time frame: 28 days after initiation of ventilatory support
Gastrointestinal dysfunction
SOFA gastrointestinal component \>1
Time frame: 28 days after initiation of ventilatory support
Hematologic dysfunction
SOFA hematologic component \>1
Time frame: 28 days after initiation of ventilatory support
ICU length of stay
Duration from ICU admission to ICU discharge
Time frame: Up to 90 days following inclusion
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Hospital length of stay
Duration from hospital admission to hospital discharge
Time frame: Up to 90 days following inclusion
ICU mortality
Status at ICU discharge either alive or deceased
Time frame: Up to 90 days following inclusion
Hospital mortality
Status at hospital discharge either alive or deceased
Time frame: Up to 90 days following inclusion