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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Assessment of the worldwide burden of critical illness: The Intensive Care Over Nations (ICON) audit
The Lancet Respiratory Medicine, Volume 2, No. 5, Year 2014
Notification
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Description
Background: Global epidemiological data regarding outcomes for patients in intensive care units (ICUs) are scarce, but are important in understanding the worldwide burden of critical illness. We, therefore, did an international audit of ICU patients worldwide and assessed variations between hospitals and countries in terms of ICU mortality. Methods: 730 participating centres in 84 countries prospectively collected data on all adult (>16 years) patients admitted to their ICU between May 8 and May 18, 2012, except those admitted for fewer than 24 h for routine postoperative monitoring. Participation was voluntary. Data were collected daily for a maximum of 28 days in the ICU and patients were followed up for outcome data until death or hospital discharge. In-hospital death was analysed using multilevel logistic regression with three levels: patient, hospital, and country. Findings: 10 069 patients were included from ICUs in Europe (5445 patients; 54·1%), Asia (1928; 19·2%), the Americas (1723; 17·1%), Oceania (439; 4·4%), the Middle East (393; 3·9%), and Africa (141; 1·4%). Overall, 2973 patients (29·5%) had sepsis on admission or during the ICU stay. ICU mortality rates were 16·2% (95% CI 15·5-16·9) across the whole population and 25·8% (24·2-27·4) in patients with sepsis. Hospital mortality rates were 22·4% (21·6-23·2) in the whole population and 35·3% (33·5-37·1) in patients with sepsis. Using a multilevel analysis, the unconditional model suggested significant between-country variations (var=0·19, p=0·002) and between-hospital variations (var=0·43, p<0·0001) in the individual risk of in-hospital death. There was a stepwise increase in the adjusted risk of in-hospital death according to decrease in global national income. Interpretation: This large database highlights that sepsis remains a major health problem worldwide, associated with high mortality rates in all countries. Our findings also show a significant association between the risk of death and the global national income and suggest that ICU organisation has an important effect on risk of death. © 2014 Elsevier Ltd.
Authors & Co-Authors
Vincent, Jean Louis
Belgium, Brussels
Université Libre de Bruxelles
Marshall, John C.
Canada, Toronto
University of Toronto
Ñamendys-Silva, Silvio A.
Mexico, Tlalpan
Instituto Nacional de Cancerologia, México
François, Bruno
France, Limoges
Hopital Dupuytren
Martín-Loeches, Ignacio
Spain, Madrid
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias
Lipman, Jeffrey
Australia, Brisbane
Royal Brisbane and Women's Hospital
Reinhart, Konrad K.
Germany, Jena
Universitätsklinikum Jena Und Medizinische Fakultät
Antonelli, Massimo M.
Italy, Rome
Fondazione Policlinico Universitario Agostino Gemelli Irccs
Pickkers, Peter P.
Netherlands, Nijmegen
Radboud University Medical Center
Jiménez, Edgar J.
United States, Orlando
Orlando Regional Medical Center
Sakr, Yasser L.
Germany, Jena
Universitätsklinikum Jena Und Medizinische Fakultät
Tomas, Esmael
Unknown Affiliation
Bibonge, Eric Amisi
Unknown Affiliation
Charra, Boubaker
Unknown Affiliation
Faroudy, Mamoun
Unknown Affiliation
Doedens, Linda G.
Unknown Affiliation
Farina, Zane
Unknown Affiliation
Adler, David
Unknown Affiliation
Balkema, Cecile A.
Unknown Affiliation
Kok, Adri
Unknown Affiliation
Alaya, Sami
Unknown Affiliation
Gharsallah, Hedi
Unknown Affiliation
Muzha, Dritan
Unknown Affiliation
Temelkov, Atanas
Unknown Affiliation
Georgiev, George
Unknown Affiliation
Simeonov, Georgi
Unknown Affiliation
Tsarianski, Georgy
Unknown Affiliation
Georgiev, Silvi
Unknown Affiliation
Seliman, Ali
Unknown Affiliation
Vranković, Srđan
Unknown Affiliation
Vučičević, Željko
Unknown Affiliation
Gornik, Ivan
Unknown Affiliation
Barŝić, Bruno U.
Unknown Affiliation
Husedžinović, Ino
Unknown Affiliation
Pavlik, Pavel
Unknown Affiliation
Maňák, Jan
Unknown Affiliation
Kieslichová, Eva
Unknown Affiliation
Turek, Radovan
Unknown Affiliation
Fischer, Michal
Unknown Affiliation
Válková, Radka
Unknown Affiliation
Dadák, Lukáš
Unknown Affiliation
Dostál, P.
Unknown Affiliation
Maláska, J.
Unknown Affiliation
Hájek, Roman
Unknown Affiliation
Židková, Alexandra
Unknown Affiliation
Lavička, Pavel
Unknown Affiliation
Starkopf, Joel
Unknown Affiliation
Kheladze, Zurab
Unknown Affiliation
Chkhaidze, Mamuka I.
Unknown Affiliation
Kaloiani, Vakhtang
Unknown Affiliation
Medve, László
Unknown Affiliation
Sárkány, Ágnes
Unknown Affiliation
Krémer, Ildikó
Unknown Affiliation
Marjanek, Zsuzsa
Unknown Affiliation
Tamási, Péter
Unknown Affiliation
Krupnova, Inga
Unknown Affiliation
Vanags, I. E.
Unknown Affiliation
Liguts, Viesturs
Unknown Affiliation
Pilvinis, Vidas
Unknown Affiliation
Vosylius, Saulius
Unknown Affiliation
Kėkštas, Gintautas
Unknown Affiliation
Balčiūnas, Mindaugas
Unknown Affiliation
Kolbusz, Julia
Unknown Affiliation
Kübler, Andrzej
Unknown Affiliation
Mielczarek, Beata
Unknown Affiliation
Mikaszewska-Sokolewicz, Małgorzata Anna
Unknown Affiliation
Kotfis, Katarzyna
Unknown Affiliation
Tamowicz, Barbara
Unknown Affiliation
Sułkowski, Wiktor
Unknown Affiliation
Smuszkiewicz, Piotr
Unknown Affiliation
Pihowicz, Andrzej
Unknown Affiliation
Trejnowska, Ewa
Unknown Affiliation
Hagǎu, Natalia
Unknown Affiliation
Filipescu, Daniela C.
Unknown Affiliation
Droc, Gabriela
Unknown Affiliation
Lupu, Mary Nicoleta
Unknown Affiliation
Nica, Alexandru
Unknown Affiliation
Stoica, Radu T.
Unknown Affiliation
Tomescu, D. Rodica
Unknown Affiliation
Constantinescu, Dacia Laurentia
Unknown Affiliation
Bagin, V. A.
Unknown Affiliation
Belsky, Dmitry V.
Unknown Affiliation
Palyutin, Sh Kh
Unknown Affiliation
Shlyapnikov, Sergey
Unknown Affiliation
Bikkulova, D.
Unknown Affiliation
Gritsan, Alexey I.
Unknown Affiliation
Natalia, Gulyaeva
Unknown Affiliation
Makarenko, Evgeny V.
Unknown Affiliation
Kokhno, V. N.
Unknown Affiliation
Tolkach, Alla
Unknown Affiliation
Kokarev, Evgenii A.
Unknown Affiliation
Belotserkovskiy, Boris Z.
Unknown Affiliation
Zolotukhin, Konstantin N.
Unknown Affiliation
Kulabukhov, V. V.
Unknown Affiliation
Šoškić, Ljiljana
Unknown Affiliation
Palibrk, Ivan G.
Unknown Affiliation
Janković, Radmilo J.
Unknown Affiliation
Jovanović, Bojan M.
Unknown Affiliation
Bumbaširević, Vesna D.
Unknown Affiliation
Qin, Bingyu
Unknown Affiliation
Kobe, Yoshiro
Unknown Affiliation
Uchino, Shigehiko
Unknown Affiliation
Hashimoto, Satoru
Unknown Affiliation
Palo, Jose Emmanuel M.
Unknown Affiliation
Pothirat, Chaicharn
Unknown Affiliation
Khwannimit, Bodin
Unknown Affiliation
Mukhtar, Ahmed M.
Unknown Affiliation
Hamdy, Ahmad Nabil
Unknown Affiliation
Hosny, Hisham
Unknown Affiliation
Mokhtari, Majid M.
Unknown Affiliation
Zand, Farid
Unknown Affiliation
Nikandish Noubar, Reza
Unknown Affiliation
Tantawy, Tarek M.
Unknown Affiliation
Algethamy, Haifa Mesfer
Unknown Affiliation
Amr, Anas Ahmad
Unknown Affiliation
Almekhlafi, Ghaleb A.
Unknown Affiliation
Demirkiran, Oktay
Unknown Affiliation
Poirier, Germain
Unknown Affiliation
Herridge, Margaret S.
Unknown Affiliation
Fernández, Rubén Oscar
Unknown Affiliation
Kashyap, Rahul
Unknown Affiliation
Bauer, Philippe R.
Unknown Affiliation
Wunderink, Richard G.
Unknown Affiliation
Edington, John P.
Unknown Affiliation
van Haren, Frank M.P.
Unknown Affiliation
Bersten, Andrew D.
Unknown Affiliation
Richards, Brent
Unknown Affiliation
McAllister, Richard E.
Unknown Affiliation
Williams, Tricia J.
Unknown Affiliation
Parke, Rachael L.
Unknown Affiliation
Seigne, Patrick W.
Unknown Affiliation
Freebairn, Ross C.
Unknown Affiliation
Young, Paul Jeffrey
Unknown Affiliation
Hidalgo, Jorge Luis
Unknown Affiliation
Sandi, Freddy
Unknown Affiliation
Caser, Eliana Bernadete
Unknown Affiliation
Fontes, Luís Eduardo Santos
Unknown Affiliation
Lobo, Suzana Margareth Ajeje
Unknown Affiliation
Maia, Israel Silva
Unknown Affiliation
Costa-Filho, Rubens Carmo
Unknown Affiliation
Tomicic F, Vinko
Unknown Affiliation
Buitrago, Ricardo
Unknown Affiliation
Morocho, Diego
Unknown Affiliation
Villagómez, Asisclo Jesús
Unknown Affiliation
Hurtado, Javier L.
Unknown Affiliation
Burghi, Gastón
Unknown Affiliation
von der Osten, Ingrid T.
Unknown Affiliation
Sahu, Samir
Unknown Affiliation
Ibrahim, Mohamed Hamdy
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Amin, Pravin R.
Unknown Affiliation
Shah, Bhagyesh Ashwinkumar
Unknown Affiliation
Kapadia, Farhad Nahni
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Patel, Mayur Harshadrai
Unknown Affiliation
Kulkarni, Atul Prabhakar
Unknown Affiliation
Hashmi, Madiha
Unknown Affiliation
Biston, Patrick
Unknown Affiliation
De Waele, Jan J.
Unknown Affiliation
Heytens, Luc G.
Unknown Affiliation
Wittebole, Xavier
Unknown Affiliation
Harjola, Veli Pekka
Unknown Affiliation
Léone, Marc
Unknown Affiliation
Zogheib, Élie H.
Unknown Affiliation
Lefrant, Jean Yves
Unknown Affiliation
Forceville, Xavier
Unknown Affiliation
Misset, Benoıˆt Y.
Unknown Affiliation
Jacobs, Frédérique
Unknown Affiliation
Payen, Didier M.
Unknown Affiliation
Durand, Michel
Unknown Affiliation
Ichaï, Carole R.
Unknown Affiliation
Voigt, Ingo
Unknown Affiliation
Jaschinski, Ulrich
Unknown Affiliation
Kerz, Thomas
Unknown Affiliation
Marx, Gernot
Unknown Affiliation
Kluge, Stefan
Unknown Affiliation
Bracht, Hendrik
Unknown Affiliation
Myrianthefs, Pavlos M.
Unknown Affiliation
Mouloudi, Eleni K.
Unknown Affiliation
Nakos, George
Unknown Affiliation
Donnelly, Maria B.
Unknown Affiliation
Rossi, Sandra
Unknown Affiliation
Stocchetti, Nino
Unknown Affiliation
Citerio, Giuseppe
Unknown Affiliation
Sisillo, Erminio
Unknown Affiliation
Girardis, Massimo
Unknown Affiliation
Kuiper, Michaël A.
Unknown Affiliation
Kesecioǧlu, Jozef
Unknown Affiliation
Flaatten, Hans Kristian
Unknown Affiliation
Póvoa, Pedro R.
Unknown Affiliation
Solé-Violán, Jordi
Unknown Affiliation
Torres, Antoni
Unknown Affiliation
Nín, Nicholas
Unknown Affiliation
Fernández, Noemi Llamas
Unknown Affiliation
Estella-García, Ángel
Unknown Affiliation
Frutos-Vivar, Fernando
Unknown Affiliation
Rodríguez, Alejandro H.
Unknown Affiliation
Maseda, Emilio
Unknown Affiliation
Ferrer-Roca, Ricard
Unknown Affiliation
Jakob, Stephan Mathias
Unknown Affiliation
Ferguson, Andrew J.
Unknown Affiliation
Jones, Simon A.
Unknown Affiliation
Downie, Paul
Unknown Affiliation
Brett, Stephen J.
Unknown Affiliation
Agarwal, Banwari
Unknown Affiliation
Szakmany, Tamas
Unknown Affiliation
Pearse, Rupert M.
Unknown Affiliation
Statistics
Citations: 797
Authors: 205
Affiliations: 10
Identifiers
Doi:
10.1016/S2213-2600(14)70061-X
ISSN:
22132600
Research Areas
Health System And Policy
Study Design
Cross Sectional Study