Chest
Clinical Investigations in Critical CareSurvival of Patients With Bronchiectasis After the First ICU Stay for Respiratory Failure
Section snippets
Patients
All adults with bronchiectasis admitted between January 1990 and March 1999 to the medical ICU at Rennes University Hospital were identified from admission records. The outcome was survival at March 1, 2000, which was used as the end of the study period to ensure that all patients had a potential of 1 year of observation time. Medical records were reviewed to ensure that cough and sputum production were reported by patients at least 5 years before the admission to ICU. In addition to the above
Results
Sixty-seven adults with bronchiectasis were identified over the 9-year study period. Forty-eight patients were included in the analysis. Among the 19 patients who were not included in the study, 3 patients had a previous ICU stay for RF, 7 patients required ICU admission for a reason other than RF (acute renal failure, n = 2; hyponatremia and seizure, n = 2; liver transplantation, n = 1; meningitis, n = 2), 7 patients had chest radiographic and CT features of unilateral bronchiectasis, and 2
Discussion
During the last decade, the literature focusing on the prognosis of bronchiectasis has been limited.11 Furthermore, patients with bronchiectasis are generally excluded from clinical studies performed in ICU12 because the mechanisms leading to RF appear particularly complex. As a result, data on short-term and long-term outcomes after an ICU stay are lacking for this disease.
We analyzed the survival of 48 patients with bilateral bronchiectasis after their first admission in ICU for RF. Nine
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