dc.contributor.authors |
Rosenthal, Victor Daniel; Jin, Zhilin; Memish, Ziad A.; Daboor, Mohammad Abdellatif; Al-Ruzzieh, Majeda Afeef; Hussien, Najah Hasan; Guclu, Ertugrul; Olmez-Gazioglu, Esra; Ogutlu, Aziz; Agha, Hala Mounir; El-Sisi, Amal; Fathalla, Amr Ahmed; Yildizdas, Dincer; Yildizdas, Hacer Yapicioglu; Ozlu, Ferda; Horoz, Ozden Ozgur; Omar, Abeer Aly; Belkebir, Souad; Kanaa, Alaa; Jeetawi, Rawan; El-Kholy, Amani Ali; Bayani, Victor; Alwakil, Wafaa; Abdulaziz-Alkhawaja, Safaa; Swar, Saleh Fakhr; Magray, Tahera Anwar; Alsayegh, Ameena Ahmed; Yin, Ruijie |
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dc.date.accessioned |
2022-12-20T13:25:37Z |
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dc.date.available |
2022-12-20T13:25:37Z |
|
dc.date.issued |
2022 |
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dc.identifier.issn |
0883-9441 |
|
dc.identifier.uri |
http://dx.doi.org/10.1016/j.jcrc.2022.154149 |
|
dc.identifier.uri |
https://hdl.handle.net/20.500.12619/99391 |
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dc.description |
Bu yayının lisans anlaşması koşulları tam metin açık erişimine izin vermemektedir. |
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dc.description.abstract |
Purpose: The International Nosocomial Infection Control Consortium (INICC) found a high mortality rate in ICUs of the Middle East (ME). Our goal was to identify mortality risk factor (RF) in ICUs of the ME. Materials: From 08/01/2003 to 02/12/2022, we conducted a prospective cohort study in 236 ICUs of 77 hospitals in 44 cities in 10 countries of ME. We analyzed 16 independent variables using multiple logistic regression. Results: 66,440 patients, hospitalized during 652,167 patient-days, and 13,974 died. We identified following mortality RF: Age (adjusted odds ratio (aOR):1.02;p < 0.0001) rising risk 2% yearly; length of stay (LOS) (aOR:1.02;p < 0.0001) rising the risk 2% per day; central line (CL)-days (aOR:1.01;p < 0.0001) rising risk 1% per day; mechanicalventilator (MV) utilization-ratio (aOR:14.51;p < 0.0001); CL-associated bloodstream infection (CLABSI) acquisition (aOR):1.49;p < 0.0001); ventilator-associated pneumonia (VAP) acquisition (aOR:1.50;p < 0.0001); female gender (OR:1.14;p < 0.0001); hospitalization at a public-hospital (OR:1.31;p < 0.0001); and medical-hospitalization (aOR:1.64;p < 0.0001). High-income countries showed lowest risk (aOR:0.59;p < 0.0001). Conclusion: Some identified RF are unlikely to change, such as country income-level, facility ownership, hospital-ization type, gender, and age. Some can be modified; LOS, CL-use, MV-use, CLABSI, VAP. So, to lower the mortality risk in ICUs, we recommend focusing on strategies to shorten the LOS, reduce CL and MV-utilization, and use evidence-based recommendations to prevent CLABSI and VAP. (c) 2022 Elsevier Inc. All rights reserved. |
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dc.language |
English |
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dc.language.iso |
eng |
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dc.relation.isversionof |
10.1016/j.jcrc.2022.154149 |
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dc.subject |
General & Internal Medicine |
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dc.subject |
Intensive care unit |
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dc.subject |
Critical care |
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dc.subject |
Mortality |
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dc.subject |
Risk factor |
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dc.subject |
Nosocomial infection |
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dc.title |
Risk factors for mortality in ICU patients in 10 middle eastern countries: The role of healthcare-associated infections |
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dc.contributor.authorID |
Jin, Zhilin/0000-0003-0963-6155 |
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dc.identifier.volume |
72 |
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dc.relation.journal |
JOURNAL OF CRITICAL CARE |
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dc.identifier.doi |
10.1016/j.jcrc.2022.154149 |
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dc.identifier.eissn |
1557-8615 |
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dc.contributor.author |
Rosenthal, Victor Daniel |
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dc.contributor.author |
Jin, Zhilin |
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dc.contributor.author |
Memish, Ziad A. |
|
dc.contributor.author |
Daboor, Mohammad Abdellatif |
|
dc.contributor.author |
Al-Ruzzieh, Majeda Afeef |
|
dc.contributor.author |
Hussien, Najah Hasan |
|
dc.contributor.author |
Guclu, Ertugrul |
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dc.contributor.author |
Olmez-Gazioglu, Esra |
|
dc.contributor.author |
Ogutlu, Aziz |
|
dc.relation.publicationcategory |
Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı |
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