[Results of critical care management of patients after bone marrow transplantation].
In a retrospective study we investigated the clinical course of patients who required intensive care support after bone marrow transplantation. Out of 25 patients only 5 (20%) survived treatment in the intensive care unit (ICU) and this group showed a significantly lower age, lower APACHE III and organ-failure scores and higher serum albumin values, as well as a longer interval between bone marrow transplantation and admission to intensive care. However, no patient requiring mechanical ventilation primarily for pneumonia or other infections arising as a complication of bone marrow transplantation survived intensive care. All patients requiring ventilation for more than 24 hours died in hospital. Of the 5 patients surviving ICU treatment only 3 were eventually discharged from hospital and only one single patient was alive after 6 months. Hence, current intensive care management appears to be indicated in only a small group of patients after bone marrow transplantation.
Wagner
A
A
Abteilung für Notfallmedizin, Allgemeines Krankenhaus der Stadt Wien.
Staudinger
T
T
Kofler
J
J
Keil
F
F
Röggla
G
G
Röggla
M
M
Locker
G J
GJ
Kalhs
P
P
Müllner
M
M
Binder
M
M
Frass
M
M
D018806:APACHE; D000328:Adult; D016026:Bone Marrow Transplantation / Q000401:mortality; D003422:Critical Care / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000401:mortality; D009894:Opportunistic Infections / Q000401:mortality; D011379:Prognosis; D012121:Respiration, Artificial; D012189:Retrospective Studies; D012772:Shock, Septic / Q000401:mortality; D015996:Survival Rate
Ergebnisse der intensivmedizinischen Betreung von Patienten nach Knochenmarktransplantation.