title: [Results of critical care management of patients after bone marrow transplantation].
abstract: 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.
authors.affiliation: Abteilung für Notfallmedizin, Allgemeines Krankenhaus der Stadt Wien.
authors.forename: A
authors.initials: A
authors.lastname: Wagner
authors.forename: T
authors.initials: T
authors.lastname: Staudinger
authors.forename: J
authors.initials: J
authors.lastname: Kofler
authors.forename: F
authors.initials: F
authors.lastname: Keil
authors.forename: G
authors.initials: G
authors.lastname: Röggla
authors.forename: M
authors.initials: M
authors.lastname: Röggla
authors.forename: G J
authors.initials: GJ
authors.lastname: Locker
authors.forename: P
authors.initials: P
authors.lastname: Kalhs
authors.forename: M
authors.initials: M
authors.lastname: Müllner
authors.forename: M
authors.initials: M
authors.lastname: Binder
authors.forename: M
authors.initials: M
authors.lastname: Frass
mesh_terms: 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
vernacular_title: Ergebnisse der intensivmedizinischen Betreung von Patienten nach Knochenmarktransplantation.