[Incidence and prognosis of postoperative jaundice in surgical intensive care patients].
Jaundice in critically ill patients may be difficult to explain. This study analyzes pathophysiologically relevant data, and discusses the prognostic value of hyperbilirubinemia. A total of 1275 patients were prospectively enrolled; 7.6% developed hyperbilirubinemia of at least 2 mg/dl. Mortality in icteric patients was significantly higher (29%) than in the non-icteric group. Sepsis, shock and the number of blood transfusions are very important in hyperbilirubinemia. Nevertheless, in critically ill patients, jaundice per se is not a sign of poor outcome; indeed it only reflects the underlying disease.
Helftenbein
A
A
Klinik für Allgemeinchirurgie, J.W. Goethe-Universität Frankfurt am Main.
Windolf
J
J
Sänger
P
P
Hanisch
E
E
D018806:APACHE; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001663:Bilirubin / Q000097:blood; D003422:Critical Care; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D006932:Hyperbilirubinemia / Q000209:etiology* / Q000401:mortality / Q000503:physiopathology; D007565:Jaundice / Q000209:etiology* / Q000401:mortality / Q000503:physiopathology; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality / Q000503:physiopathology; D011446:Prospective Studies; D012307:Risk Factors; D015996:Survival Rate
D001663:Bilirubin
Incidenz und Prognose des postoperativen Ikterus bei chirurgischen Intensivpatienten.