Retrospective Evaluation of Intensive Care Patients with H1N1 Virus
Journal Title: Türk Yoğun Bakım Dergisi - Year 2019, Vol 17, Issue 4
Abstract
Objective: It is known that infections caused by influenza viruses are important public health problems all over the world. In this study, the general features of influenza A (H1N1) virus infections were reviewed and the data of severe cases treated in intensive care unit were summarized. Materials and Methods: Demographic characteristics, clinical, laboratory and radiological findings of 12 patients with H1N1 who were followed up in the intensive care unit between 2009 and 2013 were evaluated retrospectively Results: The mean age was 33.9 years and 66% of the cases (n=8) were female. In 75% of the cases (n=9), an underlying cause such as respiratory, metabolic disease or pregnancy was detected. Eleven patients (92%) had acute respiratory distress syndrome, and ten patients (83%) had multi-organ failure and septic shock. Encephalitis was detected in two patients and peripheral circulatory defect was observed in two patients. The most common finding in the radiological examinations was infiltration of the lower and central zones of the lung. The length of intensive care stay was 1 to 18 days, and the mortality rate was 83% (n=10). Conclusion: The severity of pulmonary symptoms was the most important determinant of prognosis in patients with H1N1 and mortality increased in the presence of an underlying risk factor.
Authors and Affiliations
Mediha Türktan, Refika Kılıçkaya, Murat Gündüz, Dilek Özcengiz
Keywords
Related Articles
- EP ID EP656942
- DOI 10.4274/tybd.galenos.2019.30301
- Views 122
- Downloads 0
Posterior Reversible Encephalopathy Syndrome: Two Case Reports
Posterior reversible encephalopathy (PRES) syndrome is a clinical-radiological condition characterized by headache, changes in consciousness, epilepsy and visual disturbances, and usually occurs in the posterior parietal...
Critical Care Management after Adult Liver Transplantation
Critical care management after liver transplantation requires a sophisticated monitoring and multi-disciplinary team work. An experienced team and advanced critical care/hospital facilities are necessary for an ideal cri...
Which Thrombolytic Dose Should be Given to Which Patients with Massive Pulmonary Thromboembolism? Two Cases Report
Massive pulmonary thromboembolism (PTE) is a condition characterized by sudden onset of dyspnea, hypotension, right ventricular failure findings, presyncope or syncope and cardiac arrest which must be diagnosed and treat...
Prolonged Stay in Intensive Care Unit: Retrospective Analysis of Predisposing Factors and Outcome
Objective: Prolonged stay in the intensive care unit (ICU) is a serious problem resulting in increased cost, resource utilization, and morbidity and mortality. This study was aimed to discuss the factors affecting the pr...
Cardiac Arrest After Status Epilepticus: Bupropion and Ecstasy Intoxication
Bupropion is a monocyclic antidepressant that has been known to cause seizures in high therapeutic doses or acute high doses. Bupropion is a selective norepinephrine, dopamine and minimally serotonin reuptake inhibitor....