10 research outputs found

    Erratum to: 36th International Symposium on Intensive Care and Emergency Medicine

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    [This corrects the article DOI: 10.1186/s13054-016-1208-6.]

    Hydrologic data for the Great and Denbow Heaths in eastern Maine, October 1980 through September 1981

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    Maine Geological Survey, Open-File Report 84-5. Data for surface water flow and ground water levels. Also published as USGS Open-File Report 83-866https://digitalmaine.com/mgs_publications/1168/thumbnail.jp

    Hydrologic data for the Great and Denbow Heaths in eastern Maine, October 1980 through September 1981

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    Maine Geological Survey, Open-File Report 84-5. Data for surface water flow and ground water levels. Also published as USGS Open-File Report 83-866https://digitalmaine.com/mgs_publications/1168/thumbnail.jp

    Hydrogeology and water quality of significant sand and gravel aquifers in parts of Franklin, Kennebec, Knox, Lincoln, Penobscot, Somerset, and Waldo Counties, Maine; significant sand and gravel maps 18, 30, and 31

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    Maine Geological Survey, Open-File Report 87-24a. Accompanies 1:24000 Significant Aquifer Mapshttps://digitalmaine.com/mgs_publications/1177/thumbnail.jp

    Hydrogeology and water quality of significant sand and gravel aquifers in parts of Franklin, Kennebec, Knox, Lincoln, Penobscot, Somerset, and Waldo Counties, Maine; significant sand and gravel maps 18, 30, and 31

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    Maine Geological Survey, Open-File Report 87-24a. Accompanies 1:24000 Significant Aquifer Mapshttps://digitalmaine.com/mgs_publications/1177/thumbnail.jp

    Hydrogeology and water quality of significant sand and gravel aquifers in parts of Hancock, Penobscot, and Washington Counties, Maine; significant sand and gravel aquifer maps 24, 25, 26, 27, 45

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    Maine Geological Survey, Open-File Report 88-7a. Accompanies 1:24000 Significant Aquifer Mapshttps://digitalmaine.com/mgs_publications/1184/thumbnail.jp

    Hydrogeology and water quality of significant sand and gravel aquifers in parts of Hancock, Penobscot, and Washington Counties, Maine; significant sand and gravel aquifer maps 24, 25, 26, 27, 45

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    Maine Geological Survey, Open-File Report 88-7a. Accompanies 1:24000 Significant Aquifer Mapshttps://digitalmaine.com/mgs_publications/1184/thumbnail.jp

    36th International Symposium on Intensive Care and Emergency Medicine : Brussels, Belgium. 15-18 March 2016.

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    Erratum to: 36th International Symposium on Intensive Care and Emergency Medicine

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    Sepsis at ICU admission does not decrease 30-day survival in very old patients: a post-hoc analysis of the VIP1 multinational cohort study

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    Background: The number of intensive care patients aged ≥ 80 years (Very old Intensive Care Patients; VIPs) is growing. VIPs have high mortality and morbidity and the benefits of ICU admission are frequently questioned. Sepsis incidence has risen in recent years and identification of outcomes is of considerable public importance. We aimed to determine whether VIPs admitted for sepsis had different outcomes than those admitted for other acute reasons and identify potential prognostic factors for 30-day survival. Results: This prospective study included VIPs with Sequential Organ Failure Assessment (SOFA) scores ≥ 2 acutely admitted to 307 ICUs in 21 European countries. Of 3869 acutely admitted VIPs, 493 (12.7%) [53.8% male, median age 83 (81-86) years] were admitted for sepsis. Sepsis was defined according to clinical criteria; suspected or demonstrated focus of infection and SOFA score ≥ 2 points. Compared to VIPs admitted for other acute reasons, VIPs admitted for sepsis were younger, had a higher SOFA score (9 vs. 7, p < 0.0001), required more vasoactive drugs [82.2% vs. 55.1%, p < 0.0001] and renal replacement therapies [17.4% vs. 9.9%; p < 0.0001], and had more life-sustaining treatment limitations [37.3% vs. 32.1%; p = 0.02]. Frailty was similar in both groups. Unadjusted 30-day survival was not significantly different between the two groups. After adjustment for age, gender, frailty, and SOFA score, sepsis had no impact on 30-day survival [HR 0.99 (95% CI 0.86-1.15), p = 0.917]. Inverse-probability weight (IPW)-adjusted survival curves for the first 30 days after ICU admission were similar for acute septic and non-septic patients [HR: 1.00 (95% CI 0.87-1.17), p = 0.95]. A matched-pair analysis in which patients with sepsis were matched with two control patients of the same gender with the same age, SOFA score, and level of frailty was also performed. A Cox proportional hazard regression model stratified on the matched pairs showed that 30-day survival was similar in both groups [57.2% (95% CI 52.7-60.7) vs. 57.1% (95% CI 53.7-60.1), p = 0.85]. Conclusions: After adjusting for organ dysfunction, sepsis at admission was not independently associated with decreased 30-day survival in this multinational study of 3869 VIPs. Age, frailty, and SOFA score were independently associated with survival
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