ABSTRACT
Background: The physiological changes associated with obesity may impair the ability to withstand the stress of critical illness, and particularly in surgical postoperative patients, the effects on cardiovascular and respiratory systems may translate into prolonged time on a ventilator or intensive care unit survival
Objectives: This review aiming at evaluation of the effect of obesity in patients admitted to intensive care unit
Materials and Methods: An electronic search was conducted in Medline using this built search strategy. The search was limited to the human studies conducted in the last 10 years. The search resulted in 368 articles and after exclusion of irrelevant, duplicated, and review articles only 26 articles were included in this review. The information about general characteristics and outcomes of these studies were collected using data sheets
Results: The predominance of weight has been consistently expanding around the world, and obesity itself is viewed as an interminable illness and additionally a noteworthy general medical issue. However, not very many information is accessible on the relationship amongst BMI and basic care result. Additionally, examine is expected to recognize vital associates of basic care in relationship to BMI with the goal that this data can be utilized to nurture patients and enhance results
Conclusion: BMI demonstrated no noteworthy effect on bleakness or mortality in basically sick patients. Mortality in basic care was related with seriousness of sickness at affirmation and ICU-related intricacies
ABSTRACT
Background: Subsyndromal delirium [SSD] is a frequent condition and has been commonly described as an intermediate stage between delirium and normal cognition. However, the true frequency of SSD and its impact on clinically relevant outcomes in the intensive care unit [ICU] remains unclear
Aim of the study: To evaluate the significance of SSD on adverse clinical outcomes especially mortality and length of hospital stay
Methods: A systematic search was performed in the scientific database particularly MEDLINE [2000-2017], EMBASE [2000- 2017], Cochrane Central Register of Controlled Trials, CINAHL [2000-2017], Google Scholar, and individual journals to identify publications that evaluated SSD in ICU patients
Results: The search yielded five studies involving 2453 patients. SSD was detected in 849 patients [34.6%]. Three studies evaluated only surgical patients. Three studies used the Intensive Care Delirium Screening Checklist [ICDSC] and two used the Confusion Assessment Method [CAM] score to diagnose SSD. The meta-analysis showed an increased hospital length of stay [LOS] in SSD patients [0.29 [95% CI 0.11-0.48], p = 0.002; I [2] = 33%]. Hospital mortality was described in two studies but it was not significant [hazard ratio 0.93 [0.58-1.43], p = 0.88 and [4 [1.0-6.9] vs 9 [3.6-20.4], p = 0.05]. The use of antipsychotics in SSD patients to prevent delirium was evaluated in one study but it did not modify ICU LOS [6.2 [4-8] vs 7 [4-9] days, p = 0.63 and 2 [2-3] vs 3 [2-3] days, p = 0.517] or mortality [9 [25.8%] vs 7 [20.4%], p = 0.51]
Conclusion: Subsyndromal Delirium is a common and adverse condition that is manifested in almost one-third of ICU patients. According to our findings, SSD has increased the length of hospital stay only with low impact on the other outcomes. Nevertheless, studies on a bigger sample size and larger scale are needed for a better understanding of the relevance of SSD in ICU patients as well as its treatment