Abstract
Introduction:
According to guidelines (GEMMA'09) previous admissions in ICU predispose to fatal asthma. However, discharge evolution is not well known
Objetives:
To identify the characteristics of asthma patients admitted to ICU, clinical course and evolution in the follow up
Material and methods:
Data of 42 patients admitted to ICU in 2007-2011: potential triggers, % intubation, complications and functional status
Results:
Epidemiological data: 42 patients (22 [female] / 20 [male]), age 45.26 ± 16.69. Atopy: 45%; smoking habit: 57%. Control by GP (47.6% ); pulmonologist (35.7%). 33% previous admissions (11% in ICU). Functional and treatment data
ICU admission : Trigger: infection (54,8%). 33.3% intubations, with larger period in ICU (5 ± 3.74 days vs 2.29 ± 1.11). 3 patients (7,14%) died from asthma attack
Follow up : Control by pulmonologist (80%). Evolution: 61% good control, 25% readmitted, 7,5% in ICU
Conclusions:
Most of patients have a good outcome: low mortality and intubation rates.
ICU admission would not be a decisive criterion to define severity in the follow up
We found differences in treatment (IC) before and after admission in the ICU.
- © 2013 ERS
