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KMID : 1004620140200030384
Clinical Nursing Research
2014 Volume.20 No. 3 p.384 ~ p.394
Clinical Study of Hematology Patients in Intensive Care Units
Lim Jung-In

Kim Hyoung-Soon
Ryu Ri-Ar
Kong Hyo-Young
Abstract
Purpose: To improve professional intensive care by analyzing admission causes, causes of death, disease
conditions, and treatment processes in patients with hematological malignancies admitted to intensive care units (ICUs) in South Korea.

Methods: This was a retrospective study approved by IRB, and conducted on admission with 559 adults, in the hematology ICU of a hospital located in Seoul. The study was carried out from April 2009 to March 2012. Data were analyzed using SAS.

Results: Pneumonia was the most frequent cause of ICU admission and death, followed by sepsis. The condition at discharge was death (53.6%), recovery (39.9%), or hopeless (5.1%). Mortality of patients in states of incomplete remission was higher than that of patients with complete remission and of patients with multiple myeloma, severe aplastic anemia, and lymphoma.

Conclusion: Results show that pneumonia and sepsis are the most frequent causes of ICU admission and for the death of patients with hematological malignancies. The most frequent status at discharge of patients with hematological malignancies was death (53.6%), with mortality of patients at Incomplete Remission status, of mechanically ventilated patients, and of patients on continuous renal replacement therapy (CRRT) being higher than others.
KEYWORD
Hematology, Intensive care unit
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