Intérêt de l’indice de gravité simplifié ambulatoire (IGSA) appliqué à des patients admis dans l’unité de soins intensifs (USI) d’un service de pathologie infectieuse à Dakar

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• 作者：N. M. Dia ; I. Diallo ; N. M. Manga…
• 关键词：Mortalité ; Indice de gravité simplifié ambulatoire ; IGSA ; Unité de soins intensifs ; Adulte ; H?pital ; Dakar ; Sénégal ; Afrique intertropicale ; Mortality ; Ambulatory Simplified Acute Physiologic Score ; ASAPS ; Intensive care unit ; Adult ; Hospital ; Dakar ; Senegal ; Sub ; Saharan Africa
• 刊名：Bulletin de la Soci篓娄t篓娄 de pathologie exotique
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：108
• 期：3
• 页码：175-180
• 全文大小：258 KB
• 参考文献：1.Azoulay E, Adrie C, De Lassence A, et al (2003) Déterminants de l’unité de soins de la mortalité post intensive: une étude prospective multicentrique. Crit Care Med 31(2):428-2PubMed View Article
  2.Balogou AAK, Volley KA, Belo M, et al (2007) Mortalité des patients VIH positifs dans le service de neurologie du CHU campus de Lomé-Togo. AJNS 26(1):27-2
  3.Benois A, Raynaud L, Coton T, et al (2009) Morbi-mortalité des accidents vasculaires cérébraux hémorragiques après prise en charge en réanimation à Djibouti. Méd Trop 69(1):41-
  4.Colpan A, Akinci E, Erbay A, et al (2005) Evaluation of risk factors for mortality in intensive care units: a prospective study from a referral hospital in Turkey. Am J Infect Control 33(1):42-PubMed View Article
  5.Diagne A (2007) Situation de la mortalité à la Clinique des maladies infectieuses du CHNU de Fann à Dakar en 2005. Thèse Méd, Dakar, n° 21
  6.Diouf BN (2008) Profil des patients admis en réanimation. Modalités d’admission et conséquences sur l’évolution. Thèse Méd, Dakar, n°37
  7.Fowler AR, Sabur N, Li P, et al (2007) Sex-and age-based differences in the delivery and outcomes of critical care. CMAJ 177(12):1513-PubMed Central PubMed View Article
  8.Gaye S (2007) Analyse de la mortalité à l’unité de réanimation de la Clinique des maladies infectieuses du CHNU de Fann en 2005. Mémoire CES. Dakar
  9.Le Gall JR (1990) Les facteurs pronostiques des maladies infectieuses en réanimation. La lettre de l’infectiologue 5:185-0
  10.Le Gall JR, Alberti C (2000) Indices de gravité et applications en réanimation. Anesthésie Réanimation. Encyclopédie médicochirurgicale 36-700-A-10
  11.Le Gall JR, Lemeshow S, Saulnier F (1993) A New Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study 270(24):2957-3
  12.Menthonnex E, Egard F, Torres JP, et al (1997) L’indice de gravité simplifié ambulatoire à la phase pré-hospitalière. La Revue des SAMU 1:59-4
  13.Morquin D, Corne P, Le Moing V, et al (2009) Pronostic des patients VIH positifs hospitalisés en réanimation. Méd Mal Inf 39(suppl 1):S41. 10e Journées Nationales d’InfectiologieView Article
  14.Norena M, Wong H, Thompson WD, et al (2006) Adjustment of intensive care unit outcomes for severity of illness and comorbidity scores. J Crit Care 21(2):142-0PubMed View Article
  15.Ouédraogo N, Niakara A, Simpore A, et al (2002) Soins intensifs en Afrique: expérience des deux premières années d’activité du service de réanimation du centre hospitalier national de Ouagadougou. Santé 12(4):375-2PubMed
  16.Petit J, Decreau M, Oksenhendler G (1994) Utilisation des indices en médecine d’urgence: quels outils, pourquoi faire ? La revue des SAM 4:129-7
  17.Sheu CC, Tsai JR, Hung JY, et al (2007) Admission time and outcomes of patients in a medical Intensive Care Unit. Kaohsiung J Med Sci 23(8):395-04PubMed View Article
  18.Souanbi NA (2007) Analyse de la situation de la mortalité à la Clinique des maladies infectieuses du CHNU de Fann à Dakar en 2005. Thèse Med, n°21
  19.Tchoua R, Vemba A, Koumba CT, Nsafu DN (1999) Gravité des malades de réanimation à la fondation Jeanne Ebori de Libreville. Méd Afr Noire 46(11):495-00
  20.Tran DD, Groeneveld AB, Van der Meulen J, et al (1990) Age, chronic disease, sepsis, organ system failure, and mortality in a medical Intensive Care Unit. Crit Care Med 18(5):474-PubMed View Article
  21.Traoré A, Ouédraogo HZ, Sondo B, Guissou IP (2002) Les urgences médicales au Centre hospitalier national Yalgado Ouédraogo de Ouagadougou: profil et prise en charge des patients. Santé 12(3):307-2PubMed
  
• 作者单位：N. M. Dia (1)
  I. Diallo (1)
  N. M. Manga (1)
  S. A. Diop (1)
  L. Fortes-Deguenonvo (1)
  N. A. Lakhe (1)
  D. Ka (1)
  M. Seydi (1)
  B. M. Diop (1)
  P. S. Sow (1)
  
  1. Clinique des maladies infectieuses Ibrahima Diop Mar, CHNU de Fann, BP : 5035, Dakar-Fann, Sénégal
  
• 刊物主题：Internal Medicine; Tropical Medicine; Infectious Diseases; Gastroenterology; Epidemiology; Parasitology;
• 出版者：Springer Paris
• ISSN：1961-9049

文摘

The evaluation of patients by a scale of gravity allows a better categorization of patients admitted in intensive care unit (ICU). Our study had for objective to estimate interest of Ambulatory Simplified Acute Physiologic Score (ASAPS) applied to patients admitted in ICU of infectious diseases department of FANN hospital. It was about a descriptive and analytical retrospective study, made from the data found in patients-files admitted into the USI infectious diseases department of FANN hospital in Dakar, from January 1st, 2009 till December 31st, 2009.The data of 354 patients-files were analyzed. The sex-ratio was 1.77 with an average age of 37.6 years ± 19.4 years old [5-4 years]. The majority of the patients were unemployed paid (39.6%). The most frequent failures were the following ones: neurological (80.5%), cardio-respiratory (16.7%). The average duration of stay was 6.2 days ± 8.2 days going of less than 24 hours to more than 10 weeks. The deaths arose much more at night (53.1%) than in the daytime (46.9%) and the strongest rate of death was recorded in January (61.5%), most low in October (26.7%). The global mortality was 48.3%. The rate of lethality according to the highest main diagnosis was allocated to the AIDS (80.5%). The average ambulatory simplified acute physiology score was 5.3 ± 3.6 with extremes of 0 and 18. The deaths in our series increased with this index (p = 0.000005). The female patients had a rate of lethality higher than that of the men people, 55.5% against 44.2% (p = 0.03). In spite of a predictive score of a high survival (ASAPS < 8), certain number of patients died (n = 105) that is 61.4% of the deaths. The metabolic disturbances, hyperleukocytosis or leukopenia when realised, the presence of a chronic disease, seemed also to influence this lethality. ASAPS only, although interesting, would not good estimate the gravity of patients, where from the necessity thus of a minimum biological balance sheet. It seems better adapted for patients with a high value (ASAPS?). This score when it is low, is not correlated, in our study, at a high survival rate as waited in this population.