Early survival and duration of hospital admission in rhabdomyolysis ICNARC Case Mix Programme Database.docVIP

Hutchison et al. Critical Care 2011,15:452 /content/15/6/452 LET TER Early survival and duration of hospital admission in rhabdomyolysis: ICNARC Case Mix Programme Database Colin A Hutchison *, Krishna Patel and Tony Whitehouse 1 2 3 New therapeutic measures are available for the manage- Northern Ireland coordinated by the Intensive Care ment of rhabdomyolysis. To enable the design of future National Audit Research Centre. Data were extracted studies that will assess the clinical bene? t of these for 439,834 admissions to 210 ICUs from the Case Mix interventions, we sought to ? rst determine the current Programme Database, covering the period from January clinical outcomes of patients with rhabdomyolysis 2006 to December 2010. Admissions with rhabdomyo- admitted to ICUs within England, Wales and Northern lysis were identi? ed from the reported primary Ireland. We describe the duration of intensive care and hospital admissions associated with rhabdomyolysis, and the early survival measures for this population. (mandated), secondary (optional) and ultimate (optional) reasons for admission to the critical care unit and other conditions in past medical history, all coded using the Intensive Care National Audit Research Centre Coding Acute kidney injury secondary to high serum myo- globin levels is a frequent cause of morbidity and Method [5]. Survival data were extracted at discharge mortality for patients with rhabdom eoreti- from the Case Mix Programme unit and hospital. Length of stay in the ICU was calculated in fractions of days from the dates and times of admission to and of discharge from the Case Mix Programme unit. Length of stay in hospital cally the severity and duration of the tubuloint