Your browser doesn't support javascript.
loading
Facial appearance associates with longitudinal multi-organ failure: an ICU cohort study.
Cox, Eline G M; van Bussel, Bas C T; Campillo Llamazares, Nerea; Sels, Jan-Willem E M; Onrust, Marisa; van der Horst, Iwan C C; Koeze, Jacqueline.
Afiliación
  • Cox EGM; Department of Critical Care, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. e.g.m.cox@umcg.nl.
  • van Bussel BCT; Department of Intensive Care Medicine, Maastricht University Medical Center+, University Maastricht, Maastricht, the Netherlands.
  • Campillo Llamazares N; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
  • Sels JEM; Department of Critical Care, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
  • Onrust M; Department of Intensive Care Medicine, Maastricht University Medical Center+, University Maastricht, Maastricht, the Netherlands.
  • van der Horst ICC; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
  • Koeze J; Department of Critical Care, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Crit Care ; 28(1): 106, 2024 04 02.
Article en En | MEDLINE | ID: mdl-38566179
ABSTRACT

BACKGROUND:

Facial appearance, whether consciously or subconsciously assessed, may affect clinical assessment and treatment strategies in the Intensive Care Unit (ICU). Nevertheless, the association between objective clinical measurement of facial appearance and multi-organ failure is currently unknown. The objective of this study was to examine whether facial appearance at admission is associated with longitudinal evaluation of multi-organ failure.

METHODS:

This was a sub-study of the Simple Intensive Care Studies-II, a prospective observational cohort study. All adult patients acutely admitted to the ICU between March 26, 2019, and July 10, 2019, were included. Facial appearance was assessed within three hours of ICU admission using predefined pictograms. The SOFA score was serially measured each day for the first seven days after ICU admission. The association between the extent of eye-opening and facial skin colour with longitudinal Sequential Organ Failure Assessment (SOFA) scores was investigated using generalized estimation equations.

RESULTS:

SOFA scores were measured in 228 patients. Facial appearance scored by the extent of eye-opening was associated with a higher SOFA score at admission and follow-up (unadjusted 0.7 points per step (95%CI 0.5 to 0.9)). There was no association between facial skin colour and a worse SOFA score over time. However, patients with half-open or closed eyes along with flushed skin had a lower SOFA score than patients with a pale or normal facial skin colour (P-interaction < 0.1).

CONCLUSIONS:

The scoring of patients' facial cues, primarily the extent of eye-opening and facial colour, provided valuable insights into the disease state and progression of the disease of critically ill patients. The utilization of advanced monitoring techniques that incorporate facial appearance holds promise for enhancing future intensive care support.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Unidades de Cuidados Intensivos / Insuficiencia Multiorgánica Límite: Adult / Humans Idioma: En Revista: Crit Care Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Unidades de Cuidados Intensivos / Insuficiencia Multiorgánica Límite: Adult / Humans Idioma: En Revista: Crit Care Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido