IJCCM
 

RESEARCH ARTICLE
[View FULLTEXT] [Download PDF
 
Year : 2018  |  Volume : 22  |  Issue : 2  |  Page : 63-66  

Profile of patients with active tuberculosis admitted to a respiratory intensive care unit in a tertiary care center of North India

Valliappan Muthu, Sahajal Dhooria, Ritesh Agarwal, Kuruswamy Thurai Prasad, Ashutosh N Aggarwal, Digambar Behera, Inderpaul Singh Sehgal 
 Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Inderpaul Singh Sehgal
Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India

Background: There is a paucity of literature regarding outcome of critically ill patients with tuberculosis (TB) from India. Herein, we describe our experience of patients with active TB admitted to a Respiratory Intensive Care Unit (RICU) of a tertiary care hospital. Methods: This was a retrospective analysis of all the patients admitted with active TB. The baseline clinical, demographic, ICU parameters and mortality were recorded. A multivariate logistic regression analysis was performed to identify factors predicting mortality. Results: A total 3630 patients were admitted to the ICU during the study period; of these, 63 (1.7%) patients (mean [standard deviation (SD)] age 37.3 [19] years, 55.6% females) were admitted with active TB. Fifty-seven patients were mechanically ventilated (56, invasive and 1, noninvasive) for a mean (SD) duration of 7.5 (9.1) days. Respiratory failure was the most common indication for mechanical ventilation. TB-related acute respiratory distress syndrome was seen in 18 (28.6%) patients. There were 28 deaths (44.4%) during the study period. On a multivariate logistic regression analysis, a high baseline Acute Physiology and Chronic Health Evaluation II (APACHE II) score (odds ratio [OR] [95 confidence interval (CI)], 1.12 [1.02–1.23]) and delta Sequential Organ Failure Assessment (SOFA) (OR [95 CI], 1.39 [1.00–1.94]) were the independent predictors of mortality. Conclusion: TB was an uncommon cause of ICU admission even in a high TB burden country. Critically ill patients with TB had high mortality. A higher APACHE II score and delta SOFA were independent predictors of ICU mortality.


How to cite this article:
Muthu V, Dhooria S, Agarwal R, Prasad KT, Aggarwal AN, Behera D, Sehgal IS. Profile of patients with active tuberculosis admitted to a respiratory intensive care unit in a tertiary care center of North India.Indian J Crit Care Med 2018;22:63-66


How to cite this URL:
Muthu V, Dhooria S, Agarwal R, Prasad KT, Aggarwal AN, Behera D, Sehgal IS. Profile of patients with active tuberculosis admitted to a respiratory intensive care unit in a tertiary care center of North India. Indian J Crit Care Med [serial online] 2018 [cited 2018 Sep 19 ];22:63-66
Available from: http://www.ijccm.org/article.asp?issn=0972-5229;year=2018;volume=22;issue=2;spage=63;epage=66;aulast=Muthu;type=0