Indian Journal of Critical Care Medicine

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 11 , ISSUE 4 ( October, 2007 ) > List of Articles


An increase in weight worsens the respiratory state and leads to intensive care unit re-admission

Yoshinori Matsuoka, Akinori Zaitsu

Citation Information : Matsuoka Y, Zaitsu A. An increase in weight worsens the respiratory state and leads to intensive care unit re-admission. Indian J Crit Care Med 2007; 11 (4):176-181.

DOI: 10.4103/0972-5229.37711

License: CC BY-ND 3.0

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2007; The Author(s).


We investigated the reasons for intensive care unit (ICU) readmission of patients with acute respiratory failure. Of 88 patients re-admitted to our ICU over a 15-month period, 16 were suffering from acute respiratory failure. Body weight, blood gases, time without food during the initial ICU stay and excess extracellular fluid (ΔECF) were determined. The interval until ICU readmission (D) was defined as the time between the last day of the first admission and the first day of the second admission. Significant correlations were found among the values for D, ΔECF and P/F ratio; a patient with a P/F ratio below 200 on the day of release from ICU and a ΔECF over 3 kg was likely to return to the ICU within four days. Hence, we conclude that fluid-management failure may be associated with ICU readmission in acute respiratory failure patients.

PDF Share
  1. There is more than one interleukin 1. Immunol Today 1986;7:45-56.
  2. Interleukin 1 acts on cultured human vascular endothelium to increase the adhesion of polymorphonuclear leukocytes, monocytes and related leukocyte cell lines. J Clin Invest 1985;76:2003-11.
  3. Apoptotic cell death in patients with sepsis, shock and multiple organ dysfunction. Crit Care Med 1999;27:1230-51.
  4. Multiple system organ failure: Is mechanical ventilation a contributing factor? Am J Respir Crit Care Med 1998;157:1721-5.
  5. Changes in plasma cytokine levels during lung surgery. Masui 1995;44:1467-71.
  6. Effects of neutrophil elastase inhibitor on postoperative cytokine levels in patients after esophagectomy. Masui 2005;54:884-8.
  7. Surfactant and the adult respiratory distress syndrome. Am Rev Respir Dis 1993;147:218-33.
  8. A study of prolonged fasting. Carnegie Institute of Washington: Washington, DC; 1915. p. 69-87.
  9. Bedside determination of chloride: A method for plasma, urine and other fluids and its application to fluid balance problems. Proc Staff Meet Mayo Clin 1950;25:209-18.
  10. Extracellular volume in patients with chronic renal disease treated for hypertension by sodium restriction. Lancet 1967;2:69-73.
  11. The problem of sodium and water needs of patients. J Chronic Dis 1960;11:189-98.
  12. Clinical skill and knowledge of specialists in respiratory management. Masui 2002;51:S178-82.
  13. Acute respiratory distress in adults. Lancet 1967;2:319-23.
  14. Etiologic diagnosis of bacterial nosocomial pneumonia in seriously ill patients. Crit Care Med 1985;13:833-6.
  15. Misdiagnosis of pneumonia in patients needing mechanical respiration. Arch Surg 1973;106:286-8.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.