Ivo W. Soliman
- Frailty in Older Adults
- Intensive Care Unit Cognitive Disorders
- Palliative Care and End-of-Life Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Sepsis Diagnosis and Treatment
- Family and Patient Care in Intensive Care Units
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Decision-Making and Restraints
- Psychiatric care and mental health services
- Geriatric Care and Nursing Homes
- Cardiac Arrest and Resuscitation
- Acute Kidney Injury Research
- Hip and Femur Fractures
- Childhood Cancer Survivors' Quality of Life
- Global Health Care Issues
- Sex and Gender in Healthcare
- Nosocomial Infections in ICU
- Pain Management and Opioid Use
- Healthcare Systems and Challenges
- Intracerebral and Subarachnoid Hemorrhage Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Neurosurgical Procedures and Complications
- Emergency and Acute Care Studies
- Ovarian cancer diagnosis and treatment
- Pediatric Pain Management Techniques
University Medical Center Utrecht
2014-2024
Utrecht University
2014-2020
Amsterdam UMC Location University of Amsterdam
2018
University of Amsterdam
2018
University Hospital Heidelberg
2015-2016
Heidelberg University
2015-2016
University of Toronto
2015
Aberdeen Royal Infirmary
2006
<h3>Importance</h3> End-of-life decisions occur daily in intensive care units (ICUs) around the world, and these practices could change over time. <h3>Objective</h3> To determine changes end-of-life European ICUs after 16 years. <h3>Design, Setting, Participants</h3> Ethicus-2 was a prospective observational study of 22 previously included Ethicus-1 (1999-2000). During self-selected continuous 6-month period at each ICU, consecutive patients who died or had any limitation life-sustaining...
Background: Sepsis is frequently complicated by the release of cardiac troponin, but clinical significance this myocardial injury remains unclear. We studied associations between troponin during sepsis and 1-year outcomes. Methods Results: enrolled consecutive patients with in 2 Dutch intensive care units 2011 2013. Subjects a clinically apparent cause were excluded. High-sensitivity I (hs-cTnI) concentration plasma was measured daily first 4 unit days, multivariable Cox regression analysis...
Survivors of critical illness often suffer from reduced health-related quality life (HRQoL) due to long-term physical, cognitive, and mental health problems, also known as post-intensive care syndrome (PICS). Some intensive unit (ICU) survivors even consider their state unacceptable. The aim this study was investigate the determinants self-reported unacceptable outcome ICU treatment.Patients who were admitted for at least 48 h survived first year after discharge completed validated...
Abstract Background Premorbid conditions influence the outcome of acutely ill adult patients aged 80 years and over who are admitted to ICU. The aim this study was determine such premorbid on 6 month survival. Methods Prospective cohort in 242 ICUs from 22 countries including or above, a months period an ICU between May 2018 2019. Only emergency (acute) admissions ≥ age were eligible. Patients after planned/elective surgery excluded. We measured Clinical Frailty Scale (CFS), Informant...
OBJECTIVES To develop a scoring system model that predicts mortality within 30 days of admission patients older than 80 years admitted to intensive care units (ICUs). DESIGN Prospective cohort study. SETTING A total 306 ICUs from 24 European countries. PARTICIPANTS Older adults (N = 3730; median age 84 [interquartile range 81‐87 y]; 51.8% male). MEASUREMENTS Overall, variables available during ICU were included as potential predictive variables. Multivariable logistic regression was used...
Prognostic factors for the combination of long-term survival and health-related quality life (HRQoL) after intensive care unit (ICU) stay have not yet been studied. Our aim was to assess whether early acute kidney injury (eAKI), AKI occurring on first day ICU admission, is an independent predictor this combined one-year outcome.We included all patients admitted mixed University Medical Centre Utrecht between July 2009 April 2013, excluding with chronic dialysis, cardiac surgery, length...
To develop an instrument for use at ICU discharge prediction of psychological problems in survivors.Multinational, prospective cohort study ten general ICUs secondary and tertiary care hospitals Sweden, Denmark the Netherlands. Adult patients with stay ≥ 12 h were eligible inclusion. Patients need neurointensive care, documented cognitive impairment, unable to communicate local language, without a home address or more than one limitation therapy excluded. Primary outcome was morbidity 3...
Objectives: Occurrence, risk factors, and impact on daily life of chronic pain after critical illness have not been systematically studied. Design: Cohort study. Setting: A tertiary ICU in The Netherlands. Patients: We surveyed patients who had discharged from our between 2013 2016. Three cohorts were defined as follows: 1) survivors; 2) one-year survivors reporting newly-acquired pain; (3) with lived within 50 km the study hospital. In cohort 1, we estimated prevalence new 1 year discharge...
Abstract Background Multiple factors contribute to mortality after ICU, but it is unclear how the predictive value of these changes during ICU admission. We aimed compare changing performance over time acute illness component, antecedent patient characteristics, and length stay (LOS) in predicting 1-year mortality. Methods In this retrospective observational cohort study, discriminative four generalized mixed-effects models was compared for hospital Among patients with increasing LOS,...
Abstract Background Intensive care unit (ICU) patients age 90 years or older represent a growing subgroup and place huge financial burden on health resources despite the benefit being unclear. This leads to ethical problems. The present investigation assessed differences in outcome between nonagenarian octogenarian ICU patients. Methods We included 7900 acutely admitted critically ill from two large, multinational studies. primary was 30-day-mortality, secondary ICU-mortality. Baseline...
Abstract Background The number of intensive care patients aged ≥ 80 years (Very old Intensive Care Patients; VIPs) is growing. VIPs have high mortality and morbidity the benefits ICU admission are frequently questioned. Sepsis incidence has risen in recent identification outcomes considerable public importance. We aimed to determine whether admitted for sepsis had different than those other acute reasons identify potential prognostic factors 30-day survival. Results This prospective study...
Female and male very elderly intensive patients (VIPs) might differ in characteristics outcomes. We aimed to compare female versus VIPs a large, multinational collective of with regards outcome predictors mortality. In total, 7555 were included this analysis, 3973 (53%) 3582 (47%) patients. The primary endpoint was 30-day-mortality. Baseline characteristics, data on management geriatric scores including frailty assessed by Clinical Frailty Scale (CFS) documented. Two propensity (for being...
Abstract Background health-related quality of life (HRQoL) is an important patient-centred outcome in patients surviving ICU admission for COVID-19. It currently not clear which domains the HRQoL are most affected. Objective to quantify order identify areas interventions. Design prospective observation study. Setting admissions European ICUs between March 2020 and February 2021. Subjects aged 70 years or older admitted with COVID-19 disease. Methods collected determinants include SOFA-score,...
To understand the impact of respiratory mechanics during mechanical ventilation, it is helpful to partition between lungs and chest wall. Esophageal pressure (Pes) used calculate wall compliance. However, esophageal not always in clinical arena. The value compliance has been proposed be estimated using 4% predicted vital capacity (VC) [1].
Persistent pulmonary hypertension of the newborn (PPHN) happens when normal drop in vascular resistance (PVR) after birth doesn't occur properly, leading to a failure circulatory transition. In womb, fetus naturally exists state high pressure. Oxygenated blood is delivered via placenta through umbilical vein.