ICU sedation, delirium & recovery

The INTOXICATE study: methodology and preliminary results of a prospective observational study

Crit CarePublished Prospective observational study

Authors' conclusion

The vast majority of patients survive, and approximately one third of patients do not receive any ICU-specific interventions after admission in an intensive care unit for acute intoxication.

Study context

Population
Acutely intoxicated adult ICU patients; 78 intensive care units (ICUs), mainly Europe, also Australia and Eastern Mediterranean, Nov 2020–Jun 2023
Participants
2,273 participants · 78 ICUs
Outcome
Eventful admission: composite of any of FiO2 > 40%, mechanical ventilation, vasopressors, renal replacement therapy (RRT), CPR, antidotes, active cooling, fluid resuscitation (> 1.5 L IV fluid), sedation in first 24 h after ICU admission, or in-hospital death
Follow-up
First 24 h after ICU admission
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Eventful ICU admission (composite)

Observed rate of eventful ICU admission

68%

n = 1546/2273 patients

Observational data: associations, not effects.

Further findings

Hospital mortality

Hospital mortality
4.5% (n = 103/2273)

Patient characteristics

Median age (years)
41
Exposed to intoxicating drugs
72%

Original publication

The INTOXICATE study: methodology and preliminary results of a prospective observational study. Crit Care. Published 27 September 2024. doi:10.1186/s13054-024-05096-7

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