Table 1.
# | Age (y) | Sex | Clinical features | Past medical history | BMI on admission | Pulmonary superinfection | Invasive ventilation | Prone positioning | vvECMO | Hepatic failure | RRT | Sepsis | Catecholamine therapy | Hospital stay (d) | ICU stay (d) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 77 | m | Hyperactive delirium | aHT, CAD, obesity | 34 | + | + | + | – | – | + | + | + | 81 | 81 |
2 | 75 | m | Hyperactive delirium, seizures | aHT, AF, pulmonary embolism | 25 | – | – | – | – | – | – | – | + | 38 | 37 |
3 | 62 | m | Hypoactive delirium | aHT, DM2, smoking, obesity | 30 | + | + | + | – | – | + | + | + | 76 | 73 |
4 | 73 | m | Hypoactive delirium | myasthenia gravis | 22 | + | + | + | – | – | + | + | + | 58 | 57 |
5 | 75 | m | Hypoactive delirium | aHT, DM2, MI, aortic valve replacement | 28 | + | + | + | – | – | - | + | + | 54 | 50 |
6 | 74 | m | Hyperactive delirium, seizures, myoclonia | aHT, AF, renal transplant, obesity | 32 | + | + | – | – | + | + | + | + | 195 | 64 |
7 | 52 | f | Hypoactive delirium | aHT | 27 | + | + | – | – | – | + | + | + | 55 | 55 |
8 | 43 | m | Hyperactive delirium | obesity | 31 | + | + | + | + | – | – | + | + | 103 | 100 |
9 | 49 | m | Hyperactive delirium | aHT, DM2, sarcoidosis, obesity | 30 | + | + | + | + | + | + | + | + | 102 | 99 |
10 | 59 | f | Hypoactive delirium, myoclonia | aHT, DM2, obesity | 34 | + | + | + | – | + | + | + | + | Unknown | 160 |
11 | 55 | m | Hypoactive delirium | aHT, renal failure with RRT | 22 | + | + | + | – | + | + | + | + | 57 | 53 |
12 | 72 | m | Hypoactive delirium | aHT, CAD, MI | 26 | + | + | + | – | + | + | + | + | Unknown | 33 |
Median | 67 | 60.5 |
Clinical features (pulmonary superinfection, invasive ventilation, proning, vvECMO, hepatic failure, RRT, sepsis, catecholamine therapy) are listed as “+” if they occurred at any time during the ICU stay. The term “delirium” is used in this manuscript to describe the clinical presentation of acute encephalopathy[2]. Before IVIg treatment, other sources of encephalopathy such as sepsis or hepatic failure were excluded at the time of clinical presentation of delirium, see exclusion criteria. For patients #10 and #12, the total duration of hospital stay could not be determined due to missing information about previous treatments in other hospitals. While 11 patients had at least one known cardiovascular risk factor, patient #4, who presented with known myasthenia gravis, did not. Patient #9 additionally suffered from stage II pulmonary sarcoidosis. Overall, most patients were severely affected by multiple complications (e.g., sepsis in 11, need for invasive ventilation in 11, renal failure with need of replacement therapy in nine, vvECMO in two patients)
− no, + yes, AF atrial fibrillation, aHT arterial hypertension, BMI body mass index, CAD coronary artery disease, d days, DM2 diabetes mellitus type 2, f female, ICU intensive care unit, m male, MI myocardial infarction, RRT renal replacement therapy, vvECMO veno-venous extracorporeal membrane oxygenation, y years