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Dr Maryam Khosravi Profile picture
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9 Dec, 3 tweets, 3 min read
Rejoicing in my life choices as I get to flick from @ESICM #LIVES2020 to @philip_webster tackling the challenges of kidney disease in pregnancy.
#LivingMyBestLife
Comprehensive practical advice @philip_webster @ImperialNHS about pregnancy in patients with renal disease, including recent guidelines @RenalAssoc
bmcnephrol.biomedcentral.com/articles/10.11…

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More from @piezoelectricky

Dr Maryam Khosravi Profile picture
7 Dec
Professors Margaret Herridge and Carol Hodgson @chodgsonANZICRC

Importance of non mortality ICU outcomes

- SF36 / eq5d assessments for functional outcomes

- cognition and mood disorders MOCA / HADS assessments

@ESICM #LIVES2020

clinmedjournals.org/articles/jmdt/…
Risk factors for worse ICU outcome:

- age - purely as a marker of organ reserve
- illness trajectory prior to ICU
- pre existing mental & physical health
- duration of delirium related to long term cognition outcome

#LIVES2020 @ESICM

nejm.org/doi/full/10.10…
There is good evidence in the literature for “dose-response” relationships between severity of illness and post-illness function, ie. ICU have worse outcome than hospitalised patients.

The level of dysfunction was also worse than patients expected. So important in consent.
Read 6 tweets

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