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Heart & Lung: the Journal of Critical Care

Karen E Jakub
OBJECTIVE: The purpose of this study was to examine men's adjustment to living with an implantable cardioverter defibrillator (ICD) as influenced by gender and age. BACKGROUND: Living with an ICD requires psychological and social adjustments throughout the lifespan. Approximately 60-70% of the ICD population are men, yet little is known about men's gender-specific issues related to living with ICDs. METHOD: Ethnographic methods were used with 12 men, 26-85 years of age...
July 11, 2018: Heart & Lung: the Journal of Critical Care
Sikandar H Khan, Michelle Kitsis, Dmitriy Golovyan, Sophia Wang, Linda L Chlan, Malaz Boustani, Babar A Khan
BACKGROUND: Music listening has been shown to reduce anxiety, stress, and patient tolerance of procedures. Music may also have beneficial effects on inflammatory biomarkers in intensive care and post-operative patients, but the quality of evidence is not clear. OBJECTIVES: We conducted a systematic review to evaluate the effects of music on inflammatory biomarkers in intensive care, and post-operative patients. METHODS: A comprehensive search of the literature was performed...
July 9, 2018: Heart & Lung: the Journal of Critical Care
Nancy M Albert
A subset of patients hospitalized for acute exacerbation of chronic heart failure develop in-hospital worsening heart failure. The objective of this paper is to present an integrative review of in-hospital worsening heart failure, including definitions, incidence, prevalence, mechanisms, treatments, outcomes, and early identification by providers. A search of electronic databases was conducted from January 2000-August 2017 using multiple search terms. Papers were reviewed for relevance; retained papers were abstracted and data were reported in a narrative synthesis...
July 3, 2018: Heart & Lung: the Journal of Critical Care
Omar Jiménez-Zarazúa, Jesús Alberto López-García, Lorena Rebeca Arce-Negrete, Lourdes Noemí Vélez-Ramírez, Leticia Casimiro-Guzmán, Jaime Daniel Mondragón
Cocaine is an illegal drug; its abuse and toxicity are a public health problem due to its high morbidity and mortality. Cocaine can affect the cardiovascular, central nervous and respiratory systems. The case of a 42-year-old male without history of chronic or degenerative diseases, but previous cocaine consumption is presented in this report. The patient is admitted to the Emergency Department given that the clinical presentation included hemoptysis and dyspnea with mild to minimal activity, which evolved to orthopnea...
June 26, 2018: Heart & Lung: the Journal of Critical Care
Robyn Gallagher, Sue Randall, Stella H M Lin, Janice Smith, Alexander M Clark, Lis Neubeck
BACKGROUND: The mechanisms contributing to the success of cardiac rehabilitation (CR) are poorly understood and may include assessment, monitoring and review activities enabled by continuity of care and this is investigated in this study. OBJECTIVES: To identify active assessment components of CR. METHODS: A qualitative study using focus groups and individual interviews. CR staff (n = 39) were recruited via professional association email and network contacts and organised into major themes...
June 25, 2018: Heart & Lung: the Journal of Critical Care
Ann F Jacobson, Veronica Sumodi, Nancy M Albert, Robert S Butler, Lori DeJohn, Donna Walker, Kelly Dion, Hua-Li Lin Tai, Donna M Ross
BACKGROUND: More evidence is needed about factors that influence self-management behaviors in persons with heart failure. OBJECTIVE: To test a correlational mediation model of the independent variables of health literacy, patient activation, and heart failure knowledge with heart failure self-management behaviors. METHODS: The study used a prospective, cross-sectional, correlational design. Correlation and multiple regression were used to analyze associations among variables...
June 14, 2018: Heart & Lung: the Journal of Critical Care
Glenna Schluck, Wei Wu, James Whyte, Laurie Abbott
BACKGROUND: Emergency room utilization and hospital readmission rates are disproportionately high for heart failure patients (HF). Emergency department (ED) utilization is intimately intertwined with hospital readmissions. OBJECTIVE: Describe the arrival time distribution of HF patients presenting to the ED. METHOD: The study analyzed heart failure discharge data from the Florida State Emergency Department Database and the Florida State Inpatient Database from the Healthcare Cost and Utilization Project of the Agency for Healthcare Research and Quality...
June 12, 2018: Heart & Lung: the Journal of Critical Care
Jose L Diaz-Gomez, Ami A Grek, Carla P Venegas-Borsellino, Andreea C Chirila, Angela M Builes, Robert A Ratzlaff
OBJECTIVE: To describe a focused transthoracic echocardiography (FoTE) curriculum for advanced practice providers (APPs) for echocardiography-driven diagnosis of shock in critically ill patients. METHODS: Twelve APPs in 4 intensive care units at an academic medical center received didactic sessions on FoTE, including 1-on-1 proctorship with a registered cardiac sonographer. For a period of 6 months the trainees performed individual studies, then they performed FoTE examinations on critically ill patients; their diagnoses were compared with those of experienced intensivists for the same patients...
June 11, 2018: Heart & Lung: the Journal of Critical Care
Federica Dellafiore, Harleah G Buck, Gianluca Pucciarelli, Claudio Barbaranelli, Marco Paturzo, Rosaria Alvaro, Ercole Vellone
BACKGROUND: Higher patient-caregiver mutuality is associated with improved patient and caregiver outcomes, but no studies have tested the psychometric characteristics of the mutuality scale (MS) in heart failure (HF) patient and caregiver population. OBJECTIVES: To test the validity and reliability of the MS. METHODS: A cross-sectional design. The MS validity and reliability were tested with confirmatory factor analysis (CFA) and hypothesis testing, and with Cronbach's alpha and model-based internal consistency index, respectively...
June 7, 2018: Heart & Lung: the Journal of Critical Care
Lavi Oud, Yiu Ming Chan
BACKGROUND: The short-term outcomes of patients with cystic fibrosis (CF) surviving critical illness were not examined systematically. OBJECTIVES: To determine the factors associated with and variation in rates of routine home discharge among ICU-managed adult CF patients. METHODS: Predictors of routine home discharge and its hospital-level variation were examined in ICU-managed adults with cystic fibrosis in Texas during 2004-2013. RESULTS: Older age, rural residence, and severity of illness decreased odds of routine home discharge, while hospitalization in facilities accredited as part of the Cystic Fibrosis Foundation Care Center Network nearly doubled the odds of routine home discharge...
June 1, 2018: Heart & Lung: the Journal of Critical Care
Laura P Kimble, Kathryn M Momary, Modupe Adewuyi
OBJECTIVES: The purpose of this qualitative study was to explore perceptions of nuisance bleeding and medication-related beliefs among adults taking dual antiplatelet drug therapy. METHODS: We conducted qualitative telephone interviews with 34 community-dwelling adults with cardiovascular disease. RESULTS: Using qualitative content analysis, we identified 4 dominant themes: nuisance bruising, nuisance bleeding, importance of medication adherence, and duration of therapy...
June 1, 2018: Heart & Lung: the Journal of Critical Care
Gianfranco Sanson, Yuliya Khlopenyuk, Sara Milocco, Massimiliano Sartori, Lorella Dreas, Adam Fabiani
BACKGROUND: In cardiac surgical patients little is known about different phenotypes of delirium and how the symptoms fluctuate over time. OBJECTIVES: Evaluate risk factors, incidence, fluctuations, phenotypic characteristics and impact on patients' outcomes of delirium. METHODS: Prospective longitudinal study. In postoperative intensive care unit 199 patient were assessed three-times a day through an adapted versions of the Intensive Care Delirium Screening Checklist...
May 8, 2018: Heart & Lung: the Journal of Critical Care
Christopher Brock, Vince Marzano, Margot Green, Jiali Wang, Teresa Neeman, Imogen Mitchell, Bernie Bissett
BACKGROUND: Mobilisation of intensive care (ICU) patients attenuates ICU-acquired weakness, but the prevalence is low (12-54%). Better understanding of barriers and enablers may inform practice. OBJECTIVES: To identify barriers to mobilisation and factors associated with successful mobilisation in our medical /surgical /trauma ICU where mobilisation is well-established. METHODS: 4-week prospective study of frequency and intensity of mobilisation, clinical factors and barriers (extracted from electronic database)...
May 7, 2018: Heart & Lung: the Journal of Critical Care
JiYeon Choi, Jennifer H Lingler, Michael P Donahoe, Mary Beth Happ, Leslie A Hoffman, Judith A Tate
BACKGROUND: Few studies have longitudinally explored the experience and needs of family caregivers of ICU survivors after patients' home discharge. METHODS: Qualitative content analysis of interviews drawn from a parent study that followed family caregivers of adults ICU survivors for 4 months post-ICU discharge. RESULTS: Family caregivers (n = 20, all white, 80% woman) viewed home discharge as positive progress, but reported having insufficient time to transition from family visitor to the active caregiver role...
May 3, 2018: Heart & Lung: the Journal of Critical Care
Sim Leng Ooi, Betsy Seah, Vivien Xi Wu, Karen Wei Ling Koh, Nana Jiao, Hong-Gu He, Wenru Wang
BACKGROUND: Despite the increasing use of implantable cardioverter defibrillators (ICDs) as a preventive approach for high-risk patients with arrhythmias, little is known about the perceptions of ICD recipients regarding these devices and their impact on quality of life. OBJECTIVES: To explore perceptions towards quality of life, coping strategies, and learning needs of patients living with ICDs in Singapore. METHODS: 16 participants (age ranges 52 to 84 years old) were purposively recruited and interviewed individually for this exploratory qualitative study...
April 30, 2018: Heart & Lung: the Journal of Critical Care
Bülent Özlek, Eda Özlek, Oğuzhan Çelik, Cem Çil, Volkan Doğan, Murat Biteker
BACKGROUND: Allergic myocardial infarction is a rare clinical entity. OBJECTIVES: Although a few number of case reports with severe anaphylactic reactions to recombinant human insulin have been reported, allergic myocardial infarction, known as Kounis Syndrome, has not been reported before. METHODS: Herein, we report a 57-year-old woman with myocardial infarction, referred for urticarial rash, chest pain, and palpitations developed after the first subcutaneous dose of recombinant human insulin...
April 27, 2018: Heart & Lung: the Journal of Critical Care
Connie Schumacher, Leslie Hussey, Vincent Hall
OBJECTIVE: To explore the decision making processes undertaken by community-dwelling individuals with heart failure as they experience symptom changes. BACKGROUND: Heart failure patients are responsible for daily self-management that includes responding to symptom fluctuations between exacerbations. Despite education, some patients fail to seek timely medical intervention when symptoms change. METHODS: Semi-structured interviews were conducted with homecare patients after receiving self-management education...
April 23, 2018: Heart & Lung: the Journal of Critical Care
Sita Price
No abstract text is available yet for this article.
July 2018: Heart & Lung: the Journal of Critical Care
Christopher S Lee, Susan J Pressler
No abstract text is available yet for this article.
July 2018: Heart & Lung: the Journal of Critical Care
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