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Icu admission criteria

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https://www.readbyqxmd.com/read/30541644/-predictive-value-of-glycosylated-serum-protein-combined-with-glycemic-variability-on-secondary-persistent-inflammatory-immunosuppressed-catabolic-syndrome-prediction-in-elderly-septic-patients
#1
Fei Xiao, Yin Wang, Haihuan Lin, Zexun Mo, Rui Chen, Dong Xie
OBJECTIVE: To investigate the predictive value of glycosylated serum protein (GSP) combined with glycemic variability (GV) in persistent inflammation immunosuppressive catabolic syndrome (PICS) in elderly septic patients. METHODS: A retrospective study was conducted. The septic patients aged ≥ 60 years old with 28 days hospitalized duration admitted to geriatric intensive care unit (ICU) of Guangzhou General Hospital of Guangzhou Military Command from January 2014 to December 2017 were enrolled...
November 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/30534519/the-burden-on-emergency-centres-to-provide-care-for-critically-ill-patients-in-addis-ababa-ethiopia
#2
Menbeu Sultan, Gelila Mengistu, Finot Debebe, Aklilu Azazh, Indi Trehan
Introduction: Given the scarcity of critical care hospital beds in Africa, emergency centres (ECs) are increasingly charged with caring for critically ill patients for extended periods of time. The objective of this study was to improve the understanding of the nature and outcomes of critically ill patients with prolonged treatment times of more than six hours in two ECs in Addis Ababa, Ethiopia. Methods: This study was conducted over three months in two ECs of urban tertiary care hospitals in Addis Ababa...
December 2018: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
https://www.readbyqxmd.com/read/30526505/the-role-of-pneumonia-and-secondary-bacterial-infection-in-fatal-and-serious-outcomes-of-pandemic-influenza-a-h1n1-pdm09
#3
Chandini Raina MacIntyre, Abrar Ahmad Chughtai, Michelle Barnes, Iman Ridda, Holly Seale, Renin Toms, Anita Heywood
BACKGROUND: The aim of this study was to estimate the prevalence of pneumonia and secondary bacterial infections during the pandemic of influenza A(H1N1)pdm09. METHODS: A systematic review was conducted to identify relevant literature in which clinical outcomes of pandemic influenza A(H1N1)pdm09 infection were described. Published studies (between 01/01/2009 and 05/07/2012) describing cases of fatal or hospitalised A(H1N1)pdm09 and including data on bacterial testing or co-infection...
December 7, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/30507930/identifying-temporal-patterns-in-trauma-admissions-informing-resource-allocation
#4
David P Stonko, Bradley M Dennis, Rachael A Callcut, Richard D Betzold, Michael C Smith, Andrew J Medvecz, Oscar D Guillamondegui
BACKGROUND: Increased knowledge of the temporal patterns in the distribution of trauma admissions could be beneficial to staffing and resource allocation efforts. However, little work has been done to understand how this distribution varies based on patient acuity, trauma mechanism or need for intervention. We hypothesize that temporal patterns exist in the distribution of trauma admissions, and that deep patterns exist when traumas are analyzed by their type and severity. STUDY DESIGN: We conducted a cross-sectional observational study of adult patient flow at a level one trauma center over three years, 7/1/2013-6/30/2016...
2018: PloS One
https://www.readbyqxmd.com/read/30507844/prediction-of-icu-delirium-validation-of-current-delirium-predictive-models-in-routine-clinical-practice
#5
Cameron Green, William Bonavia, Candice Toh, Ravindranath Tiruvoipati
OBJECTIVES: To investigate the ability of available delirium risk assessment tools to identify patients at risk of delirium in an Australian tertiary ICU. DESIGN: Prospective observational study. SETTING: An Australian tertiary ICU. PATIENTS: All patients admitted to the study ICU between May 8, 2017, and December 31, 2017, were assessed bid for delirium throughout their ICU stay using the Confusion Assessment Method for ICU...
November 30, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/30478723/fluid-sequestration-is-a-useful-parameter-in-the-early-identification-of-severe-disease-of-acute-pancreatitis
#6
Tsuyoshi Takeda, Yousuke Nakai, Suguru Mizuno, Tatsunori Suzuki, Tatsuya Sato, Ryunosuke Hakuta, Kazunaga Ishigaki, Kei Saito, Tomotaka Saito, Takeo Watanabe, Naminatsu Takahara, Dai Mouri, Hirofumi Kogure, Yukiko Ito, Kenji Hirano, Minoru Tada, Hiroyuki Isayama, Kazuhiko Koike
BACKGROUND: Early identification of severe disease of acute pancreatitis (AP) is of critical importance to improve the prognosis. Fluid sequestration (FS), calculated from administrated fluid and fluid output, is a simple prognostic parameter. We examined its utility in the early phase of AP. METHODS: We retrospectively investigated AP patients between January 2009 and April 2017. We compared FS in the first 24 h (FS24) with FS in the first 48 h (FS48) and administrated fluid volume within the first 24 h (FV24)...
November 26, 2018: Journal of Gastroenterology
https://www.readbyqxmd.com/read/30477449/incidence-of-maternal-near-miss-in-the-public-health-sector-of-harare-zimbabwe-a-prospective-descriptive-study
#7
Henry Chikadaya, Mugove Gerald Madziyire, Stephen P Munjanja
BACKGROUND: Maternal 'near miss' can be a proxy for maternal death and it describes women who nearly died due to obstetric complications. It measures life threatening pregnancy related complications and allows the assessment of the quality of obstetric care. METHODS: A prospective descriptive study was carried out from October 1 2016 to 31 December 2016, using the WHO criteria for maternal 'near miss' at the two tertiary public hospitals which receive referrals of all obstetric complications in Harare city, Zimbabwe...
November 26, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/30477055/hyponatremia-in-icu
#8
Kanchana S Pillai, Trupti H Trivede, Nivedita D Mozlick
Background: :Hyponatremia is defined as serum sodium level <135 meq/L. It is the most common electrolyte abnormality seen in hospital admissions worldwide. The proportion is even higher in the ICU setting. A wide variety of factors influence the outcome of the hyponatremic patient. Present study is designed to approach to analyse etiology, clinical features, co-morbid factors, severity of hyponatremia, rate of correction, and impact of treatment on outcome of these diverse group of patients in ICU...
May 2018: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/30471933/central-venous-catheter-placement-after-ultrasound-guided-peripheral-iv-placement-for-difficult-vascular-access-patients
#9
Joseph R Pare, Samara E Pollock, James H Liu, Megan M Leo, Kerrie P Nelson
OBJECTIVES: Ultrasound guided peripheral intravenous catheters (USPIV) are frequently utilized in the Emergency Department (ED) and lead to reduced central venous catheter (CVC) placements. USPIVs, however, are reported to have high failure rates. Our primary objective was to determine the proportion of patients that required CVC after USPIV. Our secondary objective was to determine if classic risk factors for difficult vascular access were predictive of future CVC placement. METHODS: We performed a retrospective review for patients treated at a large academic hospital...
November 17, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30471931/assessing-the-ct-findings-and-clinical-course-of-ed-patients-with-first-time-versus-recurrent-acute-pancreatitis
#10
Maryam Boumezrag, Sormeh Harounzadeh, Hamza Ijaz, Angeline Johny, Lorna Richards, Yan Ma, Maxine A Le Saux, Paige Kulie, Caitlin Davis, Andrew C Meltzer
STUDY OBJECTIVES: The primary objective of this study was to compare Emergency Department patients with first-time versus recurrent acute pancreatitis. METHODS: This study was a retrospective chart review of patients with a diagnosis of acute pancreatitis who presented to a single academic urban emergency department from 2012 to 2016. Criteria for inclusion were clinical symptoms of pancreatitis, age greater than or equal to 18 years, ED diagnosis of acute pancreatitis, and an abdominal CT scan within 24 h of triage...
November 9, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30471878/reduction-of-resource-utilization-in-children-with-blunt-solid-organ-injury
#11
Micah G Katz, Zachary J Kastenberg, Mark A Taylor, Carol D Bolinger, Eric R Scaife, Stephen J Fenton, Katie W Russell
BACKGROUND/PURPOSE: Nonoperative management of blunt solid organ injuries continues to progress and improve cost-effective utilization of resources while maximizing patient safety. The purpose of this study is to compare resource utilization and patient outcomes after changing admission criteria from a grade-based protocol to one based on hemodynamic stability. METHODS: A retrospective review of isolated liver and spleen injuries was done using prospectively collected trauma registry data from 2013 to 2017...
October 31, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/30470643/nurses-recognition-and-response-to-clinical-deterioration-in-the-cardiac-catheterisation-laboratory
#12
Kevin White, Julie Considine, Judy Currey
BACKGROUND: Patients presenting to the cardiac catheter laboratory for treatment of unstable acute coronary syndromes (ACS) experience a mismatch in myocardial oxygen supply and demand, causing vital sign abnormalities prior to neurological, cardiac and respiratory deterioration. Delays in detecting clinical deterioration and escalating care increases risk of adverse events, unplanned intensive care (ICU) admission, cardiac arrest, and in-hospital mortality. OBJECTIVES: The objective of the study was to explore how nurses in the cardiac catheter laboratory (CCL) recognise and respond to clinical deterioration in patients with unstable ACS undergoing primary percutaneous coronary intervention (PCI)...
November 20, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30470513/triage-performance-in-emergency-medicine-a-systematic-review
#13
Jeremiah S Hinson, Diego A Martinez, Stephanie Cabral, Kevin George, Madeleine Whalen, Bhakti Hansoti, Scott Levin
STUDY OBJECTIVE: Rapid growth in emergency department (ED) triage literature has been accompanied by diversity in study design, methodology, and outcome assessment. We aim to synthesize existing ED triage literature by using a framework that enables performance comparisons and benchmarking across triage systems, with respect to clinical outcomes and reliability. METHODS: PubMed, EMBASE, Scopus, and Web of Science were systematically searched for studies of adult ED triage systems through 2016...
November 20, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30470461/vitamin-d-binding-protein-but-not-vitamin-d-or-vitamin-d-related-peptides-is-associated-with-septic-shock-mortality
#14
Borja Suberviola, Bernardo Alio Lavin, Andrés Fernando Jimenez, Sonia Perez-San Martin, Maite Garcia-Unzueta, Miguel Santibañez
BACKGROUND: The aim of this study was to assess the prognostic value of vitamin D, vitamin D binding protein (VDBP) and vitamin D-related peptides in septic shock patients in relation to hospital mortality. METHODS: This is a single-center, prospective, observational study that included all consecutive patients meeting criteria for septic shock who were admitted to the ICU. VDBP, 25-hydroxy vitamin D, 1,25-dihydroxy vitamin D, cathelicidin and beta-defensin levels were determined in blood samples obtained on admission to the ICU...
November 20, 2018: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/30458653/metformin-treated-gdm-has-lower-risk-of-macrosomia-compared-to-diet-treated-gdm-a-retrospective-cohort-study
#15
Mohammed Bashir, Mahmoud Aboulfotouh, Zeinab Dabbous, Marwa Mokhtar, Mashhood Siddique, Ramy Wahba, Amin Ibrahim, Sanam Al-Houda Brich, Justin C Konje, Abdul-Badi Abou-Samra
BACKGROUND: The diagnosis of gestational diabetes (GDM) has undergone several revisions. The broad adoption of the 2013 WHO criteria for hyperglycaemia in pregnancy has increased the prevalence of GDM with no apparent benefit on pregnancy outcomes. The study aims to investigate the pregnancy outcomes in women with GDM diagnosed based on the WHO criteria compared to a control group; the impact of other confounders; and the difference in outcomes between GDM women who needed pharmacotherapy (GDM-T) and those who did not (GDM-D) Methods: This is a retrospective cohort study that included GDM women compared to normoglycaemic controls between March 2015-December 2016 in the Women's Hospital, Qatar...
November 20, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/30454985/sepsis-alerts-in-ems-and-the-results-of-pre-hospital-etco2
#16
Steven J Weiss, Angel Guerrero, Christian Root-Bowman, Amy Ernst, Kurt Krumperman, Jon Femling, Phil Froman
BACKGROUND: Field sepsis alerts have the ability to expedite initial ED sepsis treatment. Our hypothesis is that in patients that meet EMS sepsis alert criteria there is a strong relationship between prehospital end-tidal carbon dioxide (ETCO2) readings and the outcome of diagnosed infection. METHODS: In 2014, our EMS service initiated a protocol requiring hospitals to receive notification of a "sepsis alert" on all suspected sepsis patients. The EMS service transports 70,000 patients/year to a number of urban centers...
November 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30451381/vasopressor-magnitude-predicts-poor-outcome-in-adults-with-congenital-heart-disease-after-cardiac-surgery
#17
Joseph T Poterucha, Saraschandra Vallabhajosyula, Alexander C Egbe, Joseph S Krien, Devon O Aganga, Kimberly Holst, Adele W Golden, Joseph A Dearani, Sheri S Crow
BACKGROUND: High levels of vasoactive inotrope support (VIS) after congenital heart surgery are predictive of morbidity in pediatric patients. We sought to discern if this relationship applies to adults with congenital heart disease (ACHD). METHODS: We retrospectively studied adult patients (≥18 years old) admitted to the intensive care unit after cardiac surgery for congenital heart disease from 2002 to 2013 at Mayo Clinic. Vasoactive medication dose values within 96 hours of admission were examined to determine the relationship between VIS score and poor outcome of early mortality, early morbidity, or complication related morbidity...
November 19, 2018: Congenital Heart Disease
https://www.readbyqxmd.com/read/30447560/intensive-care-admission-criteria-for-traumatic-brain-injury-patients-across-europe
#18
Victor Volovici, Ari Ercole, Giuseppe Citerio, Nino Stocchetti, Iain K Haitsma, Jilske A Huijben, Clemens M F Dirven, Mathieu van der Jagt, Ewout W Steyerberg, David Nelson, Maryse C Cnossen, Andrew I R Maas, Suzanne Polinder, David K Menon, Hester F Lingsma
Within a prospective, observational, multi-center cohort study 68 hospitals (of which 66 responded), mostly academic (n = 60, 91%) level I trauma centers (n = 44, 67%) in 20 countries were asked to complete questionnaires regarding the "standard of care" for severe neurotrauma patients in their hospitals. From the questionnaire pertaining to ICU management, 12 questions related to admission criteria were selected for this analysis. The questionnaires were completed by 66 centers. The median number of TBI patients admitted to the ICU was 92 [interquartile range (IQR): 52-160] annually...
February 2019: Journal of Critical Care
https://www.readbyqxmd.com/read/30431500/development-of-a-prediction-model-for-postoperative-pneumonia-a-multicentre-prospective-observational-study
#19
Vincenzo Russotto, Sergi Sabaté, Jaume Canet
BACKGROUND: Postoperative pneumonia is associated with increased morbidity, mortality and costs. Prediction models of pneumonia that are currently available are based on retrospectively collected data and administrative coding systems. OBJECTIVE: To identify independent variables associated with the occurrence of postoperative pneumonia. DESIGN: A prospective observational study of a multicentre cohort (Prospective Evaluation of a RIsk Score for postoperative pulmonary COmPlications in Europe database)...
November 13, 2018: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/30419544/an-analysis-of-homeless-patients-in-the-united-states-requiring-icu-admission
#20
Brian H Nathanson, Thomas L Higgins, Mihaela Stefan, Tara Lagu, Peter K Lindenauer, Jay S Steingrub
PURPOSE: To assess how homelessness impacts mortality and length of stay (LOS) among select the intensive care unit (ICU) patients. METHODS: We used ICD-9 code V60.0 to identify homeless patients using the Premier Perspective Database from January 2010 to June 2011. We identified three subpopulations who received critical care services using ICD-9 and Medicare Severity Diagnosis Related Groups (MS-DRG) codes: patients with a diagnosis of sepsis who were treated with antibiotics by Day 2, patients with an alcohol or drug related MS-DRG, and patients with a diabetes related MS-DRG...
February 2019: Journal of Critical Care
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