keyword
https://read.qxmd.com/read/38503407/predictive-validity-of-a-pressure-injury-risk-assessment-tool-at-different-time-points-in-patients-admitted-to-the-intensive-care-unit
#21
JOURNAL ARTICLE
Angel Cobos-Vargas, Maria Acosta-Romero, Luis Camado-Sojo, Carmen Alba-Fernández, Esther Rodriguez-Delgado, Manuel Colmenero
BACKGROUND: Multiple risk assessment scales are available for predicting the development of pressure injuries (PIs) in patients in the intensive care unit (ICU). Most PI risk assessment tools have been validated at the time of admission; however, another time point during treatment could better reflect clinical changes and therefore, the risk of PIs. AIMS: The study aimed to examine the predictive validity of PI risk assessment scale designed for ICU patients, the conscious level, mobility, haemodynamic, oxygenation and nutrition (COMHON) index, at several time points or intervals during ICU stay...
March 19, 2024: Nursing in Critical Care
https://read.qxmd.com/read/38499753/the-effect-of-family-integrated-care-on-preparing-parents-with-premature-infants-hospitalized-in-the-neonatal-intensive-care-unit-for-discharge
#22
JOURNAL ARTICLE
Öznur Tiryaki, Nursan Çınar, İbrahim Caner
OBJECTIVE: The study was designed as a randomized controlled experimental trial to determine the effect of the Family Integrated Care (FICare) model on the readiness of parents whose infants were hospitalized in the neonatal intensive care unit (NICU) for discharge and home care of the infants. STUDY DESIGN: Parents in the intervention group received FICare, and parents in the control group received standard care. RESULTS: The total mean score of the mothers and fathers in the intervention group regarding readiness for discharge and home care was higher than that of the control group, and a significant difference was observed...
March 18, 2024: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/38495407/correlation-between-blood-albumin-and-hospital-death-and-long-term-death-in-icu-patients-with-heart-failure-data-from-the-medical-information-mart-for-intensive-care-iii-database
#23
JOURNAL ARTICLE
Xin Wan, Ling Gu, Huogen Liu, Hailin Shu, Ying Liu, Rijin Huang, Yundi Shi
BACKGROUND: Elevated circulating levels of albumin (ALB) are often associated with improved prognosis in patients with heart failure (HF). However, investigations of its association with hospital death and long-term death in HF patients in the intensive care unit (ICU) are limited. AIM: We examined whether increased blood ALB levels (first value at admission and maximum and minimum values in the ICU) were related to a greater risk of hospital death and long-term death in ICU patients with HF...
2024: American Journal of Cardiovascular Disease
https://read.qxmd.com/read/38492414/relationships-between-preterm-medical-factors-and-feeding-behaviors-at-term-equivalent-age
#24
JOURNAL ARTICLE
Carolyn Ibrahim, Molly Grabill, Joan Smith, Roberta Pineda
AIM: To identify relationships between early medical factors and preterm infant feeding behaviors at term-equivalent age. METHODS: Forty-three very preterm infants born ≤32 weeks gestation had standardized feeding assessments using the Neonatal Eating Outcome Assessment at term-equivalent age (36-42 weeks postmenstrual age). Medical factors were collected and analyses were run to determine if associations between different medical factors and feeding performance exist...
February 28, 2024: Early Human Development
https://read.qxmd.com/read/38487150/bolus-versus-continuous-enteral-feeding-for-critically-ill-patients-a-systematic-review-and-meta-analysis
#25
REVIEW
Ahmed M Abdelbaky, Wael G Elmasry, Ahmed H Awad
Enteral feeding is a crucial aspect of nutritional support for critically ill patients. However, the optimal feeding approach, whether bolus or continuous, remains a subject of debate. This systematic review and meta-analysis aimed to compare the outcomes of bolus feeding and continuous enteral feeding in critically ill patients. A systemic search was carried out in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Ultimate, Web of Science, Scopus, and Google Scholar to identify relevant studies...
February 2024: Curēus
https://read.qxmd.com/read/38481740/case-report-foetal-gastroschisis-with-ideal-pregnancy-outcomes-under-multidisciplinary-treatment-management
#26
Shuhua Liu, Jingyu Qian, Qiuru Li, Dehong Liu, Bin Zhang, Xianxia Chen
BACKGROUND: Gastroschisis has increased in recent years, however, complicated gastroschisis is associated with higher mortality, as well as higher health care costs and disease burdens from short- and long-term complications. CASE INTRODUCTION: A woman aged 25 years old at 37 + 1 weeks gestation (gravida 2; para 0) was admitted to the hospital because of foetal gastroschisis. Targeted quaternary ultrasound performed at our hospital showed that 34 mm of the abdominal wall was interrupted continuously, an intestinal echo with a range of approximately 88 × 50 mm was seen bulging outwards the local area close to the intestinal wall showed a 34 × 23 m anecho, and the foetus was measuring 2 weeks smaller than expected...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38479915/nutritional-risk-and-morbidity-and-mortality-in-intensive-care-unit-patients-with-coronavirus-disease-2019
#27
JOURNAL ARTICLE
Julia Braga-da-Silveira, Miriam Viviane Baron, Greiciane Gonçalves Carati-da-Rocha, Isabel Cristina Reinheimer, Ana Elizabeth Figueiredo, Carlos Eduardo Poli-de-Figueiredo
INTRODUCTION: The Coronavirus disease 2019 (COVID-19) spread rapidly, with 37 million cases and more than 699,000 deaths. Among intensive care unit (ICU) patients with COVID-19, a high incidence of acute kidney injury (AKI) has been observed, ranging from 50 to 80%; furthermore, 85.9% were calculated to have high nutritional risk, which doubled their odds of death. The aim of the present study was to evaluate possible associations between nutritional risk, acute kidney injury, and morbidity and mortality in patients with COVID-19 admitted to an ICU...
April 2024: Clinical Nutrition ESPEN
https://read.qxmd.com/read/38477001/comparison-of-the-recent-expres-score-weansnow-score-and-the-parsimonious-hacor-score-as-the-best-predictor-of-weaning-an-externally-validated-prospective-observational-study
#28
JOURNAL ARTICLE
Gautham Nayak, Souvik Chaudhuri, Sunil Ravindranath, Pratibha Todur
BACKGROUND: Since weaning failure is multifactorial, comprehensive weaning scores encompassing not only the respiratory component but also nonrespiratory aspects are quintessential for successful weaning prediction. MATERIALS AND METHODS: This was a single-center prospective observational study on 128 intensive care unit (ICU) patients undergoing spontaneous breathing trials (SBT). The extubation prediction score (ExPreS), heart rate, acidosis, consciousness, oxygenation, respiratory rate (HACOR), and weaning parameters, endotracheal tube size, arterial blood gas analysis, nutrition, secretions, neuromuscular affecting agents, obstructive airway problems and wakefulness (WEANSNOW) scores were compared for their diagnostic accuracy for successful weaning prediction...
March 2024: Indian Journal of Critical Care Medicine
https://read.qxmd.com/read/38476861/prognostic-biomarkers-and-aki-potential-to-enhance-the-identification-of-post-operative-patients-at-risk-of-loss-of-renal-function
#29
REVIEW
Rishabh Singh, James C Watchorn, Alexander Zarbock, Lui G Forni
Acute kidney injury (AKI) is a common complication after surgery and the more complex the surgery, the greater the risk. During surgery, patients are exposed to a combination of factors all of which are associated with the development of AKI. These include hypotension and hypovolaemia, sepsis, systemic inflammation, the use of nephrotoxic agents, tissue injury, the infusion of blood or blood products, ischaemia, oxidative stress and reperfusion injury. Given the risks of AKI, it would seem logical to conclude that early identification of patients at risk of AKI would translate into benefit...
2024: Research and Reports in Urology
https://read.qxmd.com/read/38474807/preventive-vitamin-d-supplementation-and-risk-for-covid-19-infection-a-systematic-review-and-meta-analysis
#30
REVIEW
Marina Sartini, Filippo Del Puente, Martino Oliva, Alessio Carbone, Nicoletta Bobbio, Elisa Schinca, Luana Giribone, Maria Luisa Cristina
Over the past few decades, vitamin D has been found to play a crucial role in bone homeostasis, muscle function, oncogenesis, immune response and metabolism. In the context of the COVID-19 pandemic, numerous researchers have tried to determine the role vitamin D might play in the immune response to the virus. The aim of this systematic review and meta-analysis is to demonstrate that preventive vitamin D supplementation can play a protective role in the incidence of COVID-19, mortality and admission to intensive care units (ICUs)...
February 28, 2024: Nutrients
https://read.qxmd.com/read/38474729/bioelectrical-impedance-in-premature-newborns-and-its-relationship-with-diet-therapy-in-a-neonatal-intensive-care-unit
#31
JOURNAL ARTICLE
Catiuscie Cabreira da Silva Tortorella, Bárbara Mendes Paz Chao, Estela Iraci Rabito, Mônica Nunes Lima, Ana Lúcia Figueiredo Sarquis
(1) Background: To estimate resistance, reactance, and phase angle values among moderate preterm infants and their variation according to neonatal and maternal characteristics and nutritional intake. (2) Methods: This was a cohort that evaluated 43 moderate preterm infants using bioelectrical impedance analysis. The study variables included resistance, reactance, and phase angle measurements, in addition to classification of nutritional intake. (3) Results: Mean resistance was 602.0 ± 118.2 Ω, reactance was 57...
February 22, 2024: Nutrients
https://read.qxmd.com/read/38472762/monitoring-the-use-of-human-milk-the-ideal-food-for-very-low-birth-weight-infants-a-narrative-review
#32
REVIEW
Pasqua Anna Quitadamo, Federica Zambianco, Giuseppina Palumbo, Xavier Wagner, Maria Assunta Gentile, Antonio Mondelli
Aware of the utmost importance of feeding premature babies-especially those of lower weight-with human milk, as well as the need to monitor this important element of neonatal care, we focused on four aspects in this review. First of all, we reviewed the beneficial effects of feeding premature infants with breast milk in the short and long term. Secondly, we performed a quantitative evaluation of the rates of breastfeeding and feeding with human milk in Very-Low-Birth-Weight infants (VLBWs) during hospitalization in the Neonatal Intensive Care Unit (NICU) and at discharge...
February 21, 2024: Foods (Basel, Switzerland)
https://read.qxmd.com/read/38468998/dyselectrolytemia-in-children-with-severe-pneumonia-a-prospective-study
#33
JOURNAL ARTICLE
Vineeta Pande, Renuka Jadhav, Md Ilyaz, Shailaja Mane, Jasleen Dua
Background Pneumonia is a condition characterized by inflammation of the lung parenchyma. It is one of the leading causes of mortality in children below five years of age. While predominantly prevalent in developing countries, it is also associated with significant healthcare-associated costs in developed countries. Among the many risk factors for childhood pneumonia, incomplete immunization, nonexclusive breastfeeding for less than six months, delayed weaning, poor household air quality, malnutrition, and low birth weight are the most commonly found...
February 2024: Curēus
https://read.qxmd.com/read/38460728/nutritional-strategies-to-improve-vre-control
#34
JOURNAL ARTICLE
Enrico Morello, Sara Roversi, Giulia Brambilla, Liana Signorini, Marianna Lorenzoni, Marco Andreoli, Simona Bernardi, Michele Malagola, Mirko Farina, Vera Radici, Gabriele Magliano, Simona Fiorentini, Arnaldo Caruso, Domenico Russo
The rise of Vancomycin-resistant enterococci (VRE) strains among cellular therapy recipients raises concerns due to increased morbidity, mortality, and hospitalization costs, particularly impacting transplanted patients with diminished survival expectations. Recent research linking lactose to Enterococcus growth and graft-versus-host disease (GVHD) emphasizes the need for data on reducing lactose in the diets of VRE-carrying patients, especially in cellular therapy contexts like CAR-T or allogeneic hematopoietic stem cell transplantation...
March 7, 2024: Transplantation and cellular therapy
https://read.qxmd.com/read/38459563/analysis-of-the-clinical-profile-and-treatment-efficiency-of-hyperlipidemic-acute-pancreatitis
#35
JOURNAL ARTICLE
Weidong Zhou, Qinfu Liu, Zhaojun Wang, Liying Yao, Jian Chen, Xiaojun Yang
BACKGROUND: The incidence of hyperlipidemic acute pancreatitis (HLAP) has been increasing annually. However, population-based morbidity assessments need to be updated. Early, rapid, and effective lipid-lowering may minimize pancreatic injury and improve clinical prognosis. It is essential to choose the proper treatment. However, treatment options for HLAP are controversial, and there is no uniform treatment protocol. METHODS: In this retrospective study, 127 patients with hyperlipidemic severe acute pancreatitis (HL-SAP) were registered from January 2018 to December 2022 at the General Hospital of Ningxia Medical University...
March 8, 2024: Lipids in Health and Disease
https://read.qxmd.com/read/38457270/laparoscopic-treatment-of-a-patient-with-multiple-organ-dysfunction-syndrome-induced-by-necrotising-fasciitis
#36
JOURNAL ARTICLE
Guangyao Li, Yingyi Zhang, Tao Sun, Lin Zhou, Zhe Fan
Necrotising fasciitis (NF) is an uncommon surgical emergency that threatens the life and health of patients. We report the treatment of a 76-year-old female patient with NF. The patient developed NF due to chronic poor glycaemic control, which further progressed to multiple organ dysfunction syndrome due to the severity of the hyperglycaemia. After resuscitation at the intensive care unit, surgical treatment was recommended and the patient underwent laparoscopic surgery. She had an uneventful post-operative recovery with aggressive anti-inflammatory therapy, glycaemic control and systemic nutritional support...
March 1, 2024: Journal of Wound Care
https://read.qxmd.com/read/38455212/high-dose-vitamin-d-supplementation-in-patients-with-covid-19-a-meta-analysis-of-randomized-controlled-trials
#37
JOURNAL ARTICLE
Zhaoshuang Zhong, Long Zhao, Yan Zhao, Shuyue Xia
The efficacy of administering high doses of vitamin D to patients diagnosed with COVID-19 remains uncertain. We conducted a comprehensive search across multiple databases (PubMed, EMBASE, Cochrane Library, and ISI Web of Science) from inception until August 2022, with no limitations on language, to locate randomized controlled trials (RCTs) that investigated the impact of high-dose vitamin D supplementation (defined as a single dose of ≥100,000 IU or daily dose of ≥10,000 IU reaching a total dose of ≥100,000 IU) on COVID-19 patients...
March 2024: Food Science & Nutrition
https://read.qxmd.com/read/38454554/nurses-decision-making-around-gastric-residual-volume-measurement-in-uk-adult-intensive-care-a-four-centre-survey
#38
JOURNAL ARTICLE
Lyvonne N Tume, Andrew A Lynes, Victoria Waugh, Brian W Johnston, Aayesha Kazi, Nicholas Truman, Tamas Szakmany
BACKGROUND: Despite increasing evidence of the potential inaccuracy and unwarranted practice of regular GRV measurement in critically in adults, this practice persists within the United Kingdom. AIM: To explore adult intensive care nurses' decision-making around the practice of GRV measurement to guide enteral feeding. METHODS: A cross-sectional 16 item electronic survey in four adult intensive care units (ICUs) in England and Wales. RESULTS: Two hundred and seventy-three responses were obtained across four ICUs with acceptable response rates for most [Unit 1 74 /127 = 58...
March 7, 2024: Nursing in Critical Care
https://read.qxmd.com/read/38453406/inpatient-deaths-by-medical-service-characteristics-in-a-comprehensive-cancer-centre
#39
JOURNAL ARTICLE
Sebastiano Mercadante, Alessio Lo Cascio, Alessandra Casuccio
AIM: To examine the intensity of care in the last 3 days of life in different medical settings of a comprehensive cancer centre. METHODS: In this retrospective study, the charts of patients who died in hospital from July 2019 to June 2023 were reviewed. The units taken into consideration were acute palliative care unit (APCU), oncology (ONC) and haematology (HEM), which included also the transplantation unit. Age, gender, diagnosis, Karnofsky or Eastern Cooperative Oncology Group, drugs used in the last 3 days of life, respiratory support, transfusion, parenteral nutrition, imaging studies, blood gas analysis, biochemistry, consultations and endoscopy were retrieved...
March 7, 2024: BMJ Supportive & Palliative Care
https://read.qxmd.com/read/38451061/catheter-salvage-from-central-line-related-bloodstream-infections-in-pediatric-intestinal-failure
#40
JOURNAL ARTICLE
Catherine Larson-Nath, Linder Wendt, Riad Rahhal
OBJECTIVES: Patients with intestinal failure require central venous access which puts them at risk for central line-associated bloodstream infections (CLABSI). Maintaining vascular patency is critical for this population to receive nutrition support. When CLABSIs occur line salvage can help maintain vascular access. The aim of this study is to assess factors associated with safe and successful central venous catheter salvage. METHODS: Retrospective cohort study of patients with intestinal failure at two tertiary care institutions between 2012 and 2020...
March 7, 2024: Journal of Pediatric Gastroenterology and Nutrition
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