Journal of critical care
-
Journal of critical care · Jun 2014
Observational StudyThe DISPARITY Study: do gender differences exist in Surviving Sepsis Campaign resuscitation bundle completion, completion of individual bundle elements, or sepsis mortality?
Women in the emergency department are less likely to receive early goal directed therapy, but gender differences in the Surviving Sepsis Campaign (SSC) bundle completion have not been studied [1]. We hypothesized that women have lower SSC resuscitation bundle completion rates. ⋯ There were no gender disparities in bundle completion or in-hospital mortality. Further research is needed to examine individual bundle elements and gender specific factors that may affect bundle completion and mortality.
-
Journal of critical care · Jun 2014
Acute bacterial meningitis in the intensive care unit and risk factors for adverse clinical outcomes: Retrospective study.
Bacterial meningitis constitutes a medical emergency. Its burden has driven from childhood to the elderly and the immunocompromised population. However, the admission of patients with bacterial meningitis to the intensive care unit (ICU) has been sparsely approached, as have the prognostic factors associated with an adverse clinical outcome. ⋯ Patients with acute bacterial meningitis admitted to ICU had substantial morbidity and mortality. Those with low GCS or absence of fever have a particularly high risk of an adverse outcome.
-
Journal of critical care · Jun 2014
Normal saline to dilute parenteral drugs and to keep catheters open is a major and preventable source of hypernatremia acquired in the intensive care unit.
We wanted to identify modifiable risk factors for intensive care unit (ICU)-acquired hypernatremia. ⋯ High sodium input by 0.9% saline used to dilute drugs and keep catheters open is a modifiable risk factor for ICU-acquired H. Dissolving drugs in dextrose 5% may partially prevent potentially harmful sodium overloading and H.
-
Journal of critical care · Jun 2014
Observational StudyOutcomes of Pneumocystis pneumonia with respiratory failure in HIV-negative patients.
The outcomes and predictors of mortality from Pneumocystis pneumonia (PCP) in HIV-negative patients requiring mechanical ventilation (MV) for respiratory failure were evaluated. ⋯ PCP in HIV-negative patients requiring MV for respiratory failure remains a serious illness with high mortality. Failure of the initial antimicrobial treatment for PCP as well as severity of illness was independent predictors of poor outcomes.
-
Journal of critical care · Jun 2014
Observational StudyInitial interrater reliability for a novel measure of patient mobility in a cardiovascular intensive care unit.
The purpose of this study was to determine the interrater reliability of the Perme Intensive Care Unit Mobility Score. ⋯ The Perme ICU Mobility Score is a reliable tool to assess mobility status of patients admitted to the cardiovascular intensive care unit in a specific moment in time, which can be an important tool for research and clinical practice.