Journal of critical care
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Journal of critical care · Oct 2015
Observational StudyPosttraumatic stress disorder symptoms in close relatives of intensive care unit patients: Prevalence data resemble that of earthquake survivors in Chile.
Posttraumatic stress disorder (PTSD) in relatives of intensive care unit (ICU) patients has not been fully described. We studied potential relationships between PTSD and specific patients' conditions and relatives' psychologic characteristics. ⋯ Close relatives of patients admitted to the ICU experience a high prevalence of PTSD during and after hospitalization. Individual patient factors such as severity, age, and being on MV increase the occurrence of PTSD, as well as sex and baseline anxiety levels of caregivers. Preventative measures could be devised for this particular high-risk population.
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Journal of critical care · Oct 2015
Multicenter StudyFamilies' experiences of intensive care unit quality of care: Development and validation of a European questionnaire (euroQ2).
The purpose of the study is to adapt and provide preliminary validation for questionnaires evaluating families' experiences of quality of care for critically ill patients in the intensive care unit (ICU). ⋯ The questions were assessed as relevant and understandable, providing high face and content validity. Ceiling effects were comparable to similar instruments; missing data, low; and test-retest reliability, acceptable. These measures are promising for use in research, but further validation is needed before they can be recommended for routine clinical use.
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Journal of critical care · Oct 2015
Comparative Study Observational StudyComparison of point-of-care hemostatic assays, routine coagulation tests, and outcome scores in critically ill patients.
The purposes of the study are to compare point-of-care (POC) hemostatic devices in critically ill patients with routine laboratory tests and intensive care unit (ICU) outcome scoring assessments and to describe the time course of these variables in relation to mortality rate. ⋯ All POC and routine laboratory tests showed a hypocoagulative response in nonsurvivors compared to survivors. ReoRox was better than ROTEM and Multiplate at detecting differences between surviving and nonsurviving ICU patients. However, Simplified Acute Physiology Score 3 showed the best association to mortality outcome.
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Journal of critical care · Oct 2015
Observational StudyEarly mobilization practice in a single Brazilian intensive care unit.
To characterize the provision of early mobilization therapy in critically ill patients in a Brazilian medical intensive care unit (ICU) and to investigate the relationship between physical activity level and clinical outcomes. ⋯ In our Brazilian ICU, mobilization therapy in critically ill patients was safe and feasible; however, similar to other countries, in-bed exercises were the most prevalent activity. During mechanical ventilation, only a small percentage of activities involved standing or mobilizing away from the bed.
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Journal of critical care · Oct 2015
A retrospective cohort study of age-based differences in the care of hospitalized patients with sudden clinical deterioration.
The proportion of elderly patients is increasing, but it is unknown if there are age-based differences in care of hospitalized patients with sudden clinical deterioration. We sought to examine the relation between patient age and care for hospitalized patients experiencing sudden clinical deterioration. ⋯ Patient age is associated with care for hospitalized patients with sudden clinical deterioration, suggesting that strategies to guide care of elderly patients during MET activation may be beneficial.