Journal of critical care
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Journal of critical care · Apr 2017
Development and validation of the new ICNARC model for prediction of acute hospital mortality in adult critical care.
To develop and validate an improved risk model to predict acute hospital mortality for admissions to adult critical care units in the UK. ⋯ The risk model developed in this study showed excellent discrimination and calibration and when validated on a different period of time and across different types of critical care unit. This in turn allows improved accuracy of comparisons between UK critical care providers.
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Journal of critical care · Apr 2017
What factors affect implementation of early rehabilitation into intensive care unit practice? A qualitative study with clinicians.
To identify the barriers and enablers that influence clinicians' implementation of early rehabilitation in critical care. ⋯ Key barriers to implementation of early rehabilitation in critical care are diverse and include both clinician- and health care system-related factors. Research targeted at bridging this evidence-practice gap is required to improve provision of rehabilitation.
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Journal of critical care · Apr 2017
Clinical characteristics of critically ill patients with suspected influenza during the 2009-10 and 2013-14 outbreaks.
Pandemic influenza A pdm09 (pH1N1) virus was the predominant isolate identified during the 2009-10 and 2013-14 influenza outbreaks, causing significant morbidity and mortality. We describe clinical characteristics of critically ill patients during 2 pH1N1 outbreaks. ⋯ Use of adjunct oxygenation therapies and nontraditional antiviral dosing has changed significantly since the 2009 pandemic, although this has not resulted in a measurable impact on clinical outcomes.
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Journal of critical care · Apr 2017
Increased incidence of clinical hypotension with etomidate compared to ketamine for intubation in septic patients: A propensity matched analysis.
This study compared the incidence of clinical hypotension between ketamine and etomidate within a 24 hour period following endotracheal intubation. ⋯ Ketamine was associated with a lower incidence of clinical hypotension within the 24 hour period following endotracheal intubation in septic patients.
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Journal of critical care · Apr 2017
Opportunities for interprofessional input into nurse and physician hand-off communication.
Hand-offs are vulnerable times for hospitalized patients. Nurses and physicians routinely engage in hand-off communication but their communications remains siloed. Our objectives were to identify key information from each profession that would be of use to the other's hand-off process, and to identify facilitators and barriers to obtaining that input. ⋯ There are key areas of content that both physicians and nurses would like from the other profession to enhance intensive care unit hand-off communication. Interventions designed to increase interdisciplinary communication should focus on these key areas of content.