Journal of critical care
-
Journal of critical care · Dec 2019
Multicenter Study Observational StudyAssociation between acute kidney injury and neurological outcome or death at 6 months in out-of-hospital cardiac arrest: A prospective, multicenter, observational cohort study.
This study aimed to evaluate the association between acute kidney injury (AKI) and 6 months neurological outcome after out-of-hospital cardiac arrest (OHCA). ⋯ AKI is associated with poor neurological outcome (MRS 4-6) at 6 months in OHCA patients treated with TTM.
-
Journal of critical care · Dec 2019
Multicenter StudyCommunication with patients' families in the intensive care unit: A point prevalence study.
We aimed to describe point of care communication encounters with patients' families in centers with open visitation practices. ⋯ ICUs adopt multiple ways of communicating with family members of critically ill patients. Significant interactions occur outside of traditional family meetings, in a less formal and more frequent fashion. Our study supports development of tools to support best practices within contemporary communication paradigms to support provider, patients and family needs.
-
Journal of critical care · Dec 2019
Multicenter StudyArabic intensive care delirium screening checklist's validity and reliability: A multicenter study.
To develop an Arabic version of Intensive Care Delirium Screening Checklist (ICDSC) and assess its validity and reliability among critically ill patients. ⋯ Arabic ICDSC is a valid and reliable delirium-screening tool among Arabic-speaking ICU population. Future studies could address whether these findings are generalizable to a higher proportion of mechanically ventilated patients, and address acceptability and reliability in other Arabic language critical care settings.
-
Journal of critical care · Dec 2019
Time of admission to intensive care unit, strained capacity, and mortality: A retrospective cohort study.
We sought to study the association between afterhours ICU admission and ICU mortality considering measures of strained ICU capacity. ⋯ Afterhours ICU admission and measures of strained ICU capacity were associated with crude but not adjusted ICU mortality.
-
Journal of critical care · Dec 2019
Enhancing care of patients requiring a tracheostomy: A sustained quality improvement project.
Within the UK approximately 5000 surgical and 12,000 percutaneous tracheostomies are performed annually. Whilst an essential component of patient care, the presence of a tracheostomy is not without concern. Landmark papers have demonstrated recurrent themes related to the provision of training, staff and equipment, leading to avoidable patient harm, life-altering morbidity and mortality. The development of the Global Tracheostomy Collaborative (GTC) and the Improving Tracheostomy Care (ITC) project have provided the necessary infrastructure to make improvements, with individual organizations responsible for its implementation. ⋯ This QI project, supported by involvement with the GTC and ITC, resulted in reductions in adverse events, improved patient safety, non-significant reduction in time to achieve weaning milestones and a reduction in hospital length of stay.