Journal of critical care
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Journal of critical care · Jun 2019
Association between strained ICU capacity and healthcare costs in Canada: A population-based cohort study.
Intensive care is resource intensive, with costs representing a substantial quantity of total hospitalization costs. Strained ICU capacity compromises care quality and adversely impacts outcomes; however, the association between strain and healthcare costs has not been explored. ⋯ Admissions to ICUs experiencing strain incur incremental costs, attributed to longer hospitalization and physician services.
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Journal of critical care · Jun 2019
Observational StudyDepression and anxiety in relatives of out-of-hospital cardiac arrest patients: Results of a prospective observational study.
Relatives of patients admitted to the intensive care unit (ICU) with out-of-hospital cardiac arrest (OHCA) may suffer from adverse psychological outcomes. We assessed prevalence and risk factors for depression and anxiety in such relatives 90 days after ICU admission. ⋯ Many relatives of OHCA patients report symptoms of depression and anxiety after 90 days. Improving initial care and communication may help to reduce these risks.
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Journal of critical care · Jun 2019
Usefulness of qSOFA and SIRS scores for detection of incipient sepsis in general ward patients: A prospective cohort study.
To prospectively assess the diagnostic value of quick Sequential Organ Failure Assessment (qSOFA) and systemic inflammatory response syndrome (SIRS) scores for sepsis in ward patients with infections. ⋯ Neither SIRS score nor qSOFA score could serve as an ideal screening tool for early identification sepsis, whereas qSOFA score might help to identify patients with higher risk of poor clinical outcome.
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Journal of critical care · Jun 2019
A decision-aid tool for ICU admission triage is associated with a reduction in potentially inappropriate intensive care unit admissions.
Intensive care unit (ICU) admission triage occurs frequently and often involves highly subjective decisions that may lead to potentially inappropriate ICU admissions. In this study, we evaluated the effect of implementing a decision-aid tool for ICU triage on ICU admission decisions. ⋯ Implementation of a decision-aid tool for ICU triage was associated with a reduction in potentially inappropriate ICU admissions.
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Journal of critical care · Jun 2019
Observational StudyA worldwide perspective of sepsis epidemiology and survival according to age: Observational data from the ICON audit.
To investigate age-related differences in outcomes of critically ill patients with sepsis around the world. ⋯ The odds for death in ICU patients with sepsis increased with age with the maximal rate of increase occurring between the ages of 71 and 77 years.