Journal of critical care
-
Journal of critical care · Feb 2020
Association of negative fluid balance during the de-escalation phase of sepsis management with mortality: A cohort study.
We aimed to evaluate the impact of negative fluid balance during the fluid de-escalation phase of sepsis management. ⋯ There is not only a significant association between outcomes of patients who were resuscitated for sepsis and achieving negative fluid balance, but also the amount of daily or cumulative negative fluid balance is associated with lower mortality of these patients. Prospective clinical trials are needed to validate this finding.
-
Journal of critical care · Feb 2020
An international perspective on the frequency, perception of utility, and quality of interprofessional rounds practices in intensive care units.
To describe international variation in interprofessional rounds in intensive care units (ICUs). ⋯ Three-quarters of respondents perform rounds, and models of rounds are heterogeneous, creating challenges for future studies on improving rounds. Respondents reporting better outcomes also experience shorter rounds, and adopt strategies such as discussion of daily goals, and designation individuals for writing or assisting other patients during rounds.
-
Journal of critical care · Feb 2020
The Japanese Intensive care PAtient Database (JIPAD): A national intensive care unit registry in Japan.
The Japanese Intensive care PAtient Database (JIPAD) was established to construct a high-quality Japanese intensive care unit (ICU) database. ⋯ The data revealed that the SMRs based on general severity scores in adults were low because of high proportions of elective and monitoring admission. The development of a new mortality prediction model for Japanese ICU patients is needed.
-
Journal of critical care · Feb 2020
Evidence summary resources may influence clinical decision making: A case-based scenario evaluation of an evidence summary tool.
Evidence summary resources are popular with clinicians but it is unknown whether they can influence clinical decision making. We evaluated whether an extremely condensed and explicit evidence summary tool could influence clinical decision making. ⋯ Using a before-after evaluation, we demonstrated an extremely condensed and explicit information format can influence clinical decision making. Evidence summary tools may be a useful adjunct to support closing evidence-practice gaps.
-
Journal of critical care · Feb 2020
Neuropsychiatric outcome in subgroups of Intensive Care Unit survivors: Implications for after-care.
Poor neuropsychiatric outcomes are common in survivors of critical illness but it is unclear what patient groups to target for interventions to improve mental health. We compared anxiety, depression, and post-traumatic stress disorder (PTSD) symptoms and health-related quality of life (HrQoL) across different subgroups of Intensive Care Unit (ICU) survivors. ⋯ This underlines the importance of prevention and treatment for neuropsychiatric symptoms in ICU survivors in general, not only in specific patient groups.