Journal of critical care
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Journal of critical care · Apr 2022
Randomized Controlled TrialFailure of non-sedation strategy in critically ill, mechanically ventilated patients - a retrospective, post-hoc analysis of the NONSEDA trial.
There is a growing awareness on minimizing sedation in ICUs. In the NONSEDA trial 700 critically ill patients were randomized to light sedation or non-sedation during mechanical ventilation. Approximately 40% of patients randomized to non-sedation needed sedation. The aim of this study is to obtain knowledge on patients, who experienced failure of non-sedation. ⋯ Patients with non-sedation success had better in-hospital outcomes, but mortality and long-term outcomes were not affected by success or failure of non-sedation.
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Journal of critical care · Apr 2022
Multicenter StudyAssociation between out-of-bed mobilization during the ICU stay of elderly patients and long-term autonomy: A cohort study.
Our objective was to estimate the impact of the absence of Out-of-Bed (OoB) mobilization during intensive care unit (ICU) stay among patients ≥70 years on their long-term autonomy. ⋯ Mobilization during the ICU stay of elderly ICU patient survivors was associated with a lower decreased autonomy at 6 months.
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Journal of critical care · Apr 2022
Observational StudyIncreasing burden of viral bronchiolitis in the pediatric intensive care unit; an observational study.
Viral bronchiolitis is a major cause of pediatric intensive care unit (PICU) admission. Insight in the trends of bronchiolitis-associated PICU admissions is limited, but imperative for future PICU resource and capacity planning. ⋯ The international increased burden of bronchiolitis for the PICU is concerning, and warrants further international attention and investigation.
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Journal of critical care · Apr 2022
Intensive care unit strain and mortality risk in patients admitted from the ward in Australia and New Zealand.
ICU strain (low number of available beds) may be associated with a delay and altered threshold for ICU admission and adverse patient outcomes. We aimed to investigate the impact of ICU strain on hospital mortality in critically ill patients admitted from wards across Australia and New Zealand. ⋯ ICU strain is associated with longer times in hospital prior to ICU admission and was associated with increased risk of death in patients admitted from ward.
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Journal of critical care · Apr 2022
Association of care by a non-medical intensive care unit provider team with outcomes of medically critically ill patients.
To determine the association of boarding of critically ill medical patients on non-medical intensive care unit (ICU) provider teams with outcomes. ⋯ We found no association between admission to non-medical ICU team and mortality for medically critically ill patients. However, survivors experienced longer hospital LOS when admitted to non-medical ICU teams. Middle-aged patients, those with low comorbidity burden, and those without respiratory failure had higher mortality when admitted to non-medical ICU teams.