Journal of critical care
-
Journal of critical care · Aug 2019
Comparative Study Observational StudyComparison of clinical characteristics and outcomes between homeless and non-homeless patients admitted to intensive care units: An observational propensity-matched cohort study in Korea.
To compare clinical characteristics and outcomes between critically ill homeless and non-homeless patients admitted to the intensive care unit (ICU) in a Korea. ⋯ In Korea, ICU-admitted homeless patients are well managed without differences in terms of organ support quality and exhibit the same prognosis as non-homeless patients. However, the quality of end-of-life care for homeless patients remains poor.
-
Journal of critical care · Aug 2019
Observational StudyDescribing drug and fluid therapy in the paediatric intensive care unit: A pilot study.
Care in the paediatric intensive care unit (PICU) involves many clinical activities. The objectives of this study were to evaluate the feasibility of a novel observation method, the reliability of data abstraction, and to report the initial findings from application of this approach. ⋯ Real-time recording of clinical tasks in the PICU using a direct observation model combined with video recording is feasible. Preliminary results suggest abundant and diverse activity is routine.
-
Journal of critical care · Aug 2019
Epidemiological risk factors for nosocomial bloodstream infections: A four-year retrospective study in China.
The objective of this study was to retrospectively research the clinical characteristics, pathogen distribution, prognosis of nosocomial bloodstream infection (nBSI), and the associated risk factors for nBSI. ⋯ Gram-negative bacteria predominantly developed in nBSI. Timely removal of venous catheters (catheter retention time ≥ 7 days) and implementation of appropriate empirical therapy improved the nBSI outcomes.
-
Journal of critical care · Aug 2019
Contributors to frailty in critical illness: Multi-dimensional analysis of the Clinical Frailty Scale.
Frailty in critical illness is common and associated with poor outcomes, however little is known about contributing factors. We compared the Clinical Frailty Scale (CFS) with a multi-dimensional validated tool, the Edmonton Frail Scale (EFS), and investigated which health domains are affected by frailty in ICU. ⋯ Frailty in the critically ill affects a range of health deficits, adequately measured via the CFS.