Journal of critical care
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Journal of critical care · Dec 2018
qSOFA as predictor of mortality and prolonged ICU admission in Emergency Department patients with suspected infection.
We assessed the quick Sequential Organ Failure Assessment (qSOFA) score as a predictor of in-hospital mortality or prolonged ICU stay in Emergency Department (ED) patients with suspected infection. ⋯ Among ED patients with suspected infection, a positive qSOFA identified those at much greater risk of mortality and longer ICU stay.
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Journal of critical care · Dec 2018
Robotic technology provides objective and quantifiable metrics of neurocognitive functioning in survivors of critical illness:A feasibility study.
To assess the feasibility of using an integrated multimodal data collection strategy to characterize the post-intensive care syndrome (PICS). ⋯ We demonstrated that it was feasible to quantify neurological dysfunction among participants that returned for follow-up testing. However, future investigations will need to implement multiple retention strategies.
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It is uncertain whether, in critical care medicine, non-blinded trials are associated with a bias toward a different effect size. The aim of our study was to assess if conducting non-blinded/open label studies leads to greater effect size than blinded studies, and to provide an estimate of the weight of this difference. ⋯ The NNT for blinded studies is 40% higher than for unblinded studies. This should be taken into account when planning and interpreting the findings of non-blinded studies performed in critically ill settings.
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Journal of critical care · Dec 2018
Transition to a newly constructed single patient room adult intensive care unit - Clinicians' preparation and work experience.
To describe how clinicians were prepared for the transition to a novel single patient room (SPR) intensive care unit (ICU) and their work experience during this transition. ⋯ The use of preparation strategies that are tailored to clinicians' roles helped build readiness for transition to a novel SPR ICU and facilitated the adaptation process. Challenges related to teamwork dynamics and practices in an isolating environment persisted beyond the adaptation period and must be addressed and overcome to better meet the needs and expectations of ICU clinicians.
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Journal of critical care · Dec 2018
Predicting early deterioration of admitted patients at the Intermediate Care Unit.
Under-triage is a major threat when admitting patients at the Intermediate Care Unit (IMCU). This study aims to identify risk factors and predict early deterioration of IMCU admissions, to reduce the risk of under-triage. ⋯ Patients with combined hemodynamic and respiratory instability should not be admitted to the IMCU. Patients with respiratory insufficiency and active diuresis, or complicated sepsis require close monitoring.