Journal of critical care
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Journal of critical care · Apr 2017
Observational StudyEffect of daily use of electronic checklist on physical rehabilitation consultations in critically ill patients.
In intensive care unit (ICU) practice, great emphasis is placed on the functional stabilization of the major organ systems, sometimes at the expense of physical rehabilitation. Checklists have shown to be an effective tool for standardizing care models. Our aim was to the study the effect of the use of an electronic checklist on occupational therapy/physical therapy (OT-PT) consults in critically ill patients. ⋯ The use of the electronic checklist in the ICU was associated with increased number of the OT-PT consults.
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Journal of critical care · Apr 2017
Sepsis in Haiti: Prevalence, treatment, and outcomes in a Port-au-Prince referral hospital.
Developing countries carry the greatest burden of sepsis, yet few descriptive data exist from the Western Hemisphere. We conducted a retrospective cohort study to elucidate the presentation, treatment, and outcomes of sepsis at an urban referral hospital in Port-au-Prince, Haiti. ⋯ This is the first descriptive study of sepsis in Haiti. Our findings contribute to the knowledge base of global sepsis and reveal similarities in independent predictors of mortality between high- and low-income countries.
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Journal of critical care · Apr 2017
Risk factors for acute kidney injury in critically ill patients with complicated intra-abdominal infection.
The aim was to determine the factors related to acute kidney injury (AKI) in surgical septic patients with complicated intra-abdominal infection (CIAI) and mortality associated to AKI. ⋯ Acute kidney injury in patients with CIAI is clearly associated with SOFA and creatinine at admission. Severe AKI with RRT need is highly associated with both previous arterial hypertension and the number of previous medications potentially affecting renal function.
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Journal of critical care · Apr 2017
Predictors of clinicians' underuse of daily sedation interruption and sedation scales.
The purpose of the study is to identify predictors of underuse of sedation scales and daily sedation interruption (DSI). ⋯ Workload considerations hamper utilization of sedation scales. Poor familiarity, for nurses, and negative perception of impact on patients' comfort, for physicians, both reduce DSI utilization. Targeting these obstacles is essential while designing quality improvement strategies to minimize sedative use.
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Journal of critical care · Apr 2017
The epidemiology, prognosis, and trends of severe traumatic brain injury with presenting Glasgow Coma Scale of 3.
To characterize trends and prognosis of severe traumatic brain injury (TBI). ⋯ The epidemiology of severe TBI is changing. These epidemiologic data may be used for management and resource decisions, monitoring, and directing injury prevention measures.