Critical care medicine
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Critical care medicine · Dec 2023
Healthcare Trajectories and Outcomes in the First Year After Tracheostomy Based on Patient Characteristics.
To define healthcare trajectories after tracheostomy to inform shared decision-making efforts for critically ill patients. ⋯ Cumulative mortality and median survival after a tracheostomy were very poor across most ages and groups. Older adults and several subgroups of younger adults experienced high rates of prolonged hospitalization with few days alive and out of an HCF. This information may aid some patients, surrogates, and providers in decision-making.
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Critical care medicine · Dec 2023
Evaluation of the Impact of ABCDEF Bundle Compliance Rates on Postintensive Care Syndrome: A Secondary Analysis Study.
This study aimed to examine the association between ABCDEF bundles and long-term postintensive care syndrome (PICS)-related outcomes. ⋯ The bundle compliance rate was not associated with PICS prevalence. However, 6-month mortality was lower with a higher bundle compliance rate. A trend toward a lower PICS prevalence was associated with higher bundle compliance in high-volume centers.
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Critical care medicine · Dec 2023
Practice Standards for the Use of Multimodality Neuromonitoring: A Delphi Consensus Process.
To address areas in which there is no consensus for the technologies, effort, and training necessary to integrate and interpret information from multimodality neuromonitoring (MNM). ⋯ We provide expert consensus in the clinical considerations, minimum necessary technologies, implementation, and training/education to provide practice standards for the use of MNM to individualize clinical care.