American journal of respiratory and critical care medicine
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Am. J. Respir. Crit. Care Med. · Aug 2018
ReviewPatient and Family Engagement in the ICU. Untapped Opportunities and Underrecognized Challenges.
The call for meaningful patient and family engagement in health care and research is gaining impetus. Healthcare institutions and research funding agencies increasingly encourage clinicians and researchers to work actively with patients and their families to advance clinical care and research. Engagement is increasingly mandated by healthcare organizations and is becoming a prerequisite for research funding. ⋯ To advance engagement, clinicians and researchers can develop the science behind engagement in the ICU context and demonstrate its impact on patient- and process-related outcomes. In addition, we provide practical guidance on how to engage, highlight features of successful engagement strategies, and identify areas for future research. At present, enormous opportunities remain to enhance engagement across the continuum of ICU care and research.
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Am. J. Respir. Crit. Care Med. · Aug 2018
Initial Inflammatory Profile in Community-acquired Pneumonia Depends on Time since Onset of Symptoms.
Assessment of the inflammatory response can help the decision-making process when diagnosing community-acquired pneumonia (CAP), but there is a lack of information about the influence of time since onset of symptoms. ⋯ Time since symptom onset modifies the systemic inflammatory profile at CAP diagnosis. This information has relevant clinical implications for management, and it should be taken into account in the design of future clinical trials.