Articles: intensive-care-units.
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A retrospective analysis of the pattern of admission of children to the general intensive care unit of Christchurch Hospital during the period 1980-7 inclusive, is reported. Three hundred and ninety-nine children were admitted during this period and they formed 10.7% of all admissions to the unit. ⋯ Overall mortality was 14.5%, 13% for medical conditions and 16% for those with surgical problems. These results are in keeping with those reported from overseas.
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Issuing from the accomplishments of Köhler for the development of the intensive medicine in internal medicine-in 1964 he performed the first long-term respiration at the then Medical Clinic of the Karl Marx University, in 1969 he institutionalized the young subdiscipline at the clinic, in 1978 he founded the department for intensive medicine and is at work by his decisions concerning the development of young scientists, by the handbook "Intensive Medicine. Internal Medicine and Adjacent Subjects" as well as a member of the presidium of the GDR Society for Internal Medicine for the development of the internal intensive medicine-a description of the development of the department, its achievements and problems is given. The promotion of the intensive medicine by Köhler results, as we think, also from the comprehension that it has the duty to perform a function integrating the subdisciplines, which the modern internal medicine oriented to organs and systems threatens to lose, which, however, makes its self-apprehension, which the patient wishes and the teaching is demanding. From this and from the charge for a highly specialized care of patients who life-threateningly fell ill with internal diseases as well as from the duty to create a scientific forerunning results the stringent necessity of the development of the non-operative, in reality internal intensive medicine in the clinics for internal medicine of the county hospitals and university institutions as well as the greater identification of the internist with the subdiscipline in the district hospitals dealing with multidisciplinary intensive medicine.
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Intensive care medicine · Jan 1989
Multicenter Study Clinical TrialDescription of various types of intensive and intermediate care units in France. French Multicentric Group of ICU Research.
The types of intensive care are multiple. The aim of this multicentric study was to describe activity of different ICUs using the same methods. 38 ICU were chosen by cooption, not randomization. Collected data concerned input (age, previous health status (HS), Simplified Acute Physiology Score or SAPS, Intensive Care Group (ICG), processes (TISS points), percentage of ventilated patients and pulmonary arterial lines and outcome (ICU death rate). ⋯ Surgical patients had better previous health status, were younger and scheduled for 40%. TISS points were higher, mainly by a higher rate of ventilated patients and patients with pulmonary artery lines on the first day. Specialized units characteristics depended mainly on the ICG.(ABSTRACT TRUNCATED AT 250 WORDS)
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We monitored the response to intensive care of 480 patients by calculating the difference in their organ failure score on the day of admission and that on the day of discharge, and related the response to hospital outcome. The patients were classified into: A) those who benefited (33%), B) those who might have benefited (28%), C) those who would never or would no longer have benefited (18%) and D) those who did not require intensive care management (21%). ⋯ Group C patients used up 26.8% of the total intensive care unit bed days, while group D patients occupied 3.7%. We concluded that an acute terminal care unit to care for group C patients who have no hope of survival is more appropriate to the needs of our hospital than an intermediate care unit for overnight monitoring of uncomplicated postoperative and non-operative patients (group D).
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Intensive care medicine · Jan 1989
ReviewInfluence of architectural design on nosocomial infections in intensive care units--a prospective 2-year analysis.
Nosocomial infection rates in an old intensive care ward constructed in 1924 were compared with those in a new one constructed in 1986. The nosocomial infection rate in the old unit was 34.2% and that in the new unit 31.9%, with an average of 33%. ⋯ After transfer of the intensive care unit (ICU) the incidence and profile of nosocomial infections remained the same. These findings suggest that the influence of architectural design has little impact on the incidence of nosocomial infections.