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141. Survival and Safety Outcomes of ICU Patients Discharged Directly Home-A Direct From ICU Sent Home Study. (Abstract)

Survival and Safety Outcomes of ICU Patients Discharged Directly Home-A Direct From ICU Sent Home Study. Evaluate outcomes (mortality, morbidity, unplanned return visits) of patients who are discharged directly to home from the ICU.Prospective cohort study.Two tertiary care medical-surgical-trauma ICUs at Canadian hospitals over 1 year (February 2016-2017).All adult patients who were either discharged directly to home (Recruited and Nonrecruited cohorts) from ICU or discharged home within 24 (...) hours after ward transfer (Ward Transfer cohort).Direct discharge home from ICU or discharge home within 24 hours of ward transfer from ICU.One-hundred ninety-eight patients were in the study, 100 patients in the discharged directly to home Recruited arm, 37 patients in the discharged directly to home Nonrecruited arm, and 61 patients in the Ward cohort. All three patient cohorts had 0% mortality at 8 weeks post discharge. The unplanned return visit rate for the Recruited cohort was 24% (emergency

2018 Critical Care Medicine

142. Climate of Respect Evaluation in ICUs: Development of an Instrument (ICU-CORE). Full Text available with Trip Pro

patients. The subscale measuring disrespect has four items (α = 0.702) and reflects how often the ICU team dismisses family concerns, talks down to patients and families, speaks disrespectfully behind their backs, and gets frustrated with patients and families.We created a reliable set of scales to measure the climate of respectfulness in intensive care settings. These measures can be used for ongoing quality improvement that aim to enhance the experience of ICU patients and their families. (...) Climate of Respect Evaluation in ICUs: Development of an Instrument (ICU-CORE). To develop a valid, reliable measure that reflected the environment of respectfulness within the ICU setting.We developed a preliminary survey instrument based on conceptual domains of respect identified through prior qualitative analyses of ICU patient, family member, and clinician perspectives. The initial instrument consisted of 21 items. After five cognitive interviews and 16 pilot surveys, we revised

2018 Critical Care Medicine

143. Surgical antimicrobial prophylaxis in intensive care unit (ICU) patients: a preliminary, observational, retrospective study Full Text available with Trip Pro

Surgical antimicrobial prophylaxis in intensive care unit (ICU) patients: a preliminary, observational, retrospective study Surgical antimicrobial prophylaxis (SAP) is supported by evidence-based guidelines. Nevertheless, SAP guidelines do not cover all clinical scenarios. To our knowledge, no information is available regarding SAP in the critically ill patients. We designed a retrospective, observational and preliminary study which the objective was to describe our professional practices (...) in intensive care unit (ICU) patients requiring SAP.All patients admitted for more than 48 h in the ICU and requiring surgery were retrospectively included from January 1st to December 31, 2016. We collected data related to infection, colonization and antimicrobial treatments pre- and post-operatively. We assessed the compliance of SAP to guidelines.Among 41 included patients, 13 (32%) were treated for an ongoing infection and 21 (51%) received at least one antibiotic during the ICU stay. Seven (17%) were

2018 Annals of Translational Medicine

144. ICU physicians’ and internists’ survival predictions for patients evaluated for admission to the intensive care unit Full Text available with Trip Pro

ICU physicians’ and internists’ survival predictions for patients evaluated for admission to the intensive care unit A higher chance of survival is a key justification for admission to the intensive care unit (ICU). This implies that physicians should be able to accurately estimate a patient's prognosis, whether cared for on the ward or in the ICU. We aimed to determine whether physicians' survival predictions correlate with the admission decisions and with patients' observed survival (...) . Consecutive ICU consultations for internal medicine patients were included. The ICU physician and the internist were asked to predict patient survival with intensive care and with care on the ward using 5 categories of probabilities (< 10%, 10-40%, 41-60%, 61-90%, > 90%). Patient mortality at 28 days was recorded.Thirty ICU physicians and 97 internists assessed 201 patients for intensive care. Among the patients, 140 (69.7%) were admitted to the ICU. Fifty-eight (28.9%) died within 28 days. Admission

2018 Annals of intensive care

145. Determinants of long-term outcome in ICU survivors: results from the FROG-ICU study Full Text available with Trip Pro

Determinants of long-term outcome in ICU survivors: results from the FROG-ICU study Intensive care unit (ICU) survivors have reduced long-term survival compared to the general population. Identifying parameters at ICU discharge that are associated with poor long-term outcomes may prove useful in targeting an at-risk population. The main objective of the study was to identify clinical and biological determinants of death in the year following ICU discharge.FROG-ICU was a prospective (...) , observational, multicenter cohort study of ICU survivors followed 1 year after discharge, including 21 medical, surgical or mixed ICUs in France and Belgium. All consecutive patients admitted to intensive care with a requirement for invasive mechanical ventilation and/or vasoactive drug support for more than 24 h following ICU admission and discharged from ICU were included. The main outcome measure was all-cause mortality at 1 year after ICU discharge. Clinical and biological parameters on ICU discharge

2018 Critical Care

146. An intervention to control an ICU outbreak of carbapenem-resistant Acinetobacter baumannii: long-term impact for the ICU and hospital Full Text available with Trip Pro

An intervention to control an ICU outbreak of carbapenem-resistant Acinetobacter baumannii: long-term impact for the ICU and hospital Following a fatal intensive care unit (ICU) outbreak of carbapenem-resistant Acinetobacter baumanii (CRAB) in 2015, an aggressive infection control intervention was instituted. We outline the intervention and long-term changes in the incidence and prevalence of CRAB.The infection control intervention included unit closure (3 days), environmental cleaning, hand (...) hygiene interventions, and environmental culturing. CRAB acquisition and prevalence and colistin use were compared for the 1 year before and 2 years after the intervention.Following the intervention, ICU CRAB acquisition decreased significantly from 54.6 (preintervention) to 1.9 (year 1) to 5.6 cases (year 2)/1000 admissions (p < 0.01 for comparisons with preintervention period.). Unexpectedly, ICU CRAB admission prevalence also decreased from 56.5 to 5.8 to 13 cases/1000 admissions (p < 0.001

2018 Critical Care

147. ICU Telemedicine Reduces Interhospital ICU Transfers in the Veterans Health Administration. (Abstract)

ICU Telemedicine Reduces Interhospital ICU Transfers in the Veterans Health Administration. The effect of ICU telemedicine on transfers is not well studied. This study tests the hypothesis that ICU telemedicine decreases ICU patient interhospital transfers.Data were retrieved for patients admitted to 306 Veterans Affairs ICUs in 117 acute care facilities between 2011 and 2015. Telemedicine was provided to 52 ICUs in 23 acute care facilities by two support centers located in Minneapolis (...) and Cincinnati. We compared interhospital transfer rates in ICU telemedicine-affiliated hospitals with transfer rates of facilities with no telemedicine program. We used generalized linear mixed multivariable models to assess the association of ICU telemedicine with transfer rates and 30-day mortality.A total of 553,523 admissions to Veterans Affairs ICUs (97,256 to telemedicine hospitals; 456,267 to non-telemedicine hospitals) were analyzed. Transfers decreased from 3.46% to 1.99% in the telemedicine

2018 Chest

148. Preventing Posttraumatic Stress in ICU Survivors: A Single-Center Pilot Randomized Controlled Trial of ICU Diaries and Psychoeducation. (Abstract)

Preventing Posttraumatic Stress in ICU Survivors: A Single-Center Pilot Randomized Controlled Trial of ICU Diaries and Psychoeducation. Critical illness can have a significant psychological impact on patients and their families. To inform the design of a larger trial, we assessed feasibility of ICU diaries and psychoeducation to prevent posttraumatic stress disorder, depression, and anxiety following ICU stays.Four-arm pilot randomized controlled trial.A 10-bed tertiary ICU in Winnipeg, MB (...) , Canada.Critically ill patients greater than 17 years old with predicted ICU stays greater than 72 hours and mechanical ventilation duration greater than 24 hours.Patients were randomized to usual care, ICU diary, psychoeducation, or both ICU diary and psychoeducation.Our primary objective was to determine feasibility measured by enrollment/mo. Secondary outcomes included acceptability of the ICU diary intervention and psychological distress, including patients' memories 1 week post ICU using the ICU Memory Tool

2018 Critical Care Medicine Controlled trial quality: predicted high

149. Paediatric intensive care and neonatal intensive care airway management in the United Kingdom: the PIC-NIC survey. Full Text available with Trip Pro

Paediatric intensive care and neonatal intensive care airway management in the United Kingdom: the PIC-NIC survey. In 2011, the Fourth National Audit Project (NAP4) reported high rates of airway complications in adult intensive care units (ICUs), including death or brain injury, and recommended preparation for airway difficulty, immediately available difficult airway equipment and routine use of waveform capnography monitoring. More than 80% of UK adult intensive care units have subsequently (...) changed practice. Undetected oesophageal intubation has recently been listed as a 'Never Event' in UK practice, with capnography mandated. We investigated whether the NAP4 recommendations have been embedded into paediatric and neonatal intensive care practice by conducting a telephone survey of senior medical or nursing staff in UK paediatric intensive care units (PICUs) and neonatal intensive care units (NICUs). Response rates were 100% for paediatric intensive care units and 90% for neonatal

2018 Anaesthesia

150. Burnout and Approach to Bereavement Initiatives in a Medical Intensive Care Unit (ICU)

Burnout and Approach to Bereavement Initiatives in a Medical Intensive Care Unit (ICU) Burnout and Approach to Bereavement Initiatives in a Medical Intensive Care Unit (ICU) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies (...) before adding more. Burnout and Approach to Bereavement Initiatives in a Medical Intensive Care Unit (ICU) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03398460 Recruitment Status : Recruiting First Posted : January 12

2018 Clinical Trials

151. Insulin resistance in early vs late nutrition and complications of sirs in neurosurgical intensive care unit (ICU). Full Text available with Trip Pro

Insulin resistance in early vs late nutrition and complications of sirs in neurosurgical intensive care unit (ICU). Systemic Inflammatory Response Syndrome (SIRS) is a common complication in neurosurgical diseases in Intensive Care Unit (ICU). Because of associated insulin resistance (IR) the ICU is in dilemma in which stage to start the nutrition to patients and what is the amount of Insulin Unit to control the hyperglycemia.to define the IR and to compare IR and amount of insulin among ICU (...) in late nutrition group (p<0.01). No patient in early nutrition group but six (7.4%) patients in late nutrition group developed insulin resistance (p=0.03).the IR due to the infection complications is higher among late than early nutrition group. Therefore, we suggest that in neurosurgical ICU it would be better to start the nutrition within 72 hours.

2018 Medical archives (Sarajevo, Bosnia and Herzegovina) Controlled trial quality: uncertain

152. Statistical analysis plan for a cluster-randomized crossover trial comparing the effectiveness and safety of a flexible family visitation model for delirium prevention in adult intensive care units (the ICU Visits Study) Full Text available with Trip Pro

Statistical analysis plan for a cluster-randomized crossover trial comparing the effectiveness and safety of a flexible family visitation model for delirium prevention in adult intensive care units (the ICU Visits Study) Most adult intensive care units (ICUs) worldwide adopt restrictive family visitation models (RFVMs). However, evidence, mostly from non-randomized studies, suggests that flexible adult ICU visiting hours are safe policies that can result in benefits such as prevention (...) of delirium and increase in satisfaction with care. Accordingly, the ICU Visits Study was designed to compare the effectiveness and safety of a flexible family visitation model (FFVM) vs. an RFVM on delirium prevention among ICU patients, and also to analyze its potential effects on family members and ICU professionals.The ICU Visits Study is a cluster-randomized crossover trial which compares an FFVM (12 consecutive ICU visiting hours per day) with an RFVM (< 4.5 ICU visiting hours per day) in 40

2018 Trials

153. The effectiveness of ICU diary on the post traumatic stress disorder of ICU patient and their family members: a systematic review and meta-analysis

The effectiveness of ICU diary on the post traumatic stress disorder of ICU patient and their family members: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2020 PROSPERO

154. Direct from ICU Sent Home (DISH) - Evaluation of Safety Outcomes of Direct Discharge Home Patients from Intensive Care Units: systematic review and meta-analysis

Direct from ICU Sent Home (DISH) - Evaluation of Safety Outcomes of Direct Discharge Home Patients from Intensive Care Units: systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2020 PROSPERO

155. A systematic review and narrative synthesis of national, regional and local guidelines for triaging ICU admissions during periods of high demand for ICU care in the Covid-19 pandemic

A systematic review and narrative synthesis of national, regional and local guidelines for triaging ICU admissions during periods of high demand for ICU care in the Covid-19 pandemic Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility

2020 PROSPERO

156. Diagnostic metaanalysis of delirium assessment tools, CAM-ICU and ICDSC in screening ICU delirium

Diagnostic metaanalysis of delirium assessment tools, CAM-ICU and ICDSC in screening ICU delirium Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external

2020 PROSPERO

157. Effect of patient- and family-centered care (PFCC) interventions versus usual care in adult intensive care units (ICU) on the short- and long-term psychological symptom burden in patients and family members and clinical outcomes in patients: a systematic

Effect of patient- and family-centered care (PFCC) interventions versus usual care in adult intensive care units (ICU) on the short- and long-term psychological symptom burden in patients and family members and clinical outcomes in patients: a systematic Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied

2020 PROSPERO

158. Transitional care across the continuum after ICU admission for patients and their families. Effectiveness of ICU initiated interventions: A Systematic Review.

Transitional care across the continuum after ICU admission for patients and their families. Effectiveness of ICU initiated interventions: A Systematic Review. Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2020 PROSPERO

159. Comparison of propofol with midazolam for sedation of adult patients admitted to the Intensive Care Unit (ICU): A meta-analysis

Comparison of propofol with midazolam for sedation of adult patients admitted to the Intensive Care Unit (ICU): A meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any

2020 PROSPERO

160. PneuX for preventing ventilator-associated pneumonia in intensive care

reduce the risk of micro-aspiration. At present, in their ICUs, cuff pressure is measured PneuX for preventing ventilator-associated pneumonia in intensive care (MIB45) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 9 of 27once per nursing shift (that is, once every 8 hours) and there is a tendency for cuff pressure to fall during this time. One specialist commentator was concerned that there may be some (...) of 27Conclusions The PneuX system is associated with a significant reduction in VAP . This can potentially lead to significant cost reductions and should be implemented as part of the VAP reduction bundle. Abbreviations: CI, confidence interval; ET, endotracheal; ICU, intensive care unit; LVEF, left ventricular ejection fraction; n, number of patients; VAP , ventilator-associated pneumonia. a The between-group difference with 95% CI was not reported in the paper. The External Assessment Centre (principal

2015 National Institute for Health and Clinical Excellence - Advice

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