Journal of critical care
-
Journal of critical care · Sep 2007
Multicenter Study Comparative StudyMethodological approach for the evaluation of the performances of medical intensive care units.
The purpose of the study was to present a methodological approach enabling the comparison of clinical and economic performances of intensive care units and a graphical visualization based on these 2 dimensions. ⋯ These graphs enable the identification of the most deviating intensive care units to study, for example, their organizational, technical, or human resource setup accounting for their position.
-
Journal of critical care · Sep 2007
Multicenter Study Comparative StudyIntensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.
The aim of this study is to determine if patient safety incidents and the system-related factors contributing to them systematically differ for medical versus surgical patients in intensive care units. ⋯ Medical and surgical patients in the intensive care unit experience very similar types of safety incidents with similar associated patient harm and system factors. Common initiatives to improve patient safety for medical and surgical patients should be undertaken with a specific focus on improving training and teamwork among the intensive care team.
-
Journal of critical care · Sep 2007
Multicenter Study Comparative StudyThe COASST study: cost-effectiveness of albumin in severe sepsis and septic shock.
The cost-effectiveness of albumin-based fluid support in patients with severe sepsis is not known. ⋯ The application of the SAFE Study results to CUB-Réa data shows that albumin infusion is cost-effective in severe sepsis.
-
Journal of critical care · Sep 2007
Randomized Controlled TrialEffects of therapeutic mild hypothermia on patients with severe traumatic brain injury after craniotomy.
We investigated the effects of therapeutic mild hypothermia on patients with severe traumatic brain injury after craniotomy (TBI). ⋯ Therapeutic mild hypothermia provides a promising way in the intensive care unit for patients with severe TBI after craniotomy.
-
Journal of critical care · Sep 2007
Comparative StudyInvasive candidiasis treated in the intensive care unit: observations from a randomized clinical trial.
The objectives of this study were to contrast risk factors, microbiology, and outcomes in patients with invasive candidiasis treated in an intensive care unit (ICU) with those in patients with invasive candidiasis treated outside an ICU and to describe therapeutic results with caspofungin in ICU patients. ⋯ In ICU patients treated with antifungal therapy, invasive candidiasis is associated with substantial mortality, but most deaths cannot be directly attributed to this infection.