Journal of critical care
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Journal of critical care · Apr 2020
Multicenter StudyThe effects of an enteral nutrition feeding protocol on critically ill patients: A prospective multi-center, before-after study.
The aim of this study was to explore the effects of an enteral nutrition (EN) feeding protocol in critically ill patients. ⋯ The implementation of the enteral feeding protocol is associated with improved energy intake and a decreased incidence of enteral nutrition related adverse events for critically ill patients, but it had no statistically beneficial effects on reducing the hospital mortality rate. Trial registration ClinicalTrials.gov, NCT02976155. Registered November 29, 2016- Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT02976155.
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Journal of critical care · Apr 2020
Multicenter StudyFrench ICU's health care workers have a poor knowledge of the cost of the devices they use for patient care: A prospective multicentric study.
ICU patient's care may require the use of onerous devices, which contributes to make this department one of the most expensive in the hospital. It seemed us relevant to assess healthcare workers' (HCWs) knowledge of the cost of the devices daily used in ICU. ⋯ ICU's HCWs have a poor knowledge of the price of devices they regularly use for the care of their patients.
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Journal of critical care · Apr 2020
Comparative StudyDouble inter-hospital transfer in Sepsis patients presenting to the ED does not worsen mortality compared to single inter-hospital transfer.
Sepsis is a leading cause of hospital deaths. Inter-hospital transfer is frequent in sepsis and is associated with increased mortality. Some sepsis patients undergo two inter-hospital transfers (double transfer). This study assessed the (1) prevalence, (2) associated risk factors, (3) associated mortality, and (4) hospital length-of-stay and costs of double-transfer of sepsis patients. ⋯ Double-transfer occurs in 2.1% of Iowa sepsis patients. Double-transfers had similar mortality and increased length of stay and costs compared to single-transfers.
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Journal of critical care · Apr 2020
Multicenter StudyAssessing patient safety culture in 18 Tunisian adult intensive care units and determination of its associated factors: A multi-center study.
This study aimed to assess patient safety culture (PSC) in intensive care units (ICUs) and to determine the factors affecting it. ⋯ This study has shown that the PSC in ICUs needs improvement and provided a baseline results to get a clearer vision of the aspects of security that require special attention.
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Journal of critical care · Apr 2020
ReviewPrevention and early treatment of driveline infections in ventricular assist device patients - The DESTINE staging proposal and the first standard of care protocol.
Mechanical circulatory support (MCS) using left ventricular assist devices (LVAD) have considerably improved the quality of life and survival rate of patients with end-stage heart failure. Despite substantial technological progress, major challenges with regard to VAD-specific and VAD-related infections have hitherto hindered the broader application of this promising therapy approach. Driveline infections (DLI) range among the main adverse events experienced in LVAD patients. ⋯ An advanced wound staging approach was defined with recommended actions for prevention, early detection and stage-related management of DLI. Broad consensus was reached on the fact that an interdisciplinary approach both in DLES care and DLES healing disorder awareness is required to prolong infect-free survival times on MCS as well as to ensure high patient compliance and quality of life. In conclusion, a new detailed SOP for appropriate DLES care and an advanced wound staging approach for prevention and management of DLI were defined on an expert level applicable for VAD clinicians, practitioners and care givers in Central Europe.