Journal of critical care
-
Journal of critical care · Feb 2018
Multicenter Study Observational StudyAssociation between strained capacity and mortality among patients admitted to intensive care: A path-analysis modeling strategy.
To evaluate the associations between strained ICU capacity and patient outcomes. ⋯ Strained capacity was associated with increased ICU mortality, partly mediated through greater illness acuity. Future work should consider both the direct and indirect relationships of strain on outcomes.
-
Journal of critical care · Feb 2018
Multicenter StudyUntreated hypertension as predictor of in-hospital mortality in intracerebral hemorrhage: A multi-center study.
Hypertension is a significant risk factor for intracerebral hemorrhage (ICH). The importance of managing blood pressure to reduce the risk of ICH has been recognized. However, few studies have focused on ICH outcomes due to untreated hypertension. ⋯ Subjects with untreated-hypertension were younger and had fewer comorbidities when compared with treated-hypertension and were similar when compared to normotensive individuals. Once demographic and in-hospital factors were accounted for, untreated-hypertension subjects demonstrated significantly increased in-hospital mortality following ICH when compared with normotensive individuals.
-
Journal of critical care · Feb 2018
Multicenter StudyPhysician attire in the intensive care unit in Japan influences visitors' perception of care.
The objective of this study is to evaluate the impact of physician attire and behavior on perceptions of care by ICU visitors in Japan. ⋯ Physician attire in the ICU affects perceptions of care. Implementation of attire guidelines which require clothing that does not meet visitor preferences should be accompanied by education programs.
-
Journal of critical care · Feb 2018
Multicenter StudyRisk of drug resistance in repeat gram-negative infections among patients with multiple hospitalizations.
Drug resistance in gram-negative bacterial hospital-acquired infections (GNB HAIs) has become ubiquitous in recent years. Patients who experience multiple hospitalizations are at high risk of developing repeat GNB HAIs. This study aims to evaluate the relationship between repeat GNB HAIs and antibiotic susceptibility patterns. ⋯ Prevention of repeat infections in high healthcare utilizers may be important in reducing drug resistance in this population.
-
Journal of critical care · Dec 2017
Multicenter Study Observational StudyDelirium and exposure to psychoactive medications in critically ill adults: A multi-centre observational study.
Investigate the relationship between psychoactive drugs and delirium. ⋯ The identification of psychoactive drugs as modifiable delirium risk factors plays an important role in the management of critically ill patients. This is particularly important given the burden of exposure and combinations of drugs used in this vulnerable patient population.