Critical care medicine
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Critical care medicine · Mar 2007
Multicenter Study Comparative StudyVariation in length of intensive care unit stay after cardiac arrest: where you are is as important as who you are.
To determine whether hospital site is independently associated with length of intensive care unit (ICU) stay in those patients who die in hospital after experiencing a cardiac arrest. ⋯ In this cohort of patients admitted to ICU after cardiac arrest, hospital site was strongly associated with ICU length of stay after controlling for patient-specific factors. Variation in processes of care among ICUs may point to opportunities for improvement.
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Critical care medicine · Mar 2007
Randomized Controlled Trial Multicenter StudyEvaluation of clinical safety and beneficial effects of a fish oil containing lipid emulsion (Lipoplus, MLF541): data from a prospective, randomized, multicenter trial.
To prove safety and effectiveness of a lipid emulsion enriched with n-3 fatty acids from fish oil (Lipoplus) within the setting of parenteral nutrition of patients after major abdominal surgery and to determine whether there are effects on outcome parameters. ⋯ Our findings indicate that the administration of Lipoplus in the postoperative period after major abdominal surgery is safe and results in a significantly shorter length of hospital stay. Administration of n-3 polyunsaturated fatty acids in the postoperative period can be considered a valuable choice for patients requiring parenteral nutrition after major abdominal surgery.
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Critical care medicine · Mar 2007
Multicenter StudyAssessing contemporary intensive care unit outcome: an updated Mortality Probability Admission Model (MPM0-III).
To update the Mortality Probability Model at intensive care unit (ICU) admission (MPM0-II) using contemporary data. ⋯ MPM0-II risk factors remain relevant in predicting ICU outcome, but the 1993 model significantly overpredicts mortality in contemporary practice. With the advantage of a much larger sample size and the addition of new variables and interaction effects, MPM0-III provides more accurate comparisons of actual vs. expected ICU outcomes.