Medicina intensiva
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Multicenter Study
[Use of non-invasive ventilation in acute respiratory failure. Multicenter study in intensive care units].
Study the use of non-invasive ventilation (NIV) in patients with acute respiratory failure in intensive care units (ICUs) in Spain. ⋯ In Spain, NIV is widely used but it may continue to be underused in COPD and APE. The diagnosis of pneumonia or ARDS was an independent predictive risk factor. Admission in an ICU with NIV in more than 50 patients/year also have higher PaO2/FiO2 ratio after one hour of ventilation were predictive factors of success.
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Multicenter Study Comparative Study
[Use of antibiotics for the treatment of multiresistant gram positive cocci infections in critical patients].
This study has been designed to know the use of these antibiotics (ATB) in Intensive Care Units (ICUs). ⋯ The most common use of this ATB was to treat ICU-acquired infections. VAN was the most frequently used drug. Treatments with LZD were modified less frequently for clinical failure and this drug was the one most used in rescue therapies. This information indicates an appropriate use of these ATB in an important percentage of critically patients.
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Multicenter Study
[Evaluation of the reproducibility of the data collection for the APACHE II, APACHE III adapted for Spain and the SAPS II in nine intensive care units in Spain].
To assess reproducibility in data collection and its influence on the calculation of the severity scoring and mortality risk in APACHE II, APACHE III adapted for Spain and SAPS II. ⋯ In this study, APS was the most influential factor on the reproducibility of severity scores and risk of death prediction. Admission diagnosis assignment had no significant impact on the reproducibility of the predicted mortality risk.
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Multicenter Study
[Mortality and hospital stay adjusted for severity as indicators of effectiveness and efficiency of attention to intensive care unit patients].
To evaluate effectiveness and efficiency of ICU care using the APACHE III model customized for Spain. ⋯ The SMR was 0.9 (95% CI: 0.82-0.99), SRUPI was greater than 1 in 3 of 9 hospitals, According the SMR and SRUPI only one hospital was qualified as an outlier. CONCLUSIONS; In this study, no relationship was found between quality of care and use of resources. Moreover, this methodology may be a useful tool in order to detect deviations from the standard of care and use of resources, and in this way to lead to the analysis of different causes, the differences among hospitals being taken into account.
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Multicenter Study
[The effectiveness of training schemes in the treatment of acute coronary syndrome at health centers].
A preliminary evaluation of the impact of a training program on pre-hospitalization care of acute coronary syndrome (ACS). ⋯ A training scheme for general practitioners (GP) is essential to ensure appropriate care of patients with this condition.