Articles: critical-care.
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Multicenter Study Comparative Study
[Cost differences in the treatment of severe sepsis between survivors and non-survivors on the first day of intensive care admission].
Patients admitted to intensive care unit with severe sepsis have high mortality and use significant resources. ⋯ The mortality of severe sepsis is high and the cost of sepsis treatment is low in Hungary compared to international data. Non-survivors cost almost twice as much even on day 1, this warrants the need for early diagnosis and adequate treatment.
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Critical care medicine · Sep 2007
Multicenter StudyFacilitating clinician adherence to guidelines in the intensive care unit: A multicenter, qualitative study.
To determine perceived facilitators and barriers to guideline implementation and clinician adherence to guidelines in the intensive care unit (ICU). ⋯ Complex ICU practices and unique interprofessional team dynamics influence clinician adherence to guidelines. Initiatives that employ an approach addressing these issues may optimize guideline uptake and adherence. The optimal approach and its effectiveness may be guideline-dependent and requires further study.
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Multicenter Study
The effect of a critical care outreach service and an early warning scoring system on respiratory rate recording on the general wards.
To determine whether the implementation of a Reading-Modified Early Warning Scoring (R-MEWS) system, is associated with an increased recording of respiratory rate (RR) in hospital inpatients, and whether the presence of a critical care outreach (CCO) service has a further impact on the recording of patient's vital signs. ⋯ The introduction of an early warning scoring (EWS) was associated with improved respiratory rate recording, which may have been further enhanced by the presence of a CCO service.
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Anaesth Intensive Care · Aug 2007
Multicenter StudyAfter-hours discharge from intensive care increases the risk of readmission and death.
Despite reports showing night discharge from an intensive care unit (ICU) is associated with increased mortality, it is unknown if this has resulted in changes in practice in recent years. Our aim was to determine prevalence, trends and effect on patient outcome of discharge timing from ICU throughout Australia and New Zealand. Two datasets from the Australian and New Zealand Intensive Care Society Adult Patient Database (ANZICS APD) were examined: (1) All submissions to the APD from 1.1.2003 to 31.12.2004 to determine contemporary practices. (2) Forty hospitals which had submitted continuous data between 1.1.2000 and 31.12.2004 to determine trends in practice over time. ⋯ After-hours discharge from ICU is associated with increased risk of death and readmission to ICU. It has become more frequent. The risk of death increases as more after-hours discharges occur.
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Emerg Med Australas · Jun 2007
Multicenter StudyPractice makes perfect? Evaluation of cricoid pressure task training for use within the algorithm for rapid sequence induction in critical care.
To assess task training in cricoid pressure application suitable for incorporation into the algorithm for rapid sequence induction in acute care. ⋯ The application of cricoid force by critical care staff can be significantly improved by up to 3 min of practice on a simple task trainer.