Tag: ICU

1. Patients with prior episodes of critical illness requiring ICU admission were found to have an elevated risk of suicide and self-harm. 2. Suicide and self-harm were further correlated to the prevalence pre-existing psychiatric conditions as well as the receipt of life support. Evidence Rating Level: 2 (Good) Study Rundown: Due to...

1. Compared to usual care, fewer patients in the tocilizumab group died within 28 days of randomization. 2. Patients allocated tocilizumab were more likely to be discharged from the hospital within 28 days. Evidence Rating Level: 1 (Excellent) Study Rundown: Hypoxic respiratory failure in patients with COVID-19 is associated with systemic inflammation, alveolar damage,...

1. Time-limited trial interventions in patients with poor prognoses decreased length of stay in ICU, reduced minimally beneficial treatments, and increased communication between clinicians and patients/ patients’ families. 2. Time-limited trials did not alter hospital mortality rates of critically ill patients. Evidence Rating Level: 2 (Good) Study Rundown: There is growing evidence...

1. There was no significantly increased risk of ICU admission, intubation, or death among hospitalized patients with COVID-19 and active malignancy compared with a matched cohort of patients with COVID-19 and no malignancy. Evidence Level Rating: 2 (Good) Some institutions in the U.S. have reported higher rates of COIVD-related complications and...

1. Low-field, portable MRI appears to be a feasible neuroimaging option for patients hospitalized in ICUs and unable to be transported for traditional MRI. 2. All cases of point-of-care MRI, except for one, were in agreement with radiologic findings from traditional MRI and CT. Evidence Rating Level: 2 (Good) Study Rundown: Magnetic...

1. In this study of children admitted with acute respiratory illness, about one-third were respiratory syncytial virus (RSV)-positive and higher rates of hospitalization were noted among younger children. 2. Among hospitalized, RSV-positive patients, age outside of 12 – 23 months, comorbid conditions, and premature birth was associated with higher likelihood...

1. Intensive care unit (ICU) admission rates decreased from 2006 to 2015. 2. No association was found between percentage change in ICU beds and admissions to ICUs across states. Evidence Rating Level: 2 (Good) Study Rundown: ICU admissions require significant resources and are costly for healthcare systems. Therefore, large-scale data regarding admission...

1. Implementation of quality improvement (QI) interventions consisting of daily checklists, goal setting, and clinician prompting in Brazilian ICUs did not result in reduced in-hospital mortality. 2. Four care processes with poor baseline characteristics were modestly improved through the use of these QI interventions (use of low tidal volume, light...

1. In this trial, increasing the frequency and intensity of physical, occupational, speech and language, and dietetic therapies during the post-intensive care unit (ICU) period did not improve the functional status or the health-related quality of life for the patients compared to the usual care already in place. 2. This...

1. This survey of Asian intensive care unit physicians’ attitudes towards end of life care showed that, for patients who had little chance of a meaningful recovery, more than two-thirds of physicians withheld life sustaining treatment, but less than one-quarter withdrew such care. 2. Three-quarters of the responding physicians felt...