Tag: ICU

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...

1. Off-hours admissions to the pediatric intensive care unit (PICU) were less likely to be elective, had a higher risk of mortality using the Pediatric Index of Mortality 2 (PIM2), and had higher observed ICU mortality.  2. Off-hours admission to the PICU was associated with lower odds of mortality compared...

1. In this retrospective cohort study, the use of arterial catheters in 139 US ICUs was not associated with mortality in medical patients requiring mechanical ventilation. 2. Patients with an arterial catheter did not have an increased rate of low-volume packed red blood cell transfusions, but did have a...

In this section, we highlight the key high-impact studies, updates, and analyses published in medicine during the past week. High-Protein Enteral Nutrition Enriched with Immune-Modulating Nutrients vs Standard High-Protein Enteral Nutrition and Nosocomial Infections in the ICU Nutrition deficiency in ICU patients may put them at greater risk for infections and...

Image: PD 1. Non-surgical intensive care unit (ICU) patients receiving mechanical ventilation demonstrated a higher prevalence of psychiatric diagnoses and psychoactive medication utilization in the five years prior to ICU admission 2. Non-surgical ICU patients with no prior psychiatric history demonstrated an increased incidence of new psychiatric diagnoses and psychoactive medication...

Image: PD In this section, we will highlight the key high-impact studies, updates, and analyses published in medicine during the past week. Twenty five year follow-up for breast cancer incidence and mortality of the Canadian National Breast Cancer Screening Study: randomized screening trial The use of mammography in breast cancer screening has...