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The study was conducted at a large urban academic hospital, which launched an 8-bed medical ICU staffed by 2 NPs at a time in January 2012.
https://acphospitalist.acponline.org/weekly/archives/2016/09/28/2.htm
28 Sep 2016
Overnight extubations associated with higher mortality risk
ICU patients who had received mechanical ventilation for less than 12 hours were significantly more likely to be extubated between 7 p.m. and 7 a.m. than those who were on ventilation for longer.
https://acphospitalist.acponline.org/weekly/archives/2016/09/14/1.htm
14 Sep 2016
High ICU utilization for 4 common conditions may drive up costs without improving mortality, study finds
The retrospective cohort study ranked 94 hospitals in Washington State and Maryland by their predicted ICU utilization rates for adult patients hospitalized for diabetic ketoacidosis, pulmonary embolism, upper gastrointestinal bleeding, and congestive heart failure.
https://acphospitalist.acponline.org/weekly/archives/2016/08/10/1.htm
10 Aug 2016
Delays in ICU transfer increase mortality, LOS, but early warning score may help, study finds
Researchers retrospectively applied the previously published electronic Cardiac Arrest Risk Triage (eCART) score, which utilizes demographics, vital signs, and laboratory data as an objective measure of critical illness.
https://acphospitalist.acponline.org/weekly/archives/2016/07/13/2.htm
13 Jul 2016
Standard or high-flow nasal oxygen better than non-invasive ventilation for immunocompromised, study finds
Researchers found 2 factors independently associated with intubation and mortality: age and non-invasive ventilation as first-line therapy.
https://acphospitalist.acponline.org/weekly/archives/2016/06/15/2.htm
15 Jun 2016
Dexmedetomidine sped extubation of ventilated patients with agitation and delirium
The placebo-controlled trial included 74 adult patients from 15 ICUs in Australia and New Zealand who did not have advanced dementia or traumatic brain injury.
https://acphospitalist.acponline.org/weekly/archives/2016/04/20/2.htm
20 Apr 2016
Survival has improved considerably for patients with acute liver failure
Between 1998 and 2013, decreases were seen in red blood cell transfusions, frozen plasma transfusions, mechanical ventilation, and vasopressors for acute liver failure patients.
https://acphospitalist.acponline.org/weekly/archives/2016/04/06/4.htm
6 Apr 2016
Diagnoses of Medicare ICU patients have shifted
Cardiovascular disease remains the top disease category of primary diagnoses, but it declined yearly from 1996 to 2010, while infection-related diagnoses, especially sepsis, rose.
https://acphospitalist.acponline.org/weekly/archives/2016/03/23/2.htm
23 Mar 2016
Letter from the Editor
This month's issue discusses implantation of endovascular therapy in stroke, reversal agents for the direct oral anticoagulants, antibiotics at the end of life, and more.
https://acphospitalist.acponline.org/archives/2016/02/lfe.htm
15 Feb 2016
End of life in the ICU
Outcomes, whether life or death, should better reflect goals and values of patients, experts say.
https://acphospitalist.acponline.org/archives/2016/01/end-of-life-ICU.htm
15 Jan 2016