Search results for "Critical care"
Late diagnoses, routine cultures, and more
Research summaries from ACP Hospitalist Weekly.
https://acphospitalist.acponline.org/archives/2021/05/recent-research.htm
15 May 2021
Survival of critical illness in ICU linked to subsequent suicide, self-harm
Compared to hospital survivors who never required ICU admission, those who were discharged from an ICU had a higher risk of suicide and self-harm in a Canadian study. Risk factors included previous psychiatric diagnoses and use of life-support interventions in the ICU.
https://acphospitalist.acponline.org/weekly/archives/2021/05/12/2.htm
12 May 2021
Guideline addresses viral testing in patients with community-acquired pneumonia
The new American Thoracic Society guideline opposes routine use of nucleic acid-based testing for noninfluenza viral pathogens in outpatients with community-acquired pneumonia but identifies some uses for the tests in inpatients.
https://acphospitalist.acponline.org/weekly/archives/2021/05/12/4.htm
12 May 2021
Trend-based EHR early warning score may help predict inpatient deterioration
Researchers used 43 variables and trends to develop a logistic model and deterioration index that helped predict patient deterioration one hour or more before an adverse event.
https://acphospitalist.acponline.org/weekly/archives/2021/05/12/3.htm
12 May 2021
Studies look at how COVID-19 mortality varied by hospital, over time
Hospital strain seems to be a significant factor in patients' mortality from COVID-19, according to a study analyzing deaths among ICU patients by hospital and another comparing March and April 2020 outcomes to those later in the year.
https://acphospitalist.acponline.org/weekly/archives/2021/05/05/2.htm
5 May 2021
Training in time-limited trials associated with less use of nonbeneficial ICU treatments
In a pre- and postintervention quality improvement study, physicians at three academic hospitals in California were trained to use time-limited trials of interventions in communication and care planning with families and surrogate decision makers of critically ill ICU patients.
https://acphospitalist.acponline.org/weekly/archives/2021/04/21/4.htm
21 Apr 2021
Opioid exposure linked to increased risk of delirium in critically ill adults
A Dutch study found that opioid use in the ICU increased the daily risk of delirium by 45% in a dose-dependent manner and that this increased risk was independent of the degree of pain present.
https://acphospitalist.acponline.org/weekly/archives/2021/04/21/5.htm
21 Apr 2021
Ten tips to avoid ventilation
An expert offers his ideas on proning, feeding, and more.
https://acphospitalist.acponline.org/archives/2021/04/ten-tips-to-avoid-ventilation.htm
15 Apr 2021
Hearts, shots, and PPIs
This month's issue looks at the division of responsibility for inpatient heart failure care, life after COVID-19 vaccination, and unnecessary proton-pump inhibitors, along with other topics.
https://acphospitalist.acponline.org/archives/2021/04/letter-from-the-editor.htm
15 Apr 2021
A look back at an intense year in intensive care
Three experts analyze the pandemic response.
https://acphospitalist.acponline.org/archives/2021/04/a-look-back-at-an-intense-year-in-intensive-care.htm
15 Apr 2021