Search results for "Critical care"
Optimal hospital care for Native Americans
The pandemic has highlighted the importance of improvement.
https://acphospitalist.acponline.org/archives/2021/01/optimal-hospital-care-for-native-americans.htm
15 Jan 2021
ICU bundles do not appear to improve delirium but may help other outcomes
A meta-analysis found an association between bundled interventions in the ICU and improvements in coma duration, length of stay, and 28-day mortality rates.
https://acphospitalist.acponline.org/weekly/archives/2020/12/23/3.htm
23 Dec 2020
PPIs started for stress ulcer prophylaxis in critically ill patients often continued after ICU, hospital discharge
A study at one U.S. academic medical center found that nearly half of patients who started proton-pump inhibitors (PPIs) in the ICU without an indication for outpatient use continued them after transfer to the floor, and 27% continued them after discharge.
https://acphospitalist.acponline.org/weekly/archives/2020/12/16/3.htm
16 Dec 2020
Machine learning approach estimated individual treatment effect of steroids in septic shock
Researchers used individual-patient data from four trials on corticosteroid supplementation in adults with septic shock to model the individual treatment effect, with the machine learning-derived individualized treatment strategy yielding a positive net mortality benefit.
https://acphospitalist.acponline.org/weekly/archives/2020/12/16/4.htm
16 Dec 2020
Sepsis, cardiac arrest, and more
Research summaries from ACP Hospitalist Weekly.
https://acphospitalist.acponline.org/archives/2020/12/in-the-news.htm
15 Dec 2020
Bundling consent in the ICU
Residents frequently use these bundles but report doubts about their validity.
https://acphospitalist.acponline.org/archives/2020/12/qa-bundling-consent-in-the-icu.htm
15 Dec 2020
How to withdraw ventilation compassionately
An expert offers advice on tackling the psychological and medical challenges of end-of-life extubation.
https://acphospitalist.acponline.org/archives/2020/12/how-to-withdraw-ventilation-compassionately.htm
15 Dec 2020
Reversal of prior DNR orders common at readmission of recently hospitalized patients
In a recent study, about 45% of California patients readmitted within 30 days following an initial hospitalization with do-not-resuscitate (DNR) orders reversed their DNR preferences upon readmission.
https://acphospitalist.acponline.org/weekly/archives/2020/12/09/3.htm
9 Dec 2020
Routine blood cultures at ICU admission may help increase detection of bloodstream infections
A before-after study in the Netherlands found that obtaining a single set of blood cultures at ICU admission in all patients increased detection of bloodstream infections as well as the proportion of patients with contaminated blood cultures without increasing vancomycin use.
https://acphospitalist.acponline.org/weekly/archives/2020/11/18/4.htm
18 Nov 2020
The battle against COVID-19
Hospitalists from New York, New Orleans, and Phoenix share their pandemic stories.
https://acphospitalist.acponline.org/archives/2020/11/the-battle-against-covid-19.htm
15 Nov 2020