Characteristics and outcomes of cancer patients admitted to intensive care units in cancer specialized hospitals in China
ConclusionPatients with lung cancer require more ICU care due to critical complications and the overall survival prognosis is poor. Colorectal cancer may benefit more from ICU management. This information may be considered in ICU admission and treatment strategies. (Source: Journal of Cancer Research and Clinical Oncology)
Source: Journal of Cancer Research and Clinical Oncology - April 20, 2024 Category: Cancer & Oncology Source Type: research

Changes in metabolic acidosis following birth in intensive care unit neonates
Acidosis in the fetus-neonate is often measured at the time of delivery from samples of arterial and venous umbilical cord blood. The cord blood arterial pH and base excess (BE) in particular, reflecting the degree of metabolic acidosis present in the fetus just prior to birth, may be used retrospectively to assess the impact of intrapartum events, timeliness of interventions, and prospectively to guide newborn treatment (e.g., therapeutic hypothermia) [1 –3]. Severe acidosis (pH ≤ 7.1 and especially ≤ 7.0) in the umbilical cord artery is commonly used to assess the risk of fetal neurologic injury attributabl...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - April 20, 2024 Category: OBGYN Authors: Natalie T Simon, Patricia M Hagan, Karilynn M Rockhill, Kent D Heyborne Tags: Full length article Source Type: research

AB(2)CO risk score for in-hospital mortality of COVID-19 patients admitted to intensive care units
CONCLUSIONS: The AB2CO score is a fast and easy tool to be used upon ICU admission.PMID:38641122 | DOI:10.1016/j.rmed.2024.107635 (Source: Respiratory Care)
Source: Respiratory Care - April 19, 2024 Category: Respiratory Medicine Authors: Virginia Mara Reis Gomes Magda Carvalho Pires Polianna Delfino Pereira Alexandre Vargas Schwarzbold Ang élica Gomides Dos Reis Gomes Bruno Porto Pessoa Christiane Correa Rodrigues Cimini Danyelle Romana Alves Rios Fernando Anschau Francine Jana ína Maga Source Type: research

Workload reduction through automated documentation in intensive and intermediate care - a monocentric observational study
CONCLUSIONS: A non-negligible part of the daily working time in the medical sector is spent on documentation duties. This aggravates the high workload, which has increased in recent years. Automated documentation systems can lead to considerable relief and the possibility of focusing primarily on the patient and on other core competencies and activities. This is even more important, as available staff will be a key resource in patient care for the foreseeable future.PMID:38639519 | DOI:10.26355/eurrev_202404_35908 (Source: European Review for Medical and Pharmacological Sciences)
Source: European Review for Medical and Pharmacological Sciences - April 19, 2024 Category: Drugs & Pharmacology Authors: A N Flinspach J M Leimgruber V Neef K Zacharowski F J Raimann Source Type: research

Exploring the impact of dexmedetomidine on short-term outcomes in critically ill sepsis-associated encephalopathy patients
CONCLUSIONS: Dexmedetomidine administration was significantly associated with reduced short-term mortality among patients with sepsis-associated encephalopathy in the ICU. However, it also prolonged ICU and hospital stays and increased the incidence of VAP.PMID:38639512 | DOI:10.26355/eurrev_202404_35901 (Source: European Review for Medical and Pharmacological Sciences)
Source: European Review for Medical and Pharmacological Sciences - April 19, 2024 Category: Drugs & Pharmacology Authors: J Tang Z-G Zhong C-D Wu Source Type: research

Development and validation of novel simple prognostic model for predicting mortality in Korean intensive care units using national insurance claims data
CONCLUSIONS: The novel and simple models could predict in-hospital and ICU mortality and were not inferior compared to the pre-existing scoring systems.PMID:38638007 | DOI:10.3904/kjim.2022.311 (Source: The Korean Journal of Internal Medicine)
Source: The Korean Journal of Internal Medicine - April 19, 2024 Category: Internal Medicine Authors: Ah Young Leem Soyul Han Kyung Soo Chung Su Hwan Lee Moo Suk Park Bora Lee Young Sam Kim Source Type: research

Workload reduction through automated documentation in intensive and intermediate care - a monocentric observational study
CONCLUSIONS: A non-negligible part of the daily working time in the medical sector is spent on documentation duties. This aggravates the high workload, which has increased in recent years. Automated documentation systems can lead to considerable relief and the possibility of focusing primarily on the patient and on other core competencies and activities. This is even more important, as available staff will be a key resource in patient care for the foreseeable future.PMID:38639519 | DOI:10.26355/eurrev_202404_35908 (Source: Pharmacological Reviews)
Source: Pharmacological Reviews - April 19, 2024 Category: Drugs & Pharmacology Authors: A N Flinspach J M Leimgruber V Neef K Zacharowski F J Raimann Source Type: research

Exploring the impact of dexmedetomidine on short-term outcomes in critically ill sepsis-associated encephalopathy patients
CONCLUSIONS: Dexmedetomidine administration was significantly associated with reduced short-term mortality among patients with sepsis-associated encephalopathy in the ICU. However, it also prolonged ICU and hospital stays and increased the incidence of VAP.PMID:38639512 | DOI:10.26355/eurrev_202404_35901 (Source: Pharmacological Reviews)
Source: Pharmacological Reviews - April 19, 2024 Category: Drugs & Pharmacology Authors: J Tang Z-G Zhong C-D Wu Source Type: research

A Day Saved is a Life Saved: Direct Antimicrobial Susceptibility Testing from Positively Flagged Blood Culture Bottles and their Concordance with the Routine Method
CONCLUSION: Rapid dAST from positively flagged blood culture bottles proved to significantly reduce the TAT from the time of sample collection to the first availability of antimicrobial susceptibility report with excellent categorical agreement of > 95% using the conventional disc diffusion method. Results obtained were within the acceptance criteria set by U. S. Food and Drug Administration (FDA) guidelines of > 90% categorical agreement for a new method. We were able to obtain excellent concordance for colistin using the E-strip method. Performing dAST not only saves a "day", but its proper implementation would sav...
Source: Infectious Disorders Drug Targets - April 19, 2024 Category: Infectious Diseases Authors: Alisha Aggarwal Kumar S Abhishek Vibhor Tak Sukanya Mehrotra Venkat Goutham Nag Vidhi Jain Source Type: research

Clinical Influence of Nursing Intervention Under FOCUS-Plan-Do-Check-Act Cycle Management Model on Preventing and Controlling Central Line-associated Bloodstream Infections in Patients in ICU
CONCLUSION: Nursing intervention under the FOCUS-PDCA cycle management model can effectively deplete central line-associated bloodstream infection in each intensive care unit, facilitate early recovery of patients, and shorten hospital stay, which is worthy of promotion. Our study provide a clinical nursing reference for the preventing and controlling central line-associated bloodstream infections in patients in each intensive care unit.PMID:38639626 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - April 19, 2024 Category: Complementary Medicine Authors: Amin Zhang Yanxia Gong Xiaoxiao Li Kali Zhu Source Type: research

Clinical Influence of Nursing Intervention Under FOCUS-Plan-Do-Check-Act Cycle Management Model on Preventing and Controlling Central Line-associated Bloodstream Infections in Patients in ICU
CONCLUSION: Nursing intervention under the FOCUS-PDCA cycle management model can effectively deplete central line-associated bloodstream infection in each intensive care unit, facilitate early recovery of patients, and shorten hospital stay, which is worthy of promotion. Our study provide a clinical nursing reference for the preventing and controlling central line-associated bloodstream infections in patients in each intensive care unit.PMID:38639626 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - April 19, 2024 Category: Complementary Medicine Authors: Amin Zhang Yanxia Gong Xiaoxiao Li Kali Zhu Source Type: research

Palliative Care Consults for Critically Ill Patients, Does Timing Matter? (GP139)
1.  Compare sociodemographic and clinical characteristics of patients who received palliative care consults during their medical intensive care unit (MICU) stay versus after their ICU stay.2. Examined the impact that the timing of the palliative care consultation ( during ICU versus after ICU) has on patient outcome. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Ankita Mehta, Emily Chai, Li Zeng, Laura P. Gelfman Source Type: research

Impact of an ICU bed capacity optimisation method on the average length of stay and average cost of hospitalisation following implementation of Chinas open policy with respect to COVID-19: a difference-in-differences analysis based on information management system data from a tertiary hospital in southwest China
Conclusions This study corroborates a significant positive impact of ICU bed optimisation in mitigating the shortage of medical resources following an epidemic outbreak. The findings hold theoretical and practical implications for identifying effective emergency coordination strategies in managing hospital bed resources during sudden public health emergency events. These insights contribute to the advancement of resource management practices and the promotion of experiences in dealing with public health emergencies. (Source: BMJ Open)
Source: BMJ Open - April 19, 2024 Category: General Medicine Authors: Zheng, Q., Zeng, Z., Tang, X., Ma, L. Tags: Open access, Health economics Source Type: research

Factors Associated with Maternal Morbidity among Black Women in the United States
Conclusion The three factors most associated with SMM among NHBP are potentially avoidable or modifiable by aggressive screening, prevention, and treatment of preeclampsia and preterm birth as well as reducing cesarean rates in this population. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - April 19, 2024 Category: Perinatology & Neonatology Authors: Ibrahim Sous, Catrine Moravec, William DeFranco, Emily Kelly, Elizabeth A. Rossi, Robert M. Tags: Original Article Source Type: research

Severe cellulitis from methicillin-resistant Staphylococcus aureus (MRSA) in a couple of preterm twins: a case report
ConclusionsDue to the characteristic antibiotic resistance of MRSA and the potential complications of those infections in such delicate patients, basic prevention measures still represent the key to avoid the spreading of neonatal MRSA infections in NICUs, which include hand hygiene and strict precautions, as well as screening of patients for MRSA on admission and during hospital stay, routine prophylactic topical antibiotic of patients, enhanced environmental cleaning, cohorting and isolation of positive patients, barrier precautions, avoidance of ward crowding, and, in some units, surveillance, education and decolonizati...
Source: Italian Journal of Pediatrics - April 19, 2024 Category: Pediatrics Source Type: research