Log in to search using one of your social media accounts:

This page shows you the most recent publications within this specialty of the MedWorm directory.

Issues experienced while administering care to patients with dementia in acute care hospitals: A study based on focus group interviews.
Conclusions The two main issues experienced by nurses while administering care to patients with dementia in acute care hospitals were as follows: (a) the various problems and difficulties faced by nurses were interactive and caused a burdensome cycle, and (b) nurses do their best to adapt to these conditions despite feeling conflicted. PMID: 28229772 [PubMed] (Source: International Journal of Qualitative Studies on Health and Well-being)
Source: International Journal of Qualitative Studies on Health and Well-being - February 27, 2017 Category: Global & Universal Tags: Int J Qual Stud Health Well-being Source Type: research

Between violation and competent care-Lived experiences of dependency on care in the ICU.
This study explores the perceived meaning of dependency on care as experienced by intensive care patients. Research from non-intensive settings shows that dependency is often experienced negatively, but literature on the subject experienced by patients in the ICU is sparse. The study is based on in-depth qualitative semi-structured interviews of lived experience with three former patients admitted to an intensive care unit at a Danish university hospital. The in-depth interviews have been characterized as narratives. The main inspiration for the analysis method is Ricoeur's phenomenological hermeneutical interpretation the...
Source: International Journal of Qualitative Studies on Health and Well-being - February 27, 2017 Category: Global & Universal Tags: Int J Qual Stud Health Well-being Source Type: research

A family intervention to reduce delirium in hospitalised ICU patients: A feasibility randomised controlled trial
This study sought to assess the feasibility of design and recruitment, and acceptability for family members and nurses of a family delivered intervention to reduce delirium in ICU patients. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - February 26, 2017 Category: Nursing Authors: Marion L. Mitchell, Susanne Kean, Janice E. Rattray, Alastair M. Hull, Chelsea Davis, Jenny E. Murfield, Leanne M. Aitken Tags: Clinical research article Source Type: research

Simulation as Part of Discharge Teaching for Parents of Infants in the Neonatal Intensive Care Unit
Background: Simulation has become accepted as a method to increase confidence among healthcare professionals. We felt simulation might have similar benefits for parents of babies about to be discharged from the neonatal intensive care unit. Purpose: We developed the Neonatal Home Environment Learning Program to promote parental confidence in anticipation of their infant's discharge from the neonatal intensive care unit. Methods: This evaluation study was conducted with 15 mother/father dyads. Each participant recorded a self-perceived confidence score before and after the simulation experience. Participants also complete...
Source: MCN: The American Journal of Maternal Child Nursing - February 25, 2017 Category: Nursing Tags: Feature Source Type: research

Is Routine Fortification of Human Milk for Babies in the Neonatal Intensive Care Unit Indicated?
No abstract available (Source: MCN: The American Journal of Maternal Child Nursing)
Source: MCN: The American Journal of Maternal Child Nursing - February 25, 2017 Category: Nursing Tags: ONGOING COLUMNS: Breastfeeding Source Type: research

[Neurodevelopmental Outcomes of Very Preterm or Very Low Birth Weigth Infants: Comparison of Monochorionic and Dichorionic Twins with Singletons].
CONCLUSIONS: In our sample the monochorionic twins are associated with an independent risk of neurodevelopmental delay. PMID: 28229835 [PubMed - in process] (Source: Acta Medica Portuguesa)
Source: Acta Medica Portuguesa - February 25, 2017 Category: Journals (General) Tags: Acta Med Port Source Type: research

Unpacking the burden of care for infants in the nicu
ABSTRACT Infants who begin early life in the medicalized environment of the neonatal intensive care unit (NICU) experience disruption to numerous fundamental expectancies. In the NICU, infants are exposed to chronic, extreme stressors that include painful medical procedures and parental separation. Due to their preverbal stage of development, infants are unable to fully express these experiences, and linking these experiences to long‐term outcomes has been difficult. This clinical article proposes the terminology Infant Medical Trauma in the NICU (IMTN) to describe the infant experience. Following a discussion of the NIC...
Source: Infant Mental Health Journal - February 25, 2017 Category: Child Development Authors: Amy L. D'Agata, Marilyn R. Sanders, Damion J. Grasso, Erin E. Young, Xiaomei Cong, Jacqueline M. Mcgrath Tags: CLINICAL PERSPECTIVES Source Type: research

Prevalence of Graduated Compression Stocking Associated Pressure Injuries in Surgical Intensive Care Units
This study aimed to determine the prevalence of static Graduated Compression Stocking (sGCS)-associated pressure injury among patients in surgical intensive care units (ICU). (Source: Journal of Critical Care)
Source: Journal of Critical Care - February 25, 2017 Category: Intensive Care Authors: Deborah B. Hobson, Tracy Y. Chang, Jonathan K. Aboagye, Brandyn D. Lau, Hasan M. Shihab, Betsy Fisher, Samantha Young, Nancy Sujeta, Dauryne L. Shaffer, Victor O. Popoola, Peggy S. Kraus, Gina Knorr, Norma E. Farrow, Michael B. Streiff, Elliott R. Haut Source Type: research

Intravenous Chlorothiazide Versus Enteral Metolazone to Augment Loop Diuretic Therapy in the Intensive Care Unit.
CONCLUSION: Both CTZ and MET induced significant increases in UOP. CTZ induced a greater and more rapid change and was associated with higher cost and greater need for potassium replacement. Randomized controlled trials are needed to establish whether a preferable thiazide diuretic exists in this setting. PMID: 28228057 [PubMed - in process] (Source: The Annals of Pharmacotherapy)
Source: The Annals of Pharmacotherapy - February 24, 2017 Category: Drugs & Pharmacology Authors: Michaud CJ, Mintus KC Tags: Ann Pharmacother Source Type: research

A new speech enhancement device for critically ill patients with communication problems: a prospective feasibility study
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 24, 2017 Category: Intensive Care Source Type: research

Peripheral VA-ECMO venous cannulation: which side for the femoral cannula?
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 24, 2017 Category: Intensive Care Source Type: research

High-flow oxygen via tracheostomy improves oxygenation in patients weaning from mechanical ventilation: a randomised crossover study
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 24, 2017 Category: Intensive Care Source Type: research

Parental presence in Italian pediatric intensive care units: a reappraisal of current visiting policies
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 24, 2017 Category: Intensive Care Source Type: research

“Does this patient have…” “Is this patient at risk for infection with multidrug resistant bacteria?”
(Source: Intensive Care Medicine)
Source: Intensive Care Medicine - February 24, 2017 Category: Intensive Care Source Type: research

SOFA and mortality endpoints in randomized controlled trials: a systematic review and meta-regression analysis
The  sequential organ failure assessment score (SOFA) is increasingly used as an endpoint in intensive care randomized controlled trials (RCTs). Although serially measured SOFA is independently associated with ... (Source: Critical Care)
Source: Critical Care - February 24, 2017 Category: Intensive Care Authors: Harm-Jan de Grooth, Irma L. Geenen, Armand R. Girbes, Jean-Louis Vincent, Jean-Jacques Parienti and Heleen M. Oudemans-van Straaten Source Type: research

Prone positioning in acute respiratory distress syndrome after abdominal surgery: a multicenter retrospective study
The recent demonstration of prone position ’s strong benefit on patient survival has rendered proning a major therapeutic intervention in severe ARDS. Uncertainties remain as to whether or not ARDS patients in... (Source: Annals of Intensive Care)
Source: Annals of Intensive Care - February 24, 2017 Category: Intensive Care Authors: St éphane Gaudry, Samuel Tuffet, Anne-Claire Lukaszewicz, Christian Laplace, Noémie Zucman, Marc Pocard, Bruno Costaglioli, Simon Msika, Jacques Duranteau, Didier Payen, Didier Dreyfuss, David Hajage and Jean-Damien Ricard Source Type: research

First trimester prediction of surgical outcome in abnormal invasive placenta using the cross ‐over sign
ConclusionFirst trimester ultrasound assessment of the relationship between the ectopic gestational sac and the endometrial line (COS insertion) may identify women with AIP at higher risk of intra‐and post‐surgical morbidities. (Source: Ultrasound in Obstetrics and Gynecology)
Source: Ultrasound in Obstetrics and Gynecology - February 24, 2017 Category: Radiology Authors: Giuseppe Cali, Francesco Forlani, Gabriella Minneci, Francesca Foti, Sergio Di Liberto, Alessandra Familiari, Giovanni Scambia, Francesco D'Antonio Tags: Original Paper Source Type: research

Early continuous renal replacement therapy in septic acute kidney injury could be defined by its initiation within 24 hours of vasopressor infusion
Conclusions Considering the possible therapeutic measurement by physician on the basis of the results in this study, early CRRT could be defined by a Tvaso-CRRT less than 24 h. (Source: Journal of Critical Care)
Source: Journal of Critical Care - February 24, 2017 Category: Gastroenterology Source Type: research

Developing a minimum dataset for nursing team leader handover in the intensive care unit: A focus group study
Despite increasing demand for structured processes to guide clinical handover, nursing handover tools are limited in the intensive care unit. (Source: Australian Critical Care)
Source: Australian Critical Care - February 24, 2017 Category: Nursing Authors: Amy J. Spooner, Leanne M. Aitken, Amanda Corley, Wendy Chaboyer Tags: Research paper Source Type: research

Differential Effects of the Single-Family Room Neonatal Intensive Care Unit on 18- to 24-Month Bayley Scores of Preterm Infants
To determine the effects of human milk and social/environmental disparities on developmental outcomes of infants born preterm cared for in a single-family room (SFR) neonatal intensive care unit (NICU). (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - February 24, 2017 Category: Pediatrics Authors: Betty Vohr, Elisabeth McGowan, Leslie McKinley, Richard Tucker, Lenore Keszler, Barbara Alksninis Tags: Original Articles Source Type: research

3D ultrasound registration-based visual servoing for neurosurgical navigation
ConclusionThe experiments demonstrated the feasibility of robotic ultrasound-based navigation and needle guidance for neurosurgical applications such as lumbar spine injections. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - February 24, 2017 Category: Intensive Care Source Type: research

Time for a paradigm shift: Assessing for anxiety in patients receiving mechanical ventilation
More than 5.7 million people are admitted to intensive care units (ICU) in the United States each year.1 Many ICU patients require endotracheal intubation and mechanical ventilatory support to assist with breathing. Pharmacological interventions are used to manage intubated patient's pain and agitation. The Richmond Agitation-Sedation Scale (RASS), a motor arousal scale, is used to guide the amount of medications needed.2 Sedation practices for patients receiving mechanical ventilatory support have evolved considerably over the last ten years. (Source: Heart and Lung)
Source: Heart and Lung - February 24, 2017 Category: Intensive Care Authors: Glen Au, Jaclynn R. Johnson, Linda L. Chlan Tags: Editorial Source Type: research

Risk factors of retinopathy of prematurity in a tertiary care hospital in South India
Conclusion Compromised pulmonary function along with oxygen, surfactant therapy and shock are important risk factors for severe ROP. Antenatal risk factors have no significance in the development of ROP. (Source: Clinical Epidemiology and Global Health)
Source: Clinical Epidemiology and Global Health - February 24, 2017 Category: Epidemiology Source Type: research

Position in the second stage of labour for women with epidural anaesthesia.
CONCLUSIONS: There are insufficient data to say anything conclusive about the effect of position for the second stage of labour for women with epidural analgesia. The GRADE quality assessment of the evidence in this review ranged between moderate to low quality, with downgrading decisions based on design limitations in the studies, inconsistency, and imprecision of effect estimates.Women with an epidural should be encouraged to use whatever position they find comfortable in the second stage of labour.More studies with larger sample sizes will need to be conducted in order for solid conclusions to be made about the effect o...
Source: Cochrane Database of Systematic Reviews - February 24, 2017 Category: Journals (General) Authors: Kibuka M, Thornton JG Tags: Cochrane Database Syst Rev Source Type: research

Active surveillance for carbapenem-resistant Acinetobacter baumannii in a medical intensive care unit: Can it predict and reduce subsequent infections and the use of colistin?
Conclusions Active surveillance has good specificity and negative predictive value for subsequent CRAB infection. Active surveillance followed by IECP was inversely associated with the acquisition of CRAB and subsequent CRAB infection, and was associated with a reduction in colistin use in ICU patients. (Source: American Journal of Infection Control)
Source: American Journal of Infection Control - February 24, 2017 Category: Infectious Diseases Source Type: research

Parents ’ presence and parent–infant closeness in 11 NICUs in six European countries varies between and within the countries
ConclusionParents spent more time in NICUs if they could stay overnight, underlining the importance that these facilities play in establishing parent‐infant closeness.This article is protected by copyright. All rights reserved. (Source: Acta Paediatrica)
Source: Acta Paediatrica - February 24, 2017 Category: Pediatrics Authors: Simo Raiskila, Anna Axelin, Liis Toome, Sylvia Caballero, Bente Silnes Tandberg, Rosario Montirosso, Erik Normann, Boubou Hallberg, Bj örn Westrup, Uwe Ewald, Liisa Lehtonen Tags: Regular Article Source Type: research

[Elderly patients and intensive care: Systematic review and geriatrician's point of view].
The objective of this review is to provide an overview of the literature about the management of elderly patients in intensive care unit and more specifically about epidemiology, admission criteria, mortality, functional prognosis and ethical aspects. We also discuss the data on cardiorespiratory arrest, shock, acute respiratory failure and delirium. The mortality rate of patients over 80 years old in intensive care unit can reach up to 70% at 1year, but is dependent on many factors, such as comorbidities or frailty. Above all, more than half of elderly patients recover their long-term autonomy. Their quality of life is co...
Source: Revue de Medecine Interne - February 23, 2017 Category: Internal Medicine Tags: Rev Med Interne Source Type: research

Sphygmomanometers and thermometers as potential fomites of Staphylococcus haemolyticus: biofilm formation in the presence of antibiotics.
CONCLUSIONS: Sphygmomanometers and thermometers are fomites for the transmission of ORSH. A sub-lethal dose of vancomycin may favor biofilm formation by ORSH on fomites and catheter surfaces. PMID: 28225903 [PubMed - in process] (Source: Memorias do Instituto Oswaldo Cruz)
Source: Memorias do Instituto Oswaldo Cruz - February 23, 2017 Category: Infectious Diseases Authors: Sued BP, Pereira PM, Faria YV, Ramos JN, Binatti VB, Santos KR, Seabra SH, Hirata R, Vieira VV, Mattos-Guaraldi AL, Pereira JA Tags: Mem Inst Oswaldo Cruz Source Type: research

Lactated Ringers versus normal saline in children with sepsis
The report by Weiss et  al in this volume of The Journal employed a large administrative database to investigate whether lactated Ringers is superior to normal saline in resuscitating children with sepsis. There is growing awareness that this question is important, as experimental and adult human data suggest that the su praphysiologic content of chloride in normal saline promotes renal injury and exacerbates the systemic inflammatory response. The clinical relevance of these findings in adult intensive care units is uncertain and results in nonrandomized studies have been mixed, but they support the preferential us e of ...
Source: The Journal of Pediatrics - February 23, 2017 Category: Pediatrics Authors: Philip Toltzis Tags: The Editors' Perspectives Source Type: research

Low rate of viral respiratory infections in infants in the NICU
Outbreaks of respiratory tract viral infections in neonatal intensive care units (NICUs) have been reported over the years, frequently with serious consequences in these highly vulnerable infants. Acquisition of respiratory viruses without typical manifestations of infection but with nonspecific worsening of neonatal cardiorespiratory, neurologic, or sepsis symptoms also has been suggested. Seeking evidence of viral respiratory tract infection when premature infants in the NICU have setbacks has become common practice. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - February 23, 2017 Category: Pediatrics Authors: Sarah S. Long Tags: The Editors' Perspectives Source Type: research

Predictive value of thyroid hormones on the first day in adult respiratory distress syndrome patients admitted to ICU: comparison with SOFA and APACHE II scores
CONCLUSION:In critically ill patients, serum fT3 concentrations makedly decreased after ICU admission among non-survivors. According to our findings, fT3 levels might have additive discriminatory power to age. SOFA na APACHE II scores in predicting short-term mortality in ARDS patients admitted to ICU.   (Source: Annals of Saudi Medicine)
Source: Annals of Saudi Medicine - February 23, 2017 Category: Journals (General) Tags: ISSUE 6 Source Type: research

The Australian and New Zealand Intensive Care Society Clinical Trials Group point prevalence program, 2009-2016.
CONCLUSION: The ANZICS CTG point prevalence program has resulted in the collection of a substantial body of observational data that has facilitated the development and completion of subsequent research programs and provided opportunities for subsequent capacity development. PMID: 28215137 [PubMed - in process] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - February 23, 2017 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Protocol and statistical analysis plan for the Randomised Evaluation of Active Control of Temperature versus Ordinary Temperature Management (REACTOR) trial.
CONCLUSIONS: The trial will determine whether active temperature control reduces body temperature compared with standard care. It is primarily being conducted to establish whether a phase III trial with a patient-centred end point of Day 90 mortality is justified and feasible. PMID: 28215136 [PubMed - in process] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - February 23, 2017 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Use of imaging studies for determination of brain death in South Australian intensive care units.
CONCLUSIONS: Therapeutic hypothermia, terminal serum sodium level ≥ 150 mmol/L and cause of death were independent predictors of brain death determination by imaging study. Documentation of imaging indication was poor, particularly after hypoxic brain injury. This may reflect emerging indications for imaging, poor adherence to ANZICS recommendations, or simple omissions. PMID: 28215133 [PubMed - in process] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - February 23, 2017 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Angiotensin II for the Treatment of High-Output Shock 3 (ATHOS-3): protocol for a phase III, double-blind, randomised controlled trial.
CONCLUSION: Our study will investigate the utility of adding ANGII to current SOC vasopressor options to increase the efficacy and safety of CRH therapy. PMID: 28215131 [PubMed - in process] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - February 23, 2017 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Exogenous glucagon-like peptide-1 attenuates glucose absorption and reduces blood glucose concentration after small intestinal glucose delivery in critical illness.
CONCLUSIONS: Short-term administration of exogenous GLP-1 reduces small intestinal glucose absorption for up to 4 hours during critical illness. This is likely to be an additional mechanism for the glucose-lowering effect of this agent. PMID: 28215130 [PubMed - in process] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - February 23, 2017 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

The characteristics, pattern of injury and outcome of children admitted to a paediatric intensive care unit following an inflicted injury.
CONCLUSIONS: The majority of children admitted to intensive care following an inflicted injury are aged under 12 months. Children most commonly require intensive care for management of a head injury. Many children have radiological findings suggestive of pre-existing inflicted injury. Despite high mortality, the majority of children survive. While most are likely to be independent, many children will have residual disabilities. PMID: 28215128 [PubMed - in process] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - February 23, 2017 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Characteristics and outcomes of critically ill patients with drug overdose in Australia and New Zealand.
CONCLUSIONS: Drug OD accounts for an increasing proportion of ICU admissions in Australia and New Zealand. Its population incidence is increasing overall, particularly in Indigenous Australians. PMID: 28215127 [PubMed - in process] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - February 23, 2017 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

New sepsis definition changes incidence of sepsis in the intensive care unit.
CONCLUSIONS: Adopting the SOFA criteria will increase the apparent incidence of sepsis in patients admitted to the ICU with infective conditions without affecting the mortality rate. Prospective evaluation of the effect of adopting the new definition of sepsis is required. PMID: 28215126 [PubMed - in process] (Source: Critical Care and Resuscitation)
Source: Critical Care and Resuscitation - February 23, 2017 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Predictive model of length of stay and discharge destination in neuroscience admissions.
CONCLUSIONS: Functional status at admission, specifically, a higher modified Rankin score and a lower systolic blood pressure along with the acquisition of deep vein thrombosis, catheter associated urinary tract infections, intubation, and admission to an intensive care unit all have a statistically significant effect on the hospital length of stay. PMID: 28217396 [PubMed - in process] (Source: Surgical Neurology International)
Source: Surgical Neurology International - February 23, 2017 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

Stapled versus hand-sewn: A prospective emergency surgery study. An American Association for the Surgery of Trauma multi-institutional study
CONCLUSION: EGS patients requiring bowel resection and anastomosis are at high risk for anastomotic failure. The current study illustrates an apparent bias among acute care surgeons to perform HS techniques in higher-risk patients. Despite the individualized application of technique for differing patient populations, the risk of anastomotic failure was equivalent when comparing HS and ST anastomoses. LEVEL OF EVIDENCE: Therapeutic study, level II. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - February 23, 2017 Category: Surgery Tags: AAST 2016 Plenary Papers Source Type: research

Neuro, trauma, or med/surg intensive care unit: Does it matter where multiple injuries patients with traumatic brain injury are admitted? Secondary analysis of the American Association for the Surgery of Trauma Multi-Institutional Trials Committee decompressive craniectomy study
This study is a secondary analysis of The American Association for the Surgery of Trauma Multi-Institutional Trials Committee (AAST-MITC) decompressive craniectomy study. Twelve Level 1 trauma centers provided clinical data and head computed tomography (CT) scans of patients with Glasgow Coma Scale score of 13 or less and CT evidence of TBI. Non-ICU admissions were excluded. Multivariate logistic regression was performed to measure the association between ICU type and survival and calculate the probability of death for increasing Injury Severity Score (ISS). Multiple injuries patients (ISS> 15) with TBI and isolated TBI pa...
Source: Journal of Trauma and Acute Care Surgery - February 23, 2017 Category: Surgery Tags: AAST 2016 Plenary Papers Source Type: research

The mangled extremity score and amputation: Time for a revision
BACKGROUND: The Mangled Extremity Severity Score (MESS) was developed 25 years ago in an attempt to use the extent of skeletal and soft tissue injury, limb ischemia, shock, and age to predict the need for amputation after extremity injury. Subsequently, there have been mixed reviews as to the use of this score. We hypothesized that the MESS, when applied to a data set collected prospectively in modern times, would not correlate with the need for amputation. METHODS: We applied the MESS to patient data collected in the American Association for the Surgery of Trauma PROspective Vascular Injury Treatment registry. This regis...
Source: Journal of Trauma and Acute Care Surgery - February 23, 2017 Category: Surgery Tags: Original Articles Source Type: research

Rib fracture fixation in the 65 years and older population: A paradigm shift in management strategy at a Level I trauma center
BACKGROUND: Rib fractures after chest wall trauma are a common injury; however, they carry a significant morbidity and mortality risk. The impact of rib fractures in the 65-year and older patient population has been well documented as have the mortality and pneumonia rates. We hypothesize that patients 65 years and older receiving rib plating (RP) have decreased mortality, complication rates, and an accelerated return to normal functional states when compared with controls. METHODS: With institutional review board approval, a retrospective review analyzed patients 65 years and older with rib fractures admitted from 2009 t...
Source: Journal of Trauma and Acute Care Surgery - February 23, 2017 Category: Surgery Tags: Original Articles Source Type: research

Defining multiple organ failure after major trauma: A comparison of the Denver, Sequential Organ Failure Assessment, and Marshall scoring systems
CONCLUSION: The choice of MOF scoring system affects incidence, duration, organ dysfunction patterns, and mortality prediction. We would recommend use of the Denver score since it is simplest to calculate, identifies a high-risk group of patients, and has the strongest association with early trauma mortality. LEVEL OF EVIDENCE: Epidemiological study, level III. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - February 23, 2017 Category: Surgery Tags: Original Articles Source Type: research

A novel method of optimizing patient- and family-centered care in the ICU
This study sought to determine whether incorporating family members on rounds in the intensive care unit (ICU) improves patient and family knowledge and whether doing so improves team time management and satisfaction with the process. METHODS: A nonrandomized comparative before-and-after trial of incorporating family members on rounds (July to December 2009 vs January to July 2010) in a single quarternary center's surgical ICU assessed (1) family members' knowledge, (2) nurse's and physician's satisfaction with the intervention, (3) frequency and timing of family meetings, and (4) physician's workflow. RESULTS: Intensive...
Source: Journal of Trauma and Acute Care Surgery - February 23, 2017 Category: Surgery Tags: Original Articles Source Type: research

Review of military and civilian trauma registries: Does consensus matter?
CONCLUSION: Well-established and reliable trauma registries and databases are fundamental in (military) trauma care. We recommend implementation of a (concurrent) UN/NATO wide registry system with a track and follow-up system to further improve the quality of care and registration of casualties. Further research should focus on real time aids available on the battlefield and direct storage/upload in trauma databases in theater. Ultimately, sound and valid data support medical decision process and evaluation necessary to save lives on the battlefield. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - February 23, 2017 Category: Surgery Tags: Review Article Source Type: research

Operative fixation of rib fractures after blunt trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma
CONCLUSION: In adult patients with flail chest, we conditionally recommend rib ORIF to decrease mortality; shorten DMV, hospital LOS, and ICU LOS; and decrease incidence of pneumonia and need for tracheostomy. We cannot offer a recommendation for pain control, or any of the outcomes in patients with nonflail chest with currently available data. LEVEL OF EVIDENCE: Systematic review/meta-analysis, level III. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - February 23, 2017 Category: Surgery Tags: Guidelines Source Type: research

Attitudes towards fever amongst UK paediatric intensive care staff
Conclusions: Staff on paediatric intensive care units in the United Kingdom and Ireland tends to treat temperatures within the febrile range. There was a willingness to conduct a randomized controlled trial of treatment of fever.What is known:• The effect of fever on the outcome in paediatric critical illness is unknown.• Paediatricians have traditionally been reluctant to allow fever in sick children.What is new:• Paediatric intensive care staff report a tendency towards treating fever, with a median reported treatment threshold of 38 °C.• There is widespread support amongst PICU staff in the UK for a randomized...
Source: European Journal of Pediatrics - February 23, 2017 Category: Pediatrics Source Type: research

The spectrum and outcome of surgical sepsis in Pietermaritzburg, South Africa.
CONCLUSIONS: The spectrum of SS in SA is different to that seen in the developed world. Intra-abdominal sepsis is the most common SS and is overwhelmingly caused by acute appendicitis. Diabetic foot infection is a major cause of SS, reflecting the increasing burden of non-communicable chronic diseases in SA. PMID: 28220740 [PubMed - in process] (Source: South African Medical Journal)
Source: South African Medical Journal - February 23, 2017 Category: African Health Tags: S Afr Med J Source Type: research