A prolonged intensive care unit stay defines a worse long-term prognosis – Insights from the critically ill mortality by age (Cimba) study
Patients with critical illness often survive the intensive care unit (ICU) at a cost of prolonged length of stay (LOS) and slow recovery. This chronic critically ill disease may lead to long-term poor outcomes, especially in older or frail patients. (Source: Australian Critical Care)
Source: Australian Critical Care - April 21, 2024 Category: Nursing Authors: Ana Rita Rodrigues, Andr é Oliveira, Tatiana Vieira, Rui Assis, Catarina Lume, João Gonçalves-Pereira, Susana M. Fernandes Tags: Research paper Source Type: research
Experiences of parents visiting an adult family member in the intensive care unit accompanied by their underaged children: A qualitative study
The objective of this study was to explore experiences and needs of parents visiting critically ill family members in intensive care units (ICUs) accompanied by their underaged children ( (Source: Australian Critical Care)
Source: Australian Critical Care - April 17, 2024 Category: Nursing Authors: Tanja Belser, Matthias Thomas Exl, Peter Nydahl, Maya Zumstein-Shaha, Marie-Madlen Jeitziner Tags: Research paper Source Type: research
Nutrition delivery and the relationship with changes in muscle mass in adult patients receiving extracorporeal membrane oxygenation: A retrospective observational study
This study explored the association between energy and protein delivery and changes in muscle health measured using ultrasound from baseline to day 10 and 20 in patients receiving ECMO. (Source: Australian Critical Care)
Source: Australian Critical Care - April 17, 2024 Category: Nursing Authors: Clare E. Ferguson, Kate Hayes, Oana A. Tatucu-Babet, Kate J. Lambell, Eldho Paul, Carol L. Hodgson, Emma J. Ridley Tags: Research paper Source Type: research
Nutrition research in the ICU
Critical care management of patients' and families' myriad of needs both within, and beyond intensive care units (ICUs) requires a comprehensive, multidisciplinary evidence-based approach. As demonstrated by the breadth of papers in the current Australian Critical Care (ACC) issue, patients in ICU are critically ill across the lifespan and developing evidence to mitigate risk demands dynamic, multiple methods of inquiry. In the last ACC issue, Marshall (2024) asked “Are we ready?” for the expected increased average age of patients admitted to the ICU compared to today's cohort. (Source: Australian Critical Care)
Source: Australian Critical Care - April 16, 2024 Category: Nursing Authors: Lisa Kuhn Tags: Editorial Source Type: research
Editorial Board
(Source: Australian Critical Care)
Source: Australian Critical Care - April 16, 2024 Category: Nursing Source Type: research
The effect of progressive relaxation exercise on fatigue level of intensive care nurses: A randomised controlled trial
The aim of this study is to examine the effect of progressive muscle relaxation exercise on the fatigue level of intensive care nurses. (Source: Australian Critical Care)
Source: Australian Critical Care - April 15, 2024 Category: Nursing Authors: Selva Ezgi Askar (A şkar), Ozlem (Özlem) Ovayolu, Nimet Ovayolu Tags: Research paper Source Type: research
Communication in critical care tracheostomy patients dependent upon cuff inflation: A scoping review
The aim of this study was to synthesise the evidence concerning communication in critically ill tracheostomy patients dependent on cuff inflation. The aim was to identify the psychological impact on patients awake and alert with tracheostomies but unable to speak; strategies utilised to enable communication and facilitators and barriers for the success of these strategies. (Source: Australian Critical Care)
Source: Australian Critical Care - April 15, 2024 Category: Nursing Authors: Carla McClintock, Daniel F. McAuley, Lisa McIlmurray, Asem Abdulaziz R. Alnajada, Bronwen Connolly, Bronagh Blackwood Tags: Review paper Source Type: research
Critical care nurses' assessment of writing diaries for adult patients in the intensive care unit – A qualitative study
Patients describe surreal experiences, hallucinations, loss of control, fear, pain, and other discomforts during their stay in intensive care units. Diaries written by critical care nurses can help patients fill-in memory gaps, gain an understanding of their illness after returning home, and enhance recovery. However, critical care nurses have difficulty deciding which patients in the intensive care unit should receive diaries and how to conduct and prioritise this nursing intervention. (Source: Australian Critical Care)
Source: Australian Critical Care - April 15, 2024 Category: Nursing Authors: Silje Gundersen, Siri Blikstad-L økkevik, Guro Brenna, Simen A. Steindal, Monica Evelyn Kvande Tags: Research paper Source Type: research
Inter-rater agreement between patient- and proxy-reported cognitive functioning in intensive care unit patients: A cohort study
Health status, including cognitive functioning before critical illness, is associated with long-term outcomes in intensive care unit survivors. Premorbid data are therefore of importance in longitudinal studies. Few patients can self-report at intensive care admission. Consequently, proxy assessments of patients' health status are used. However, it remains unclear how accurately proxies can report on an intensive care patient's cognitive status. (Source: Australian Critical Care)
Source: Australian Critical Care - April 12, 2024 Category: Nursing Authors: Malin Brandvold, Tone Rust øen, Milada Hagen, Jan Stubberud, Mark van den Boogaard, Kristin Hofsø Tags: Research paper Source Type: research
Factors influencing decision-making processes for intensive care therapy goals: A systematic integrative review
Delivering intensive care therapies concordant with patients' values and preferences is considered gold standard care. To achieve this, healthcare professionals must better understand decision-making processes and factors influencing them. (Source: Australian Critical Care)
Source: Australian Critical Care - April 11, 2024 Category: Nursing Authors: Diane Kelly, Jonathan Barrett, Gabrielle Brand, Michelle Leech, Charlotte Rees Tags: Review paper Source Type: research
Hemodynamic goals in sepsis and septic shock resuscitation: An umbrella review of systematic reviews and meta-analyses with trial sequential analysis
The objective of this study was to verify whether any parameter among those used as the target for haemodynamic optimisation (e.g., mean arterial pressure, central venous oxygen saturation, systolic or diastolic dysfunction, CO2 gap, lactates, right ventricular dysfunction, and PvaCO2/CavO2 ratio) is correlated with mortality in an undifferentiated population with sepsis or septic shock. (Source: Australian Critical Care)
Source: Australian Critical Care - April 11, 2024 Category: Nursing Authors: Daniele Orso, Nicola Federici, Cristina Lio, Filippo Mearelli, Tiziana Bove Tags: Review paper Source Type: research
The introduction of a sound reduction bundle in the intensive care unit and its impact on sound levels and patients
ICU outcomes are continuing to improve. However, this has not been matched by similar improvements of the ICU bedspace environment, which can detrimentally impact on patient outcomes. Excessive sound and noise, especially, has been linked with adverse and potentially preventable patient outcomes and staff errors.There are many sources of sound in the ICU, with alarms from bedside equipment frequently listed as a main source. The number of alarms is increasing in parallel with the introduction of new and more sophisticated technologies to monitor and support patients. (Source: Australian Critical Care)
Source: Australian Critical Care - April 10, 2024 Category: Nursing Authors: Oystein Tronstad, Sue Patterson, Barbara Zangerl, Dylan Flaws, Robert Holdsworth, Lacey Irvine, Stephanie Yerkovich, India Pearse, John F. Fraser Tags: Research paper Source Type: research
Burden of fever and hospital mortality in patients admitted to the intensive care unit with isolated traumatic brain injury —A retrospective cohort study using continuous temperature data
Fever has been shown to be associated with poor outcomes in patients with traumatic brain injury. Earlier studies have used peak daily temperature to derive the burden of fever. The association between hospital mortality and fever burden calculated as the area under the temperature –time curve for the entire duration of intensive care unit (ICU) stay has not been studied before. (Source: Australian Critical Care)
Source: Australian Critical Care - April 10, 2024 Category: Nursing Authors: Hemang Doshi, Kush Deshpande Tags: Research paper Source Type: research
Data cleaning for clinician researchers: Application and explanation of a data-quality framework
Data cleaning is the series of procedures performed before a formal statistical analysis, with the aim of reducing the number of error values in a dataset and improving the overall quality of subsequent analyses. Several study-reporting guidelines recommend the inclusion of data-cleaning procedures; however, little practical guidance exists for how to conduct these procedures. (Source: Australian Critical Care)
Source: Australian Critical Care - April 10, 2024 Category: Nursing Authors: Julia K. Pilowsky, Rosalind Elliott, Michael A. Roche Tags: Methodological series Source Type: research
Understanding the provision of goal-concordant care in the intensive care unit: A sequential two-phase qualitative descriptive study
Goal-concordant care in intensive care is care that aligns with the patient's expressed goals, values, preferences and beliefs. Communication and shared decision-making are key to ensuring goal-concordant care. (Source: Australian Critical Care)
Source: Australian Critical Care - April 9, 2024 Category: Nursing Authors: Laurie A. Saffer, Anastasia F. Hutchinson, Melissa J. Bloomer Tags: Research paper Source Type: research
