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Total 70311 results found since Jan 2013.

Sharing ICU Patient Data Responsibly Under the Society of Critical Care Medicine/European Society of Intensive Care Medicine Joint Data Science Collaboration: The Amsterdam University Medical Centers Database (AmsterdamUMCdb) Example*
CONCLUSIONS: Technical, legal, ethical, and privacy challenges related to responsible data sharing can be addressed using a multidisciplinary approach. A risk-based deidentification strategy, that complies with both U.S. and European privacy regulations, should be the preferred approach to releasing ICU patient data. This supports the shared Society of Critical Care Medicine and European Society of Intensive Care Medicine vision to improve critical care outcomes through scientific inquiry of vast and combined ICU datasets.
Source: Critical Care Medicine - May 30, 2021 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

Critical Care Implications of the Affordable Care Act
Conclusions: The Affordable Care Act represents the furthest reaching regulatory changes in the U.S. healthcare system since the 1965 Medicare and Medicaid provisions of the Social Security Act. The Affordable Care Act aims to expand health insurance coverage to millions of Americans and place an emphasis on quality and cost-effectiveness of care. From models which link pay and performance to those which center on episodic care, the Affordable Care Act outlines sweeping changes to health systems, reimbursement structures, and the delivery of critical care. Staffing models that include daily rounding by an intensivist, pall...
Source: Critical Care Medicine - February 24, 2016 Category: Emergency Medicine Tags: Online Special Communication Source Type: research

Barriers to enrollment in a pediatric critical care biorepository
CONCLUSION: Inability to enroll patients in a critical care biorepository may be associated with several sociodemographic factors at various points in recruitment/enrollment.IMPACT: Individuals of minority race/ethnicity are less likely to enroll in genomic research and in critical care research. This study evaluated sociodemographic characteristics associated with decisions to enroll a child in a pediatric critical care biorepository. Sociodemographic factors including race/ethnicity, primary language, and insurance status and patient clinical characteristics are associated with differential enrollment into a pediatric cr...
Source: Pediatric Research - February 9, 2023 Category: Pediatrics Authors: Erin Paquette Avani Shukla Tracie Smith Tricia Pendergrast Susan Duyar Karen Rychlik Matthew M Davis Source Type: research

Limiting and Withdrawing Life Support in the PICU: For Whom Are These Options Discussed?*
Conclusions: Clinical factors reflecting type and severity of illness, sociodemographics, and institutional practices may influence whether limitation or withdrawal of life support is discussed with families of PICU patients. Most children whose families discuss limitation or withdrawal of life support die during their PICU stay; survivors often have substantial disabilities.
Source: Pediatric Critical Care Medicine - February 1, 2016 Category: Pediatrics Tags: Feature Articles Source Type: research

Variation in Pediatric Palliative Care Allocation Among Critically Ill Children in the United States*
The objectives are as follows: 1) estimate palliative care consult rates and trends among critically ill children and 2) characterize which children receive palliative care consults, including those meeting previously proposed ICU-specific palliative care screening criteria. DESIGN: Retrospective cohort. SETTING: Fifty-two United States children’s hospitals participating in the Pediatric Health Information Systems database. PATIENTS: Hospitalized children with nonneonatal ICU admissions from 2007 to 2018. MEASUREMENTS AND MAIN RESULTS: The primary outcome was palliative care consultation, as i...
Source: Pediatric Critical Care Medicine - May 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research

Rising Billing for Intermediate Intensive Care Among Hospitalized Medicare Beneficiaries Between 1996 and 2010.
CONCLUSIONS: Intermediate care billing increased markedly between 1996 and 2010. These findings highlight the need to better define the value, specific practices, and effective use of intermediate care for patients and hospitals. PMID: 26372779 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - September 15, 2015 Category: Respiratory Medicine Authors: Sjoding MW, Valley TS, Prescott HC, Wunsch H, Iwashyna TJ, Cooke CR Tags: Am J Respir Crit Care Med Source Type: research

Mobilization of patients in neurological Intensive Care Units of India: A survey
Conclusion: Mobilization in various forms is being practiced in the neurological ICUs of India. However, fewer mobilization sessions are conducted on weekends and night hours in Indian Neurological ICUs.
Source: Indian Journal of Critical Care Medicine - June 12, 2016 Category: Intensive Care Authors: Anup BhatKalyana ChakravarthyBhamini K Rao Source Type: research

Palliative Care Utilization in Nontraumatic Intracerebral Hemorrhage in the United States*
Objectives: Palliative care is now recognized as an essential component of comprehensive care in serious illness that interferes with quality of life. We explored utilization of palliative care in spontaneous intracerebral hemorrhage at a population level using a large national database. Design: Population based cross-sectional study. Setting: Inpatient hospital admissions from the Nationwide Inpatient Sample. Patients: A total of 311,217 patients with intracerebral hemorrhage. Interventions: Palliative care use. Measurements and Main Results: Intracerebral hemorrhage patients with and without palliative care were ide...
Source: Critical Care Medicine - February 24, 2016 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research

Hospital Variation in Intensive Care Resource Utilization and Mortality in Newly Diagnosed Pediatric Leukemia*
Conclusions: Wide hospital-level variability in ICU resource utilization and mortality exists in the care of children with leukemia requiring ICU support. Hospital payer mix is associated with some mortality variability. Additional study into how ICU support could be standardized through clinical practice guidelines, impact of payer mix on hospital resources allocation to the ICU, and subsequent impact on patient outcomes is warranted.
Source: Pediatric Critical Care Medicine - June 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Health-Related Quality of Life Among Survivors of Pediatric Sepsis*
Conclusions: Nearly one-quarter of children surviving hospitalization for community-acquired sepsis experienced a clinically significant deterioration in health-related quality of life. We identify risk factors for poor outcomes following sepsis and highlight the need for ongoing evaluation and treatment by primary and specialty care providers for pediatric sepsis survivors after hospital discharge.
Source: Pediatric Critical Care Medicine - June 1, 2019 Category: Pediatrics Tags: Feature Articles Source Type: research

Parental Mental Health Care After Their Child’s Pediatric Intensive Care Hospitalization*
Conclusions: After their child’s PICU hospitalization, the proportion of parents with a new mental health diagnosis nearly doubled. Mothers were at nearly twice the risk of receiving a new mental health diagnosis and receiving a new mental health medication compared with fathers. The proportion of parents receiving mental healthcare is much lower than the proportion reporting mental health symptoms in long-term outcomes studies. Whether this indicates a gap in healthcare delivery for parents with mental health symptoms remains unknown.
Source: Pediatric Critical Care Medicine - November 1, 2020 Category: Pediatrics Tags: Feature Articles Source Type: research

Health Resource Use in Survivors of Pediatric Septic Shock in the United States
CONCLUSIONS: Children with septic shock represent a high-risk cohort with high-resource needs after discharge. Interventions and targeted outcomes to mitigate postdischarge resource use may differ based on patients’ preexisting conditions.
Source: Pediatric Critical Care Medicine - June 1, 2022 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Addressing health care inequities in Canadian critical care through inclusive science: a pilot tool for standardized data collection
CONCLUSION: We developed a standardized, practical, and convenient demographic data collection tool for critical care research studies. Questions and response options can be adapted by researchers for inclusion in individual study questionnaires or case report forms.PMID:37165123 | DOI:10.1007/s12630-023-02450-1
Source: Canadian Journal of Anaesthesia - May 10, 2023 Category: Anesthesiology Authors: Yiyan Li Kirsten Fiest Karen E A Burns Katie O'Hearn Christina Maratta Kusum Menon Bram Rochwerg Srinivas Murthy Rob Fowler Sangeeta Mehta Canadian Critical Care Trials Group Source Type: research