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Journal articles on the topic 'Intensive care unit (ICU)'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 July 2025

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1

Muralidharagopalan, Niranjanan Raghavn, Kamalakumar Karuppasamy, and Somasundaram Subramanian. "Intensive care unit delirium - does prolonged intensive care unit stay increase morbidity." International Journal of Research in Orthopaedics 6, no. 3 (2020): 477. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20201061.

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<p class="abstract"><strong>Background:</strong> The term intensive care unit (ICU) delirium or ICU psychosis denotes the transient period of psychosis exhibited by the geriatric patients placed in long term ICU care. This condition can be mistaken for organic neurological deterioration and can result in improper treatment, delayed rehabilitation and longer ICU stay. The objective of the study was to analyse the outcome of early ward rehabilitation in post-surgical patients with ICU psychosis.</p><p class="abstract"><strong>Methods:</strong> This is a

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Ok, G., H. Yilmaz, D. Tok, K. Erbüyün, S. Çoban, and G. Dinç. "Evaluating Sleep Characteristics in Intensive Care Unit and Non-Intensive Care Unit Physicians." Anaesthesia and Intensive Care 39, no. 6 (2011): 1071–75. http://dx.doi.org/10.1177/0310057x1103900614.

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Healthcare workers’ cognitive performances and alertness are highly vulnerable to sleep loss and circadian rhythms. The purpose of this study was to investigate the changes in sleep characteristics of intensive care unit (ICU) and non-ICU physicians. Actigraphic sleep parameters, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and Hamilton Depression Rating Scale were evaluated for ICU and non-ICU physicians on the day before shift-work and on three consecutive days after shift-work. Total sleep time, sleep latency, wakefulness after sleep onset, total activity score, movement fragmen

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Kalabalik, Julie, Luigi Brunetti, and Radwa El-Srougy. "Intensive Care Unit Delirium." Journal of Pharmacy Practice 27, no. 2 (2013): 195–207. http://dx.doi.org/10.1177/0897190013513804.

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Purpose: The recent literature regarding intensive care unit (ICU) delirium and updated clinical practice guidelines are reviewed. Summary: Recent studies show that ICU delirium in critically ill patients is an independent predictor of higher mortality, longer ICU and hospital stay, and is associated with multiple clinical complications. Delirium has been reported to occur in greater than 80% of hospitalized critically ill patients, yet it remains an underdiagnosed condition. Several subtypes of delirium have been identified including hypoactive, hyperactive, and mixed presentation. Although t

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LP Saikumar Doradla and M Vadivelan. "Invasive Monitoring in the Intensive Care Unit." Indian Journal Of Clinical Practice 34, no. 2 (2023): 10–13. http://dx.doi.org/10.59793/ijcp.v34i2.453.

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The purpose of monitoring of the patient in an intensive care unit (ICU) is to improve patient care, like bringing about a change in the treatment or transfer of the patient to a step-down unit. Monitoring also shows the extent of compliance with a formulated standard of care or the degree of deviation from the expected standard of care. The monitoring used for a patient admitted to an ICU can be invasive or noninvasive. Invasive monitoring in an ICU includes arterial blood pressure, transesophageal Doppler, central venous pressure (CVP) measurement, pulmonary artery catheterization, arterial

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Hayhurst, Christina J., Pratik P. Pandharipande, and Christopher G. Hughes. "Intensive Care Unit Delirium." Anesthesiology 125, no. 6 (2016): 1229–41. http://dx.doi.org/10.1097/aln.0000000000001378.

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Lindahl, Berit, and Susan Kirk. "Palliative Care in the Intensive Care Unit." Dimensions of Critical Care Nursing 44, no. 3 (2025): 127–36. https://doi.org/10.1097/dcc.0000000000000693.

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Background It has become more common for patients with long-term diseases or receiving aggressive cancer treatments to need intensive care. Research about palliative care in the intensive care unit (ICU) largely focuses on decision-making in relation to end-of-life care and organ donation. Few studies examine the current evidence about how palliative care in its wider conceptualization is understood by intensive care health care professionals. Objectives To synthesize the literature on ICU health care professionals' experiences and views of providing palliative care in the ICU. Methods This wa

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Hochman, Beth R., Mark E. Barry, Meghan B. Lane-Fall, et al. "Handoffs in the Intensive Care Unit." American Journal of Medical Quality 32, no. 2 (2016): 186–93. http://dx.doi.org/10.1177/1062860615617238.

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Operating room (OR) to intensive care unit (ICU) handoffs are complex and known to be associated with adverse events and patient harm. The authors hypothesized that handoff quality diminishes during nights/weekends and that bedside handoff practices are similar between ICUs of the same health system. Bedside OR-to-ICU handoffs were directly observed in 2 surgical ICUs with different patient volumes. Handoff quality measures were compared within the ICUs on weekdays versus nights/weekends as well as between the high- and moderate-volume ICUs. In the high-volume ICU, transmitter delivery scores

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Beltrami, Flávia Gabe, Xuân-Lan Nguyen, Claire Pichereau, Eric Maury, Bernard Fleury, and Simone Fagondes. "Sleep in the intensive care unit." Jornal Brasileiro de Pneumologia 41, no. 6 (2015): 539–46. http://dx.doi.org/10.1590/s1806-37562015000000056.

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ABSTRACT Poor sleep quality is a consistently reported by patients in the ICU. In such a potentially hostile environment, sleep is extremely fragmented and sleep architecture is unconventional, with a predominance of superficial sleep stages and a limited amount of time spent in the restorative stages. Among the causes of sleep disruption in the ICU are factors intrinsic to the patients and the acute nature of their condition, as well as factors related to the ICU environment and the treatments administered, such as mechanical ventilation and drug therapy. Although the consequences of poor sle

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9

Park, Jin. "Sleep in Intensive Care Unit Patients." Journal of Sleep Medicine 18, no. 2 (2021): 66–71. http://dx.doi.org/10.13078/jsm.210016.

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Sleep disturbances are common among patients admitted to the intensive care unit (ICU); however, these issues tend to receive less attention because critical care is prioritized in seriously ill patients. Recent studies have reported that sleep disturbances in patients admitted to the ICU are associated with delirium, weakened immunity, long-term cognitive decline, and persistent sleep disorders. Sleep disturbances in the ICU are attributable to the disease per se and also to the ICU environment that is not conducive to good sleep. Continuous exposure to light and noise are major environmental

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Hill, Rosamund A., and Keith H. Chiappa. "Electrophysiologic Monitoring in the Intensive Care Unit." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 21, S1 (1994): S12—S16. http://dx.doi.org/10.1017/s0084255900007488.

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AbstractElectroencephalography (EEG) and evoked potential studies are established monitoring tools in the neurological intensive care unit (ICU). These neurophysiologic techniques provide information on physiological state and response to therapy, and may aid diagnosis and prognosis. Serial studies or continuous monitoring may enable changes to be detected prior to irreversible deterioration in the patient's condition. Current computer technology allows simultaneous display and correlation of electrophysiologic parameters, cardiovascular state and intracranial pressure (ICP). Continuous EEG mo

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Christmas, A. Britton, Elizabeth Freeman, Angela Chisolm, et al. "Trauma Intensive Care Unit ‘Bouncebacks': Identifying Risk Factors for Unexpected Return Admission to the Intensive Care Unit." American Surgeon 80, no. 8 (2014): 778–82. http://dx.doi.org/10.1177/000313481408000827.

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Return transfer (RT) to the intensive care unit (ICU) negatively impacts patient outcomes, length of stay (LOS), and hospital costs. This study assesses the most common events necessitating RT in trauma patients. We performed a retrospective chart review of ICU RT from 2004 to 2008. Patient demographics, injuries and injury severity, reason for transfer, LOS, interventions, and outcomes data were collected. Overall, 158 patients required readmission to the ICU. Respiratory insufficiency/ failure (48%) was the most common reason for RT followed by cardiac (16%) and neurological (13%) events. Th

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Zhang, Wei, Yun Tang, Huan Liu, et al. "Risk prediction models for intensive care unit-acquired weakness in intensive care unit patients: A systematic review." PLOS ONE 16, no. 9 (2021): e0257768. http://dx.doi.org/10.1371/journal.pone.0257768.

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Background and objectives Intensive care unit-acquired weakness (ICU-AW) commonly occurs among intensive care unit (ICU) patients and seriously affects the survival rate and long-term quality of life for patients. In this systematic review, we synthesized the findings of previous studies in order to analyze predictors of ICU-AW and evaluate the discrimination and validity of ICU-AW risk prediction models for ICU patients. Methods We searched seven databases published in English and Chinese language to identify studies regarding ICU-AW risk prediction models. Two reviewers independently screene

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Ku, Ya-Lie, Min-Hua Tang, Shu-Ming Chen, Wen-Ying Kuo, and Kuo-Tung Huang. "Delirium Care by Intensive Care Unit Nurses." Dimensions of Critical Care Nursing 42, no. 5 (2023): 255–62. http://dx.doi.org/10.1097/dcc.0000000000000568.

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Objectives Studies have identified many nursing interventions that can prevent delirium and fall accidents in clinical patients, detect and treat delirium early to prevent functional decline in the patient, shorten hospitalization duration, and lower the death rate. This study aimed to explore delirium care by intensive care unit (ICU) nurses in a medical center of southern Taiwan. Methods This study conducted 3 semistructured focus group interviews, each for a single medical ICU, involving groups of 6 to 8 nurses each. The nurses were recruited through purposive sampling. This research was ap

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Rikardi, Fachrizal, and Calcarina Fitriani R.W. "Thromboprophylaxis in Intensive Care Unit Patients." Solo Journal of Anesthesi, Pain and Critical Care (SOJA) 4, no. 2 (2024): 158. http://dx.doi.org/10.20961/soja.v4i2.93687.

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<strong>Background</strong>: Intensive Care Unit (ICU) patients are at twice the risk of experiencing thrombosis compared to patients in regular wards. This risk is associated with prolonged immobility, sedation, and neuromuscular blockade to facilitate ventilation. The incidence ranges from 8-40%. This undoubtedly leads to poorer patient outcomes, including increased patient mortality. ICU patients require prophylaxis to prevent thrombotic events. The use of thromboprophylaxis has been shown to reduce mortality rates in these patients.<br /><strong>Content</strong&g

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Pal, Jagriti, Manish Taywade, Rajni Pal, and Divya Sethi. "Noise Pollution in Intensive Care Unit." Noise and Health 24, no. 114 (2022): 130–36. http://dx.doi.org/10.4103/nah.nah_79_21.

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Background Noise in intensive care units (ICUs) has always been a problem, but noise above the recommended range affects not only the patient but staff as well. It is clear that some noise in the ICU is inevitable, but exceeding the normal range brings various physiologic and psychologic changes, which directly affect health. This review presents a synthesis of noise sources in the ICU and the potential interventions designed to attenuate noise and protect patients. Materials and Methods An extensive literature search, using electronic databases such as MEDLINE, PubMed, Google Scholar, and Res

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Burdick, Kendall J., and Christine J. Callahan. "Sleeping Soundlessly in the Intensive Care Unit." Multimodal Technologies and Interaction 4, no. 1 (2020): 6. http://dx.doi.org/10.3390/mti4010006.

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An estimated 70% of patients who have been in the Intensive Care Unit (ICU) experience some form of Post-Intensive Care Syndrome (PICS). As a stressful environment, the ICU can be traumatic for any patient; however, the disruption of sleep experienced by patients in ICU negatively impacts their mental status and recovery. One of the most significant contributors to sleep disruption is the constant blare of monitor alarms, many of which are false or redundant. Through multisensory approaches and procedural redesign, the hostile acoustic environment of the ICU that causes so many to suffer from

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Muzaki, Ahmad, and Fitri Arofiati. "Studi Literatur : Pengkajian Spiritual di Intensive Care Unit (ICU)." DINAMIKA KESEHATAN JURNAL KEBIDANAN DAN KEPERAWATAN 10, no. 1 (2020): 35–47. http://dx.doi.org/10.33859/dksm.v10i1.456.

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Latar Belakang: Spiritual menjadi hal yang sangat penting pada pasien kritis di Ruang ICU karena satu-satunya sumber penyembuhan bagi pasien dengan penyakit kiritis adalah spiritualitas mereka. Salah satu tantangan besar perawat saat ini adalah mengintegrasikan konsep dari teknologi body, mind and spirit ke dalam praktek keperawatan. Pemenuhan kebutuhan spiritual pada pasien tidak hanya bermanfaat bagi pasien saja tetapi dapat berdampak terhadap profesionalisme kerja perawat.Tujuan: Literatur review ini bertujuan untuk mengeksplorasi berbagai pendekatan penilaian spiritual dan alat pengkajian

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Quinn, Timothy D., Rodney A. Gabriel, Richard P. Dutton, and Richard D. Urman. "Analysis of Unplanned Postoperative Admissions to the Intensive Care Unit." Journal of Intensive Care Medicine 32, no. 7 (2015): 436–43. http://dx.doi.org/10.1177/0885066615622124.

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Purpose: To investigate factors associated with unplanned postoperative admissions to the intensive care unit (ICU). Methods: Data from the National Anesthesia Clinical Outcomes Registry (NACOR) were analyzed. We performed univariate and multivariate logistic regression to identify patient- and surgery-specific characteristics associated with unplanned postoperative ICU admission. We also recorded the prevalence of Current Procedural Terminology (CPT) and International Classification of Diseases, ninth revision ( ICD-9) billing codes and outcomes for unplanned postoperative ICU admissions. Res

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Buist, M. "Intensive Care Unit Resource Utilisation." Anaesthesia and Intensive Care 22, no. 1 (1994): 46–60. http://dx.doi.org/10.1177/0310057x9402200109.

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The cost-effectiveness of the Intensive Care Unit after three decades of development has yet to be demonstrated. Accurate ICU resource allocation is limited by our inability to measure cost-effectiveness. Measurement tools have been developed and refined that will give a prediction of in-hospital mortality of groups of critically ill patients. However, these measures will not predict with certainty individual patient outcomes, and take no account of quality of life. Methodology to examine long-term outcome and quality of life after intensive care is still in its infancy. Measurement of ICU cos

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de Lassence, Arnaud, Jean-François Timsit, Muriel Tafflet, et al. "Pneumothorax in the Intensive Care Unit." Anesthesiology 104, no. 1 (2006): 5–13. http://dx.doi.org/10.1097/00000542-200601000-00003.

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Background The risk factors and outcomes of critically ill patients with iatrogenic pneumothorax (IP) have not been studied in a large unselected intensive care unit (ICU) population. Methods The authors studied a prospective cohort of adults admitted for more than 24 h. Data were collected at ICU admission and daily by senior physicians until ICU discharge. Risk factors for IP were identified in the entire cohort. A matched nested case-control study was used to evaluate the excess risk of IP in decedents. Results Of the 3,499 patients, 69 with pneumothorax before ICU admission were excluded.

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Liu, Ming, Yu-Tong Chen, Guang-Liang Wang, and Xue-Mei Wu. "Risk factors for intensive-care-unit-acquired weakness." World Journal of Clinical Cases 12, no. 21 (2024): 4853–55. http://dx.doi.org/10.12998/wjcc.v12.i21.4853.

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Wang et al reported 1063 cases from the initial 14 d of intensive care unit (ICU) stay, and analyzed relevant data such as age, comorbidities, recent dosages, vapor pressure dosages, duration of mechanical ventilation, length of ICU stay, and rehabilitation therapy, which are closely related to ICU-acquired weakness (ICU-AW). It is suggested that the length of ICU stay and the duration of mechanical ventilation are the main factors. ICU-AW is the most common neuromuscular injury in the ICU, which affects clinical progression and outcomes of patients. This manuscript helps to improve the early

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Kim, Eileen, Charles Kast, Anika Afroz-Hossain, Michael Qiu, Karalyn Pappas, and Liron Sinvani. "Bridging the Gap Between the Intensive Care Unit and the Acute Medical Care Unit." American Journal of Critical Care 30, no. 3 (2021): 193–200. http://dx.doi.org/10.4037/ajcc2021591.

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Background Despite a growing cohort of intensive care unit (ICU) survivors, little is known about the early ICU aftercare period. Objective To identify gaps in early ICU aftercare and factors associated with poor hospital outcomes. Methods A multisite, retrospective study (January 1 to December 31, 2017) was conducted among randomly selected patients admitted to the medical ICU and subsequently transferred to acute medical care units. Records were reviewed for patient characteristics, ICU course, and early ICU aftercare practices and syndromes. Associations between practices and hospital outco

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Wijaya, Andryadi, Akhmad Yun Jufan, and Bowo Adiyanto. "Modern Intensive Care Unit Design : A Literature Review." International Journal of Medical Science and Health Research 4, no. 4 (2024): 39–67. http://dx.doi.org/10.70070/h3b92933.

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The need for Intensive Care Units (ICUs) continues to increase over time. In Canada, 11% of hospitalized patients are referred to the ICU, while in the United States, up to half of the population receives ICU care in their last year of life. Standardization of ICU design and operations is considered essential for efficiency and high-quality patient care. The ICU is a clinical care unit to monitor and support the vital functions of potentially life-threatening critical patients. The organization and management of critical care services are key components that contribute to ICU performance and c

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Abdelnour, Hassan, Ashraf Khalil, Heba Alkazaaleh, Shatha Alkhazaaleh, and Ibrahim Abuzaid. "Physiotherapy and intensive care unit in Sudan." Fizjoterapia Polska 25, no. 2 (2025): 357–62. https://doi.org/10.56984/8zg00e1d84y.

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Introduction. The role of physiotherapists in the management of ICU patients has been explored and documented globally. However, such information remains limited in Sudan, where the profession is still developing. Aim of the study. This study aimed to explore and describe physiotherapists’ perceptions of their role in managing intensive care patients. Methods. The study was conducted in Khartoum using a qualitative, exploratory, descriptive research design. Both academic and clinical physiotherapists working in ICUs were included (n = 17). Data were collected through audiotaped individual face

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Modra, Lucy, David Pilcher, Michael Bailey, and Rinaldo Bellomo. "Sex differences in intensive care unit admissions in Australia and New Zealand." Critical Care and Resuscitation 23, no. 1 (2021): 86–93. http://dx.doi.org/10.51893/2021.1.oa8.

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Introduction: Fewer women than men are admitted to intensive care units (ICUs) worldwide. Objectives: To quantify the relative contribution of each major diagnostic category to the overall sex balance in ICU admissions in Australia and New Zealand, and to describe changes in the sex balance over time and with patient age. Methods: Retrospective cross-sectional study of Australian and New Zealand ICU admissions recorded in the Australian and New Zealand Intensive Care Society Adult Patient Database between 2005 and 2018. Multivariate logistic regression for the likelihood of female admission co

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Kandaswamy, Swaminathan, Thomas E. Dawson, Whitney H. Moore, et al. "Pharmacist Metrics in the Pediatric Intensive Care Unit: an Exploration of the Medication Regimen Complexity-Intensive Care Unit (MRC-ICU) Score." Journal of Pediatric Pharmacology and Therapeutics 28, no. 8 (2023): 728–34. http://dx.doi.org/10.5863/1551-6776-28.8.728.

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INTRODUCTION The medication regimen complexity-intensive care unit (MRC-ICU) score has been developed and validated as an objective predictive metric for patient outcomes and pharmacist workload in the adult critically ill population. The purpose of this study was to explore the MRC-ICU and other workload metrics in the pediatric ICU (PICU). METHODS This study was a retrospective cohort of pediatric ICU patients admitted to a single institution between February 2, 2022 – August 2, 2022. Two scores were calculated, including the MRC-ICU and the pediatric Daily Monitoring System (pDMS). Data we

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Haruna, Junpei, Yoshiki Masuda, Hiroomi Tatsumi, and Tomoko Sonoda. "Nursing Activities Score at Discharge from the Intensive Care Unit Is Associated with Unplanned Readmission to the Intensive Care Unit." Journal of Clinical Medicine 11, no. 17 (2022): 5203. http://dx.doi.org/10.3390/jcm11175203.

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This study evaluated the accuracy of predicting unplanned the intensive care unit (ICU) readmission using the Nursing Activities Score (NAS) at ICU discharge based on nursing workloads, and compared it to the accuracy of the prediction made using the Stability and Workload Index for Transfer (SWIFT) score. Patients admitted to the ICU of Sapporo Medical University Hospital between April 2014 and December 2017 were included, and unplanned ICU readmissions were retrospectively evaluated using the SWIFT score and the NAS. Patient characteristics, such as age, sex, the Charlson Comorbidity Index,

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Motes, Arunee. "Pain management in the intensive care unit." Southwest Respiratory and Critical Care Chronicles 11, no. 46 (2023): 1–6. http://dx.doi.org/10.12746/swrccc.v11i46.1133.

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Critically ill patients often experience pain from an underlying illness or injury, a recent surgical or other invasive procedure, or various interventions in the intensive care unit (ICU), e.g., endotracheal intubation, vascular access devices, nasogastric tubes, urinary catheters, mechanical ventilation, and routine nursing care, such as repositioning. Opioids remain the mainstay medication for pain control in the ICU; however, they can have adverse effects, including over-sedation, respiratory depression, opioid-induced constipation, opioid dependence and withdrawal, which result in increas

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Albin, Owen, Jonathan Troost, and Keith Kaye. "Predictors of antimicrobial use in intensive care unit patients." Antimicrobial Stewardship & Healthcare Epidemiology 3, S2 (2023): s38—s39. http://dx.doi.org/10.1017/ash.2023.269.

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Background: Identification of predictors of antibiotic use can inform targeted antimicrobial stewardship initiatives and can account for sources of bias in before-and-after interventional stewardship studies. To date, no study has identified clinical predictors of antimicrobial use within intensive care units (ICUs), where antimicrobial resistance is most prevalent and problematic. Methods: As part of an ongoing prospective, single-arm, pilot feasibility trial of an ICU diagnostic stewardship intervention, we performed a nested retrospective cohort study to explore associations between patient

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Goran, Susan F. "A New View: Tele–Intensive Care Unit Competencies." Critical Care Nurse 31, no. 5 (2011): 17–29. http://dx.doi.org/10.4037/ccn2011552.

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Background Many hospitals have well-planned nursing competency assessment programs, but these are meant to measure competency in traditional bedside roles, not in tele–intensive care unit (tele-ICU) nurses practicing remotely. Objective To determine whether current tele-ICU programs have a formal competency assessment program and to determine when and how competency of tele-ICU nurses is assessed. Method A 20-question survey was provided to a convenience sample of the 44 known tele-ICU programs nationally. Results Of the surveys distributed, 75% were completed and returned. A formal competency

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Pereira, Jessika Lopes Figueiredo, Cecília Danielle Bezerra Oliveira, and Inacia Sátiro Xavier De França. "Systematization of nursing care in intensive care unit." Journal of Nursing Education and Practice 8, no. 1 (2017): 114. http://dx.doi.org/10.5430/jnep.v8n1p114.

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Objective: To evaluate the systematization of nursing care in intensive care unit (ICU).Methods: This is an integrative review of the literature carried out through the VHL, SCIELO and LILACS databases with articles published between 2009 and 2014.Results: Five articles were selected, where it was possible to observe that the lack of applicability of the systematization of nursing assistance in the ICU is more reality found, however, when held, this process provided a registry organized and directed the data and execution and evaluation of the nursing care.Conclusions: The instruments need to

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Sinha, Ranjeet Kumar, Sony Sinha, Prateek Nishant, and Arvind Kumar Morya. "Intensive care unit-acquired weakness and mechanical ventilation: A reciprocal relationship." World Journal of Clinical Cases 12, no. 18 (2024): 3644–47. http://dx.doi.org/10.12998/wjcc.v12.i18.3644.

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Intensive care unit-acquired weakness (ICU-AW; ICD-10 Code: G72.81) is a syndrome of generalized weakness described as clinically detectable weakness in critically ill patients with no other credible cause. The risk factors for ICU-AW include hyperglycemia, parenteral nutrition, vasoactive drugs, neuromuscular blocking agents, corticosteroids, sedatives, some antibiotics, immobilization, the disease severity, septicemia and systemic inflammatory response syndrome, multiorgan failure, prolonged mechanical ventilation (MV), high lactate levels, older age, female sex, and pre-existing systemic mo

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Elias, Maya N., Emily A. Ahrens, Chi-Shan Tsai, Zhan Liang, and Cindy L. Munro. "Inactivity May Identify Older Intensive Care Unit Survivors at Risk for Post–Intensive Care Syndrome." American Journal of Critical Care 33, no. 2 (2024): 95–104. http://dx.doi.org/10.4037/ajcc2024785.

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Background Older adults (≥age 65) admitted to an intensive care unit (ICU) are profoundly inactive during hospitalization. Older ICU survivors often experience life-changing symptoms, including cognitive dysfunction, physical impairment, and/or psychological distress, which are components of post–intensive care syndrome (PICS). Objectives To explore trends between inactivity and symptoms of PICS in older ICU survivors. Methods This study was a secondary analysis of pooled data obtained from 2 primary, prospective, cross-sectional studies of older ICU survivors. After ICU discharge, 49 English-

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Williams, Teresa, and Gavin Leslie. "Delayed discharges from an adult intensive care unit." Australian Health Review 28, no. 1 (2004): 87. http://dx.doi.org/10.1071/ah040087.

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Objective: Intensive Care Unit (ICU) services are expensive, and therefore appropriate utilisation is imperative. Delayed discharges impact on the efficiency and effectiveness of ICU services. This study examines the prevalence and reasons for delayed discharge. Method: Cross sectional study. We enrolled a prospective sample of all patients admitted to a 22-bed ICU over a 6-month period. Medical staff in ICU informed nursing shift coordinators when patients could be discharged. Nursing shift coordinators maintained a record of discharge times, delays and reasons for delay. Discharge was consid

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Pragholapati, Andria, Evi Nurjanah, and Eni Hidayati. "Implementasi Spiritual Care bagi Pasien Keluarga di Intensive Care Unit." Jurnal Keperawatan Jiwa 11, no. 2 (2023): 273. https://doi.org/10.26714/jkj.11.2.2023.273-284.

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Spiritualitas adalah karakteristik manusia yang memungkinkan seseorang menemukan makna dan tujuan dalam hidupnya sambil memberikan kerangka untuk membangun pandangan dunia yang koheren. Ketika pasien sakit kritis di unit perawatan intensif (ICU), mereka seringkali tidak dapat mengambil keputusan sendiri karena tingkat keparahan penyakit mereka, kemampuan kognitif yang terbatas, dan penggunaan perawatan membuat komunikasi menjadi sulit. Penelitian ini bertujuan untuk mengeksplorasi spiritual care bagi keluarga pasien ICU. Metode penelitian ini menggunakan tinjauan literatur secara sistematis de

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Ayenew, Temesgen, Menberu Gete, Mihretie Gedfew, et al. "Prevalence of Post-intensive care syndrome among intensive care unit-survivors and its association with intensive care unit length of stay: Systematic review and meta-analysis." PLOS One 20, no. 5 (2025): e0323311. https://doi.org/10.1371/journal.pone.0323311.

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Background Post-intensive Care Syndrome (PICS) is defined as various physical, psychological, and cognitive, impairments that can arise during an ICU stay, continue after leaving the ICU, or even persist following hospital discharge. It impacts both patients and their family’s quality of life. Various primary studies worldwide have reported prevalence of PICS among ICU survivors. However, these studies exhibit inconsistency and wide variations. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of post intensive care syndrome among intensive care unit s

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Giavasi, Giannoula, Christina Marvaki, Theodore Kapadohos, and Serafim Nanas. "Delirium in general intensive care unit survivors." Health & Research Journal 2, no. 2 (2016): 121. http://dx.doi.org/10.12681/healthresj.19812.

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Introduction: The last decades, delirium, an organic psycho syndrome frequently found in hospitalized patients in the Intensive Care Unit (ICU), has been recognized as an important factor affecting patient’s prognosis.Aim: The purpose of the present study was to evaluate the incidence of delirium in patients hospitalized in general ICU of a tertiary hospital of Attica.Material and Method: The studied sample consisted of 93 patients. a specific record form which was developed according to the needs of this study, was used for data collection.. The severity of the disease was calculated using in

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Santosa, Budi, Suwarman, and Erwin Pradian. "TERAPI NUTRISI PASIEN DI INTENSIVE CARE UNIT (ICU)." Jurnal Komplikasi Anestesi 7, no. 3 (2020): 97–105. http://dx.doi.org/10.22146/jka.v7i3.7480.

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Pemberian nutrisi merupakan komponen yang penting dalam perawatan pasien kritis. Malnutrisi dapat menyebabkan hasil yang buruk pada pasien di ICU, antara lain peningkatan morbiditas, mortalitas, dan lama rawat inap. Pasien di ICU biasanya juga mengalami peningkatan metabolisme dan katabolisme sehingga dapat mengalami malnutrisi. Oleh karena itu, pemberian nutrisi pasien di ICU perlu perhatian khusus. Kebutuhan nutrisi pada pasien sakit kritis tergantung dari tingkat keparahan penyakitnya, dan status nutrisi sebelumnya. Untuk mencukupi kebutuhan nutrisi pasien di ICU dapat diberikan secara ente

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Wilson, Nicholas, Rinaldo Bellomo, Tyler Hay, et al. "Faecal diversion system usage in an adult intensive care unit." Critical Care and Resuscitation 22, no. 2 (2020): 152–57. http://dx.doi.org/10.51893/2020.2.oa5.

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OBJECTIVE: To determine the frequency, indications and complications associated with the use of faecal diversion systems (rectal tubes) in critically ill patients. DESIGN: A single centre observational study over 15 months. SETTING: Intensive care unit (ICU). PARTICIPANTS: Patients admitted during this period. MAIN OUTCOME MEASURES: Frequency of rectal tubes utilisation in ICU, as well as associated adverse events, with major events defined as lower gastrointestinal bleeding associated with defined blood transfusion of two or more units of red cells or endoscopy or surgical intervention. RESUL

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Diaz, Elena, Irene Diaz, Cecilia del Busto, Dolores Escudero, and Silvia Pérez. "Clock Genes Disruption in the Intensive Care Unit." Journal of Intensive Care Medicine 35, no. 12 (2019): 1497–504. http://dx.doi.org/10.1177/0885066619876572.

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Background: Intensive care unit (ICU) environment disrupts the circadian rhythms due to environmental and other nonphotic synchronizers. The main purpose of this article is to establish whether critically patients have desynchronization at the molecular level after 1 week of stay in the ICU. Methods: The rhythm of Clock, Bmal1, Cry1, and Per2 genes in neuro-ICU patients (n = 11) on the first day after admission in the unit (1 day) and 1 week later (1 week) was studied, 4 time points throughout the day, at 6, 12, 18, and 24 hours. Human whole blood samples were obtained from neuro-ICU patients.

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Jantz, Michael A., and Steven A. Sahn. "Pleural Disease in the Intensive Care Unit." Journal of Intensive Care Medicine 15, no. 2 (2000): 63–89. http://dx.doi.org/10.1177/088506660001500201.

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Pleural disease itself is an unusual cause for admission to the intensive care unit (ICU). Pleural complications of diseases and procedures in the ICU are common, however, and the impact on respiratory physiology is additive to that of the underlying cardiopulmonary disease. Pleural effusion and pneumothorax may be overlooked in the critically ill patient due to alterations in radiologic appearance in the supine patient. The development of a pneumothorax in a patient in the ICU represents a potentially life-threatening situation. This article reviews the etiologies, pathophysiology, and manage

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Ochoa, Dixan. "Characterization of hospital-acquired pneumonia in Intensive Care Unit. General Hospital." Journal of Clinical Research and Reports 4, no. 3 (2020): 01–09. http://dx.doi.org/10.31579/2690-1919/067.

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Objective: characterize the hospital-acquired pneumonia (HAN) in the Intensive Care Unit(ICU) of the Methods: a descriptive and cross-sectional study was carried out to characterize the hospital-acquired pneumonia in admitted patient in ICU of the General Hospital “Guillermo Domínguez López” in Puerto Padre, Las Tunas since June, 2018 to May, 2019. The population was all the patients who acquired the infection during the admission. The information was taken from de patient`s clinic file. It was created graphics and charts to pick the information. Dates was described, analyzed and compared with

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Zubovskaia, Anna, and Jose A. Vazquez. "Invasive Aspergillosis in the Intensive Care Unit." Journal of Fungi 11, no. 1 (2025): 70. https://doi.org/10.3390/jof11010070.

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Invasive aspergillosis (IA) is a fungal infection, which has traditionally been associated with neutropenia and immunosuppressive therapies. Our understanding of invasive aspergillosis has been evolving and, in the past few decades, IA among ICU patients has been recognized as a common infection and has become more widely recognized. The diagnosis and management of invasive aspergillosis in the ICU is particularly challenging, due to the unstable clinical condition of the patients, lack of diagnostic markers, increased risk of further clinical deterioration, multiple comorbidities, and a need

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JM Russell, Michael, Rukhshad Mehta, Hsien Chuen Soo, Singh Manoj Y, and Karpe Krishna. "Overdose in the Intensive Care Unit: Severity and Barriers to Care." Global Journal of Medical and Clinical Case Reports 12, no. 7 (2025): 148–54. https://doi.org/10.17352/2455-5282.000216.

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Objective: Whilst drug Overdose (OD) is increasingly prevalent in critical care, the burden of care of those patients admitted to the ICU has been minimally described. We aim to explore three domains in this cohort: the historical and demographical features on presentation, their supportive care requirements and duration of admission within the ICU, and the factors surrounding psychiatric assessment. Design: A retrospective study of data from the Canberra Health Service (CHS) Digital Health Record system (MetaVision) of those admitted with a drug overdose. Setting: A single-centre study within

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Klompas, Michael. "Prevention of Intensive Care Unit-Acquired Pneumonia." Seminars in Respiratory and Critical Care Medicine 40, no. 04 (2019): 548–57. http://dx.doi.org/10.1055/s-0039-1695783.

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AbstractIntensive care unit (ICU) acquired pneumonia is one of the most common and morbid health care-associated infections. Despite decades of work developing and testing prevention strategies, ICU-acquired pneumonia remains stubbornly pervasive. Pneumonia prevention studies are difficult to interpret because all are at risk of bias due to the subjectivity and poor specificity of pneumonia definitions. Interventions associated with improvements in objective outcomes in addition to pneumonia, such as length of stay or mortality, should therefore be prioritized. Avoiding intubation, minimizing

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Panse, Shweta, Muralidhar Kanchi, Jose Chacko, et al. "Intensive Care Unit Setup for COVID-19." Journal of Cardiac Critical Care TSS 04, no. 01 (2020): 05–11. http://dx.doi.org/10.1055/s-0040-1713548.

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AbstractThe coronavirus pandemic has become a challenge to all the healthcare systems in the world. Urgent creation of an intensive care unit (ICU) for the same is the need of the hour. The ideal ICU for COVID -19 should be isolated, fully equipped with invasive and noninvasive monitoring, with 24/7 trained medical personnel, nursing staff and laboratory support. As the coronavirus infection is transmitted by droplets and is highly contagious, protection of healthcare workers is crucial. Personnel working inside the ICU should get personal protective equipment (PPE). Strict guidelines for donn

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Patel, Mayur, Darshana Rathod, and Bhavik Shah. "Environmentally Sustainable Intensive Care Unit." International Journal of Health Sciences and Research 14, no. 12 (2024): 231–35. https://doi.org/10.52403/ijhsr.20241228.

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Healthcare has made significant progress in the last century; however, its carbon footprint has negatively impacted the health of the planet. The intensive care unit (ICU) is called the ‘carbon hotspot’ of the hospital, as it contributes significantly towards the carbon footprint while delivering the care. We need to put in collaborative and continuous efforts from various stakeholders to make ICUs environmentally sustainable. Key words: Climate change, carbon footprint, green team, lifecycle assessment, material flow analysis.

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Fumis, Renata R. L., Otavio Tavares Ranzani, Paulo Sergio Martins, and Guilherme De Paula Pinto Schettino. "Characteristics and outcomes of palliative care patients in intensive care unit." Journal of Clinical Oncology 32, no. 31_suppl (2014): 145. http://dx.doi.org/10.1200/jco.2014.32.31_suppl.145.

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145 Background: Despite the growing palliative care movement, most admissions still occur in Intensive Care Units. The aim of this study was to determine the frequency of palliative care patients admitted in an ICU and assessed their outcomes. Methods: This prospective study was conducted in a tertiary private hospital, in an adult medical-surgical ICU with 22-bed in São Paulo, Brazil. Patients or their family member with ICU stay ≥ 48 hours were invited to participate. They were excluded if they had no conditions to answer the questionnaire or if they refuse to participate. During ICU stay we

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Rachakonda, K. S., M. Parr, A. Aneman, S. Bhonagiri, and S. Micallef. "Rational Clinical Pathology Assessment in the Intensive Care Unit." Anaesthesia and Intensive Care 45, no. 4 (2017): 503–10. http://dx.doi.org/10.1177/0310057x1704500415.

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Blood tests are ordered on a daily basis in intensive care units (ICU). There are no widely accepted guidelines for testing requirements. This study investigated the impact on ICU laboratory test costs of a multi-strategy change in practice involving routine blood testing. A single centre, prospective, interventional study using historical controls was undertaken to investigate the impact of ICU specialist authorisation of high-volume routine tests on ICU laboratory test costs. Prior to commencement of the study, ICU nursing and junior ICU doctors were able to order tests. During the six-month

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Dorsch, Jennifer J., Jennifer L. Martin, Atul Malhotra, Robert L. Owens, and Biren B. Kamdar. "Sleep in the Intensive Care Unit: Strategies for Improvement." Seminars in Respiratory and Critical Care Medicine 40, no. 05 (2019): 614–28. http://dx.doi.org/10.1055/s-0039-1698378.

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AbstractSleep in the intensive care unit (ICU) is considered to be subjectively poor, highly fragmented, and sometimes referred to as “atypical.” Although sleep is felt to be crucial for patient recovery, little is known about the association of sleep with physiologic function among critically ill patients, or those with clinically important outcomes in the ICU. Research involving ICU-based sleep disturbance is challenging due to the lack of objective, practical, reliable, and scalable methods to measure sleep and the multifactorial etiologies of its disruption. Despite these challenges, resea

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