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Journal articles on the topic 'Length of stay ICU'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Burrell, Aidan JC, Andrew Udy, Lahn Straney, et al. ""The ICU efficiency plot": a novel graphical measure of ICU performance in Australia and New Zealand." Critical Care and Resuscitation 23, no. 2 (2021): 128–31. http://dx.doi.org/10.51893/2021.2.ed2.

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There is growing interest in not only intensive care unit (ICU) outcomes but also the resources required to deliver this care and itscost-effectiveness. The most available metric of resource utilisation is ICU length of stay, which is influenced by casemix, illness severity, and institutional characteristics, including delays in discharge. For instance, ICU length of stay is generally longer for more severely ill patients. Comparison of length of stay between units must therefore account for differences in baseline patient characteristics.

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Deis, NP, R. Ryan, and A. Pham. "P.018 Minimally invasive endoscopic evacuation of intraparenchymal hematomas, a single centre experience." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 44, S2 (2017): S18. http://dx.doi.org/10.1017/cjn.2017.103.

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Background: Patients with spontaneous intracerebral hemorrhage (ICH) suffer significant morbidity and mortality with lengthy critical care and hospital stays. Minimally invasive techniques for ICH removal have shown a positive relationship between hemorrhage volume reduction and patient outcome. We describe our single centre experience with endoscopic assisted, neuronavigation guided ICH evacuation using the Apollo system. Methods: Patients with ICH treated with the Apollo system since October 2014 were included in this retrospective review. ICH volume, clot reduction, midline shift, ICU and h

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Fakhiy, Samir M., Robert Rutledge, Edmund Rutherford, Roxie Albrecht, Rosemary O??Meeghan, and Osi Udekwu. "NO ASSOCIATION OF LENGTH OF ICU STAY WITH ICU SURVIVAL." Critical Care Medicine 22, no. 1 (1994): A60. http://dx.doi.org/10.1097/00003246-199401000-00107.

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Kramer, Andrew A. "Are ICU Length of Stay Predictions Worthwhile?*." Critical Care Medicine 45, no. 2 (2017): 379–80. http://dx.doi.org/10.1097/ccm.0000000000002111.

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Li, Matthew, Mei H. Chang, Yeismel Miranda-Valdes, Kirsten Vest, and Troy D. Kish. "Impact of early home psychotropic medication reinitiation on surrogate measures of intensive care unit delirium." Mental Health Clinician 9, no. 4 (2019): 263–68. http://dx.doi.org/10.9740/mhc.2019.07.263.

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Abstract Introduction Intensive care unit (ICU) delirium is a major contributing factor to increased mortality, length of stay, and cost of care. Psychotropic medications may often require extensive tapering to prevent withdrawal symptoms; during ICU admission, home psychotropics are frequently held which may precipitate acute drug withdrawal and subsequent delirium. Methods This is a single-center, observational, retrospective chart review. The primary endpoint was the total number of new-start antipsychotics used to treat ICU delirium. Secondary endpoints included use of restraints, ICU leng

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Kido, Takashi, Masamichi Ono, Lisa Anderl, et al. "Factors influencing length of intensive care unit stay following a bidirectional cavopulmonary shunt." Interactive CardioVascular and Thoracic Surgery 33, no. 1 (2021): 124–30. http://dx.doi.org/10.1093/icvts/ivab061.

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Abstract OBJECTIVES The goal of this study was to identify the risk factors for prolonged length of stay (LOS) in the intensive care unit (ICU) after a bidirectional cavopulmonary shunt (BCPS) procedure and its impact on the number of deaths. METHODS In total, 556 patients who underwent BCPS between January 1998 and December 2019 were included in the study. RESULTS Eighteen patients died while in the ICU, and 35 died after discharge from the ICU. Reduced ventricular function was significantly associated with death during the ICU stay (P = 0.002). In patients who were discharged alive from the

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Chan, Chien-Lung, Hsien-Wei Ting, and Hsin-Tsung Huang. "The Definition of a Prolonged Intensive Care Unit Stay for Spontaneous Intracerebral Hemorrhage Patients: An Application with National Health Insurance Research Database." BioMed Research International 2014 (2014): 1–9. http://dx.doi.org/10.1155/2014/891725.

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Introduction.Length of stay (LOS) in the intensive care unit (ICU) of spontaneous intracerebral hemorrhage (sICH) patients is one of the most important issues. The disease severity, psychosocial factors, and institutional factors will influence the length of ICU stay. This study is used in the Taiwan National Health Insurance Research Database (NHIRD) to define the threshold of a prolonged ICU stay in sICH patients.Methods.This research collected the demographic data of sICH patients in the NHIRD from 2005 to 2009. The threshold of prolonged ICU stay was calculated using change point analysis.

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Hawkins, Helen A., Craig M. Lilly, David A. Kaster, Robert H. Groves, and Hargobind Khurana. "ICU Telemedicine Comanagement Methods and Length of Stay." Chest 150, no. 2 (2016): 314–19. http://dx.doi.org/10.1016/j.chest.2016.03.030.

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Kohl, Benjamin A., Margaret Fortino-Mullen, Amy Praestgaard, C. William Hanson, Joseph DiMartino, and E. Andrew Ochroch. "The effect of ICU telemedicine on mortality and length of stay." Journal of Telemedicine and Telecare 18, no. 5 (2012): 282–86. http://dx.doi.org/10.1258/jtt.2012.120208.

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We conducted a retrospective, observational study of patient outcomes in two intensive care units in the same hospital. The surgical ICU (SICU) implemented telemedicine and electronic medical records, while the medical ICU (MICU) did not. Medical charts were reviewed for a one-year period before telemedicine and a one-year period afterwards. In the SICU, records were obtained for 246 patients before and 1499 patients after implementation; in the MICU, records were obtained for 220 patients and 285 patients in the same periods. The outcomes of interest were ICU length of stay and mortality, and

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Jang, Aeri, Chang Hoon Bae, Soo Jeong Han, and Hasuk Bae. "Association Between Length of Stay in the Intensive Care Unit and Sarcopenia Among Hemiplegic Stroke Patients." Annals of Rehabilitation Medicine 45, no. 1 (2021): 49–56. http://dx.doi.org/10.5535/arm.20111.

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Objective To discuss the association between the length of stay at the intensive care unit (ICU) and sarcopenia among hemiplegic stroke patients.Methods This study evaluated 66 hemiplegic stroke patients with history of ICU admission using handgrip strength and bioelectrical impedance analysis to obtain height-adjusted appendicular skeletal muscle mass. The diagnosis of sarcopenia was made according to the muscle mass based on the Asian Working Group for Sarcopenia. The patients were divided into sarcopenic and non-sarcopenic groups. The two groups were statistically analyzed, and the signific

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Bekkevold, Marit, Reidar Kvåle, and Guttorm Brattebø. "Relation of Reported Sedation and Ventilator Weaning Practices to Ventilator Time in Norwegian Intensive Care Units." Journal of Critical Care Medicine 2015 (May 26, 2015): 1–8. http://dx.doi.org/10.1155/2015/173985.

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Background. Guidelines for sedation, ventilator weaning, and delirium screening are helpful to avoid too deep sedation and to identify signs of delirium in the intensive care unit (ICU). Methods. National ICU registry members (n=37) were surveyed regarding use of scoring instruments and guidelines for sedation and ventilator weaning, choice of drugs, and daily sedation interruption practices. Results were merged with registry data on ventilator time and length of stay for ICU patients ventilated >24 hours (7.075 ICU stays). Results. Eighty-five percent of the 33 responding ICUs used sedatio

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Chen, Jing, Dalong Sun, Weiming Yang, et al. "Clinical and Economic Outcomes of Telemedicine Programs in the Intensive Care Unit: A Systematic Review and Meta-Analysis." Journal of Intensive Care Medicine 33, no. 7 (2017): 383–93. http://dx.doi.org/10.1177/0885066617726942.

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Objective: To evaluate the impact of telemedicine programs in intensive care unit (Tele-ICU) on ICU or hospital mortality or ICU or hospital length of stay and to summarize available data on implementation cost of Tele-ICU. Methods: Controlled trails or observational studies assessing outcomes of interest were identified by searching 7 electronic databases from inception to July 2016 and related journals and conference literatures between 2000 and 2016. Two reviewers independently screened searched records, extracted data, and assessed the quality of included studies. Random-effect models were

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Abanador-Kamper, Nadine, Judith Wolfertz, Petra Thürmann, Lars Kamper, and Melchior Seyfarth. "Long-term Effect of Optimized Sedation and Pain Management after Sudden Cardiac Arrest." Open Cardiovascular Medicine Journal 9, no. 1 (2015): 91–95. http://dx.doi.org/10.2174/1874192401509010091.

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Background and Aims: Appropriate use of sedatives and analgesics is essential to keep critically ill patients comfortable and to prevent prolonged mechanical ventilation time and length of stay in ICU. Aim of this study was to analyse the long-term effect of an algorithm-based individual analgesic-sedative protocol on mechanical ventilation time and ICU length of stay in critically ill patients after sudden cardiac arrest due to ST-elevated myocardial infarction. Subject and Methods: We examined a total of 109 patients before and after implementation of an algorithm-based sedation management.

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Fehnel, Corey R., Kimberly M. Glerum, Linda C. Wendell, et al. "Safety and Costs of Stroke Unit Admission for Select Acute Intracerebral Hemorrhage Patients." Neurohospitalist 8, no. 1 (2017): 12–17. http://dx.doi.org/10.1177/1941874417712158.

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Background and Purpose: There are limited data to guide intensive care unit (ICU) versus dedicated stroke unit (SU) admission for intracerebral hemorrhage (ICH) patients. We hypothesized select patients can be safely cared for in SU versus ICU at lower costs. Methods: We conducted a retrospective cohort study of consecutive patients with predefined minor ICH (≤20 cm3, supratentorial, no coagulopathy) receiving care in either an ICU or an SU. Multiple linear regression and inverse probability weighting were used to adjust for differences in patient characteristics and nonrandom ICU versus SU as

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Shukla, Kasturi, Priyadarshini Chandrashekhar, Nirmal Kumar, and Pradnya K. Devade. "A Descriptive Study of Length of Stay at an Intensive Care Unit." International Journal of Research Foundation of Hospital and Healthcare Administration 3, no. 1 (2015): 29–32. http://dx.doi.org/10.5005/jp-journals-10035-1033.

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ABSTRACT Background and aims As intensive care units (ICUs) are very resource intensive, length of stay (LOS) is of prime importance. This study was done to analyze the LOS in different ICUs and analyze it against a set benchmark. Materials and methods This retrospective study was conducted from April to June 2013 on patients admitted during January to March 2013 in the neurosurgery ICU (NICU), medical ICU (MICU), high dependency unit (HDU) and isolation ICU of a large multispecialty hospital in Pune (India). As per the quality manual of the hospital, benchmark LOS was considered as 3.08 days

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Serrano-Eanelli, Denise, Emma Fattakhov, Murali Krishna, et al. "Electronic medical orders for life-sustaining treatment in New York State: Length of stay, direct costs in an ICU setting." Palliative and Supportive Care 17, no. 5 (2019): 584–89. http://dx.doi.org/10.1017/s1478951518000822.

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AbstractObjectiveIn the United States, approximately 20% patients die annually during a hospitalization with an intensive care unit (ICU) stay. Each year, critical care costs exceed $82 billion, accounting for 13% of all inpatient hospital costs. Treatment of sepsis is listed as the most expensive condition in US hospitals, costing more than $20 billion annually. Electronic Medical Orders for Life-Sustaining Treatment (eMOLST) is a standardized documentation process used in New York State to convey patients’ wishes regarding cardiopulmonary resuscitation and other life-sustaining treatments. N

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Dave, Chintan, Jennifer Shen, Dipayan Chaudhuri, et al. "Dynamic Assessment of Fluid Responsiveness in Surgical ICU Patients Through Stroke Volume Variation is Associated With Decreased Length of Stay and Costs: A Systematic Review and Meta-Analysis." Journal of Intensive Care Medicine 35, no. 1 (2018): 14–23. http://dx.doi.org/10.1177/0885066618805410.

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Static indices, such as the central venous pressure, have proven to be inaccurate predictors of fluid responsiveness. An emerging approach uses dynamic assessment of fluid responsiveness (FT-DYN), such as stroke volume variation (SVV) or surrogate dynamic variables, as more accurate measures of volume status. Recent work has demonstrated that goal-directed therapy guided by FT-DYN was associated with reduced intensive care unit (ICU) mortality; however, no study has specifically assessed this in surgical ICU patients. This study aimed to conduct a systematic review and meta-analysis on the imp

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Castro, M., C. E. Pompilio, L. M. Horie, C. Verotti, and D. Waitzberg. "OP028 NUTRITION EDUCATIONAL PROGRAM DECREASES ICU LENGTH OF STAY." Clinical Nutrition Supplements 6, no. 1 (2011): 12. http://dx.doi.org/10.1016/s1744-1161(11)70028-x.

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Pugliese, Gina. "Nosocomial Bloodstream Infection Doubles Length of Stay in ICU." Infection Control & Hospital Epidemiology 15, no. 11 (1994): 734. http://dx.doi.org/10.1017/s0195941700010705.

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Stricker, K. H., R. Cavegn, J. Takala, and H. U. Rothen. "Does ICU length of stay influence quality of life?" Acta Anaesthesiologica Scandinavica 49, no. 7 (2005): 975–83. http://dx.doi.org/10.1111/j.1399-6576.2005.00702.x.

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Lee, Kang H., G. Daniel Martich, Arthur J. Boujoukos, Robert J. Keenan, and Bartley P. Griffith. "Predicting ICU Length of Stay Following Single Lung Transplantation." Chest 110, no. 4 (1996): 1014–17. http://dx.doi.org/10.1378/chest.110.4.1014.

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Breslow, Michael J., Edward Larsen, Robb Fromm, and Brian Rosenfeld. "ICU LENGTH OF STAY (LOS) OUTLIERS: INCIDENCE AND IMPLICATIONS." Chest 132, no. 4 (2007): 442A. http://dx.doi.org/10.1378/chest.132.4_meetingabstracts.442.

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Toptas, Mehmet, Nilay Sengul Samanci, İbrahim Akkoc, et al. "Factors Affecting the Length of Stay in the Intensive Care Unit: Our Clinical Experience." BioMed Research International 2018 (2018): 1–4. http://dx.doi.org/10.1155/2018/9438046.

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Background and Aim. Long hospital days in intensive care unit (ICU) due to life-threatening diseases are increasing in the world. The primary goal in ICU is to decrease length of stay in order to improve the quality of medical care and reduce cost. The aim of our study is to identify and categorize the factors associated with prolonged stays in ICU.Materials and Method. We retrospectively analyzed 3925 patients. We obtained the patients’ demographic, clinical, diagnostic, and physiologic variables; mortality; lengths of stay by examining the intensive care unit database records.Results. The me

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Dziegielewski, Claudia, Charlenn Skead, Toros Canturk, et al. "Delirium and Associated Length of Stay and Costs in Critically Ill Patients." Critical Care Research and Practice 2021 (April 24, 2021): 1–8. http://dx.doi.org/10.1155/2021/6612187.

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Purpose. Delirium frequently affects critically ill patients in the intensive care unit (ICU). The purpose of this study is to evaluate the impact of delirium on ICU and hospital length of stay (LOS) and perform a cost analysis. Materials and Methods. Prospective studies and randomized controlled trials of patients in the ICU with delirium published between January 1, 2015, and December 31, 2020, were evaluated. Outcome variables including ICU and hospital LOS were obtained, and ICU and hospital costs were derived from the respective LOS. Results. Forty-one studies met inclusion criteria. The

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Karvouniaris, Marios, Demosthenes Makris, Efstratios Manoulakas, et al. "Ventilator-Associated Tracheobronchitis Increases the Length of Intensive Care Unit Stay." Infection Control & Hospital Epidemiology 34, no. 8 (2013): 800–808. http://dx.doi.org/10.1086/671274.

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Objective.To investigate prospectively the clinical course and risk factors for ventilator-associated tracheobronchitis (VAT) and the impact of VAT on intensive care unit (ICU) morbidity and mortality.Design.Prospective cohort study.Setting.University Hospital Larissa, Larissa, GreecePatients.Critical care patients who received mechanical ventilation for more than 48 hours were prospectively studied between 2009 and 2011.Methods.The modified Clinical Pulmonary Infection Score, white blood cell count, and C-reactive protein level were systematically assessed every 2 days for the first 2 weeks o

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Olaechea, Pedro M., Miguel-Angel Ulibarrena, Francisco Álvarez-Lerma, Jesús Insausti, Mercedes Palomar, and Miguel-Angel De la Cal. "Factors Related to Hospital Stay Among Patients With Nosocomial Infection Acquired in the Intensive Care Unit." Infection Control & Hospital Epidemiology 24, no. 3 (2003): 207–13. http://dx.doi.org/10.1086/502191.

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AbstractObjectives:To assess the influence of nosocomial infection on length of stay in the intensive care unit (ICU) and to determine the relative effect of other factors on extra length of hospitalization associated with nosocomial infection.Design:Prospective cohort multicenter study in the context of the ENVIN-UCI project.Setting:Medical or surgical ICUs of 49 different hospitals in Spain.Methods:All consecutive patients (N = 6,593) admitted to ICUs of the participating hospitals who stayed for more than 24 hours during a 3-month period (from January 15 to April 15, 1996) were included. Le

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Barnett, Adrian G., Nicholas Graves, Victor D. Rosenthal, Reinaldo Salomao, and Manuel Sigfrido Rangel-Frausto. "Excess Length of Stay Due to Central Line–Associated Bloodstream Infection in Intensive Care Units in Argentina, Brazil, and Mexico." Infection Control & Hospital Epidemiology 31, no. 11 (2010): 1106–14. http://dx.doi.org/10.1086/653028.

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Objective.To estimate the excess length of stay in an intensive care unit (ICU) due to a central line-associated bloodstream infection (CLABSI), using a multistate model that accounts for the timing of infection.Design.A cohort of 3,560 patients followed up for 36,806 days in ICUs.Setting.Eleven ICUs in 3 Latin American countries: Argentina, Brazil, and Mexico.Patients.All patients admitted to the ICU during a defined time period with a central line in place for more than 24 hours.Results.The average excess length of stay due to a CLABSI increased in 10 of 11 ICUs and varied from -1.23 days to

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Barnett, Adrian G., Nicholas Graves, Victor D. Rosenthal, Reinaldo Salomao, and Manuel Sigfrido Rangel-Frausto. "Excess Length of Stay Due to Central Line–Associated Bloodstream Infection in Intensive Care Units in Argentina, Brazil, and Mexico." Infection Control & Hospital Epidemiology 31, no. 11 (2010): 1106–14. http://dx.doi.org/10.1086/656593.

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Objective.To estimate the excess length of stay in an intensive care unit (ICU) due to a central line-associated bloodstream infection (CLABSI), using a multistate model that accounts for the timing of infection.Design.A cohort of 3,560 patients followed up for 36,806 days in ICUs.Setting.Eleven ICUs in 3 Latin American countries: Argentina, Brazil, and Mexico.Patients.All patients admitted to the ICU during a defined time period with a central line in place for more than 24 hours.Results.The average excess length of stay due to a CLABSI increased in 10 of 11 ICUs and varied from -1.23 days to

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Martins, Belmira D. C. P. C. C., Reinaldo A. Oliveira, and Antonio J. M. Cataneo. "Palliative care for terminally ill patients in the intensive care unit: Systematic review and metaanalysis." Palliative and Supportive Care 15, no. 3 (2016): 376–83. http://dx.doi.org/10.1017/s1478951516000584.

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AbstractObjective:The purpose of our systematic review was to determine whether the introduction of palliative care (PC) teams reduces length of stay and/or mortality for terminally ill patients (TIPs) in an intensive care unit (ICU).Method:We hoped to examine studies that compared TIPs in an ICU who received end-of-life care following implementation of a PC team (intervention group) to those who received care where PC teams had not yet been introduced (control group). We searched MEDLINE via PubMed, LILACS, Scopus, Embase, and Cochrane CENTRAL (search conducted in December of 2015) without la

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Ben-David, Debby, Ilya Novikov, and Leonard A. Mermel. "Are There Differences in Hospital Cost Between Patients With Nosocomial Methicillin-ResistantStaphylococcus aureusBloodstream Infection and Those With Methicillin-SusceptibleS. aureusBloodstream Infection?" Infection Control & Hospital Epidemiology 30, no. 5 (2009): 453–60. http://dx.doi.org/10.1086/596731.

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Objective.To examine the impact of methicillin resistance on in-hospital mortality, length of stay, and hospital cost after the onset of nosocomialStaphylococcus aureusbloodstream infection (BSI).Design.A retrospective cohort study.Setting.A tertiary care hospital in Rhode Island.Patients.A cohort of 182 consecutive patients who developed nosocomial BSI due to methicillin-susceptible and methicillin-resistantS. aureus(MSSA and MRSA, respectively)Results.Patients with MRSA BSI had a significantly longer total length of hospital and intensive care unit (ICU) stay before the onset of BSI and a hi

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Mast, Brenda, Guy J. Petruzzelli, and Tricia J. Johnson. "Surgical Volume Affects Outcomes in Laryngectomy Procedures." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (2008): P84–84. http://dx.doi.org/10.1016/j.otohns.2008.05.271.

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Objective To determine whether statistical differences occur in total cost, length of stay, ICU days, and surgical complications, depending on the volume of laryngectomy procedures performed. Methods Secondary laryngectomy data from 108 hospitals participating in the University Health System Consortium was examined. All laryngectomy surgical cases occurring from July 1, 2001, through June 30, 2005, with an ICD-9 code of 30.3 or 30.4 were analyzed (N=4,551). The cases were divided into 3 categories based on the number of surgical laryngectomy cases performed by hospital. Those volume categories

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Zhang, Zhidan, Ran Zhu, Zhenggang Luan, and Xiaochun Ma. "Risk of invasive candidiasis with prolonged duration of ICU stay: a systematic review and meta-analysis." BMJ Open 10, no. 7 (2020): e036452. http://dx.doi.org/10.1136/bmjopen-2019-036452.

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ObjectiveThis study aimed to evaluate the duration of intensive care unit (ICU) stay prior to onset of invasive candidiasis (IC)/candidaemia.DesignSystematic review and meta-analysis.Data sourcesPubMed, Cochrane, Embase and Web of Science databases were searched through June 2019 to identify relevant studies.Eligibility criteriaAdult patients who had been admitted to the ICU and developed an IC infection.Data extraction and synthesisThe following data were extracted from each article: length of hospital stay, length of ICU stay, duration of ICU admission prior to candidaemia onset, percentage

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Ghorbani, Mohammad, Haleh Ghaem, Abbas Rezaianzadeh, Zahra Shayan, Farid Zand, and Reza Nikandish. "A study on the efficacy of APACHE-IV for predicting mortality and length of stay in an intensive care unit in Iran." F1000Research 6 (November 20, 2017): 2032. http://dx.doi.org/10.12688/f1000research.12290.1.

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Background:Clinical assessment of disease severity is an important part of medical practice for prediction of mortality and morbidity in Intensive Care Unit (ICU). A disease severity scoring system can be used as guidance for clinicians for objective assessment of disease outcomes and estimation of the chance of recovery. This study aimed to evaluate the hypothesis that the mortality and length of stay in emergency ICUs predicted by APACHE-IV is different to the real rates of mortality and length of stay observed in our emergency ICU in Iran.Methods:This was a retrospective cohort study conduc

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Ramsingh, Davinder, Huayong Hu, Manshu Yan, et al. "Perioperative Individualized Goal Directed Therapy for Cardiac Surgery: A Historical-Prospective, Comparative Effectiveness Study." Journal of Clinical Medicine 10, no. 3 (2021): 400. http://dx.doi.org/10.3390/jcm10030400.

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Introduction: Cardiac surgery patients are at increased risk for post-operative complications and prolonged length of stay. Perioperative goal directed therapy (GDT) has demonstrated utility for non-cardiac surgery, however, GDT is not common for cardiac surgery. We initiated a quality improvement (QI) project focusing on the implementation of a GDT protocol, which was applied from the immediate post-bypass period into the intensive care unit (ICU). Our hypothesis was that this novel GDT protocol would decrease ICU length of stay and possibly improve postoperative outcomes. Methods: This was a

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Moffett, Brady S., Emad B. Mossad, Joseph D. Tobias, and Antonio G. Cabrera. "Dexmedetomidine utilisation and outcomes of children with trisomy 21 undergoing congenital heart disease surgery." Cardiology in the Young 25, no. 5 (2014): 958–62. http://dx.doi.org/10.1017/s1047951114001462.

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AbstractIntroduction: The diagnosis of trisomy 21 in children has been associated with failed extubation after CHD surgery. Dexmedetomidine may be a useful agent to improve postoperative outcomes in these patients, such as ventilator time, ICU length of stay, or hospital length of stay. Materials and methods: The Pediatric Health Information System database was queried from January, 2008 to December, 2010 for patients with trisomy 21 who underwent CHD surgery. Patients who received dexmedetomidine were matched to patients who did not by propensity score. The primary outcome was ventilator days

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Winder, Melissa M., Zhining Ou, Angela P. Presson, et al. "The final reason paediatric Cardiac ICU patients require care prior to discharge to the floor: a single-centre survey." Cardiology in the Young 30, no. 8 (2020): 1109–17. http://dx.doi.org/10.1017/s104795112000164x.

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AbstractObjective:To determine the Final ICU Need in the 24 hours prior to ICU discharge for children with cardiac disease by utilising a single-centre survey.Methods:A cross-sectional survey was utilised to determine Final ICU Need, which was categorised as “Cardiovascular”, “Respiratory”, “Feeding”, “Sedation”, “Systems Issue”, or “Other” for each encounter. Survey responses were obtained from attending physicians who discharged children (≤18 years of age with ICU length of stay >24 hours) from the Cardiac ICU between April 2016 and July 2018.Measurements and results:Survey response rate

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Marshall, Caroline, Glenys Harrington, Rory Wolfe, Christopher K. Fairley, Steve Wesselingh, and Denis Spelman. "Acquisition of Methicillin-Resistant Staphylococcus aureus in a Large Intensive Care Unit." Infection Control & Hospital Epidemiology 24, no. 5 (2003): 322–26. http://dx.doi.org/10.1086/502215.

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AbstractObjectives:To determine the prevalence of MRSA colonization on admission to the ICU and the incidence of MRSA colonization in the ICU.Design:Prospective cohort study.Setting:University hospital.Participants:Patients admitted to the ICU in 2000-2001.Methods:Patients were screened for MRSA with nose, throat, groin, and axilla swabs on admission and discharge. MRSA acquisition was defined as a negative admission screen and a positive discharge screen. Risk factors analyzed included previous wards/current unit, gender, age, and length of stay prior to and in the ICU. Univariate and multiva

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Rusu, Daniel, Mihaela Blaj, Irina Ristescu, et al. "Outcome Predictive Value of Serum Ferritin in ICU Patients with Long ICU Stay." Medicina 57, no. 1 (2020): 1. http://dx.doi.org/10.3390/medicina57010001.

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Background and Objectives: The simplified interpretation of serum ferritin levels, according to which low ferritin levels indicate iron deficiency and high levels indicate hemochromatosis is obsolete, as in the presence of inflammation serum ferritin levels, no longer correlate with iron stores. However, further data are needed to interpret serum ferritin levels correctly in patients with ongoing inflammation. Our study aimed to assess serum iron and ferritin dynamics in patients with long ICU stay and the possible correlations with organ dysfunction progression and outcome. Materials and Meth

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Annan, Edwin, Kristin G. Fless, Nirav Jasani, Frantz Pierre-Louis, Fariborz Rezai, and Paul C. Yodice. "Red Blood Cell Transfusion Practices." ICU Director 4, no. 1 (2012): 11–14. http://dx.doi.org/10.1177/1944451612467534.

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Background and Objectives. High-intensity ICU staffing model is associated with quality and outcome improvements. Restrictive red blood cell (RBC) transfusion strategies have been shown to have equivalent mortality to a more liberal strategy in the ICU. We examined the effect of high-intensity staffing on pretransfusion hemoglobin levels, RBC transfusion rates and length of ICU stay. Materials and Methods. The study was a retrospective chart review (n = 196) of all patients admitted to the adult medical/surgical ICU for more than 24 hours one year prior to and after institution of the high-int

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Kuhn, Elizabeth N., Matthew C. Davis, Bonita S. Agee, Robert A. Oster, and James M. Markert. "Effect of resident handoffs on length of hospital and intensive care unit stay in a neurosurgical population: a cohort study." Journal of Neurosurgery 125, no. 1 (2016): 222–28. http://dx.doi.org/10.3171/2015.7.jns15920.

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OBJECT Handoffs and services changes are potentially modifiable sources of medical error and delays in transition of care. This cohort study assessed the relationship between resident service handoffs and length of stay for neurosurgical patients. METHODS All patients admitted to the University of Alabama at Birmingham neurosurgical service between July 1, 2012, and July 1, 2014, were retrospectively identified. A service handoff was defined as any point when a resident handed off coverage of a service for longer than 1 weekend. A conditional probability distribution was constructed to adjust

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Shrestha, Pratyush, Subash Lohani, Sunita Shrestha, and Upendra P. Devkota. "Outcome Difference in Neurosurgical Patients Based on Timing of Tracheostomy and Ventilator Associated Pneumonia." Nepal Journal of Neuroscience 15, no. 1 (2018): 19–22. http://dx.doi.org/10.3126/njn.v15i1.20022.

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Background and Objective: Tracheostomy in neurosurgical patients has been shown in various studies to lower the length of ICU stay and the length of hospital stay by decreasing the incidence of ventilator associated pneumonia. In this regard, we wanted to evaluate the outcome of neurosurgical ICU patients based on timing of tracheostomy and ventilator associated pneumonia.Methods: This is a retrospective single centre study performed over a period of two and a half years. Early tracheostomy was defi ned as those done three days of intubation or earlier and late as those done then after. Statis

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Hemilä, Harri, and Elizabeth Chalker. "Vitamin C Can Shorten the Length of Stay in the ICU: A Meta-Analysis." Nutrients 11, no. 4 (2019): 708. http://dx.doi.org/10.3390/nu11040708.

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A number of controlled trials have previously found that in some contexts, vitamin C can have beneficial effects on blood pressure, infections, bronchoconstriction, atrial fibrillation, and acute kidney injury. However, the practical significance of these effects is not clear. The purpose of this meta-analysis was to evaluate whether vitamin C has an effect on the practical outcomes: length of stay in the intensive care unit (ICU) and duration of mechanical ventilation. We identified 18 relevant controlled trials with a total of 2004 patients, 13 of which investigated patients undergoing elect

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Dimitropoulou, Nikoleta, Aggeliki Stamou, and Christina Marvaki. "Causes influencing the length of stay of cardiac surgery patients in the intensive care unit." Health & Research Journal 1, no. 1 (2015): 40. http://dx.doi.org/10.12681/healthresj.19279.

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Introduction: The incidence of postoperative morbidity has increased, a fact which may lead to prolonged hospitalization of the patient in the Intensive Care Unit (ICU) and generally in the hospital.Aim: The aim of the present study was to explore the complications after cardiac surgery responsible for the prolonged stay of patients in the ICU.Material and method: The studied sample consisted of 80 patients who were hospitalized in the Intensive Care Unit General Hospital of Athens from January 2013 to June 2014. For data collection a special registration form with information coming from the

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Angus, Derek C. "The Effect of Managed Care on ICU Length of Stay." JAMA 276, no. 13 (1996): 1075. http://dx.doi.org/10.1001/jama.1996.03540130073033.

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Arabi, Yaseen, Samir Haddad, and Hema Giridhar. "THE IMPACT OF TRACHEOSTOMY TIMING ON ICU LENGTH OF STAY." Critical Care Medicine 32, Supplement (2004): A111. http://dx.doi.org/10.1097/00003246-200412001-00398.

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Howman, Sonia, Michael Minuto, Caroline Jiang, et al. "IMPACT OF PREEXISTING PSYCHIATRIC CONDITIONS ON ICU LENGTH OF STAY." Critical Care Medicine 33 (December 2005): A88. http://dx.doi.org/10.1097/00003246-200512002-00312.

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Moyer, Jennifer A. "Factors Related to Length of ICU Stay for CABG Patients." Dimensions of Critical Care Nursing 13, no. 4 (1994): 194–99. http://dx.doi.org/10.1097/00003465-199407000-00004.

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Kramer, Andrew A., Jing Yi, and Jack E. Zimmerman. "INDEPENDENT VALIDATION OF APACHE IV ICU LENGTH OF STAY PREDICTION." Critical Care Medicine 34 (December 2006): A127. http://dx.doi.org/10.1097/00003246-200612002-00436.

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Tu, Jack V., and C. David Mazer. "Can clinicians predict ICU length of stay following cardiac surgery?" Canadian Journal of Anesthesia/Journal canadien d'anesthésie 43, no. 8 (1996): 789–94. http://dx.doi.org/10.1007/bf03013030.

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Moitra, Vivek K., Carmen Guerra, Walter T. Linde-Zwirble, and Hannah Wunsch. "Relationship Between ICU Length of Stay and Long-Term Mortality for Elderly ICU Survivors*." Critical Care Medicine 44, no. 4 (2016): 655–62. http://dx.doi.org/10.1097/ccm.0000000000001480.

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