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Critically ill patients readmitted to intensive care units--lessons to learn?Philipp G H Metnitz
Département Réanimation Médicale, Hopital St Louis, Universite Paris VII, Paris, France
Intensive Care Med 29:241-8. 2003..To evaluate risk factors in critically ill patients who were readmitted to an intensive care unit (ICU) during their hospital stay...
Hospitalized patients with 2009 H1N1 influenza in the United States, April-June 2009Seema Jain
Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
N Engl J Med 361:1935-44. 2009..We describe the clinical characteristics of patients who were hospitalized with 2009 H1N1 influenza in the United States from April 2009 to mid-June 2009...
International study of the prevalence and outcomes of infection in intensive care unitsJean Louis Vincent
Department of Intensive Care, Erasme Hospital, Universite Libre de Bruxelles, Brussels, Belgium
JAMA 302:2323-9. 2009Infection is a major cause of morbidity and mortality in intensive care units (ICUs) worldwide. However, relatively little information is available about the global epidemiology of such infections.
Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs of careD C Angus
Critical Care Medicine Division, Department of Anesthesiology and Critical Care Medicine, and the Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA, USA
Crit Care Med 29:1303-10. 2001..To determine the incidence, cost, and outcome of severe sepsis in the United States...
Risk of severe outcomes among patients admitted to hospital with pandemic (H1N1) influenzaAlexia Campbell
Centre for Immunization and Respiratory Infectious Diseases, Infectious Disease and Emergency Preparedness Branch, Public Health Agency of Canada, Ottawa, Ontario
CMAJ 182:349-55. 2010....
Severe maternal morbidity during pregnancy, delivery and puerperium in the Netherlands: a nationwide population-based study of 371,000 pregnanciesJ J Zwart
Department of Obstetrics, Leiden University Medical Centre, Leiden, The Netherlands
BJOG 115:842-50. 2008..To assess incidence, case fatality rate, risk factors and substandard care in severe maternal morbidity in the Netherlands...
Spectrum of acute renal failure in the intensive care unit: the PICARD experienceRavindra L Mehta
Division of Nephrology, Department of Medicine, University of California San Diego, San Diego, California, USA
Kidney Int 66:1613-21. 2004..METHODS: We conducted an observational cohort study of 618 patients with ARF in intensive care units at five academic medical centers in the United States...
Active cytomegalovirus infection is common in mechanically ventilated medical intensive care unit patientsLaurent Chiche
Service de Reanimation Medicale, Hopital Sainte Marguerite, URMITE UMR CNRS 6236, Universite de la Mediterranee, Marseille, France
Crit Care Med 37:1850-7. 2009..To assess the incidence, risk factors, and outcome of active cytomegalovirus (CMV) infection in nonimmunosuppressed intensive care unit (ICU) patients...
Impact of the Surviving Sepsis Campaign protocols on hospital length of stay and mortality in septic shock patients: results of a three-year follow-up quasi-experimental studyAlvaro Castellanos-Ortega
Intensive Care Medicine Department, Hospital Universitario Marques de Valdecilla, Santander, Spain
Crit Care Med 38:1036-43. 2010..To describe the effectiveness of the Surviving Sepsis Campaign bundles with regard to both implementation and outcome in patients with septic shock and to determine the contribution of the various elements of the bundles to the outcome...
Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter studyRaja R Benkirane
Moroccan Pharmacovigilance Centre, Rabat, Marocco
J Patient Saf 5:16-22. 2009....
Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1N1) Acute Respiratory Distress SyndromeAndrew Davies
FRACP, FJFICM, Intensive Care Unit, Alfred Hospital, Commercial Road, Melbourne, Victoria 3004, Australia
JAMA 302:1888-95. 2009..It caused an epidemic of critical illness and some patients developed severe acute respiratory distress syndrome (ARDS) and were treated with extracorporeal membrane oxygenation (ECMO)...
Acute kidney injury in non-severe pneumonia is associated with an increased immune response and lower survivalRaghavan Murugan
The CRISMA Laboratory, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15261, USA
Kidney Int 77:527-35. 2010..29) was also present in those never admitted to an intensive care unit. Hence acute kidney injury is common even among patients with non-severe pneumonia and is associated with higher immune response and an increased risk of death...
Compliance with antiseptic hand rub use in intensive care units: the Hawthorne effectTim Eckmanns
Institute of Hygiene and Environmental Medicine, Charite University Medicine Berlin, Berlin, Germany
Infect Control Hosp Epidemiol 27:931-4. 2006..To determine the influence the Hawthorne effect has on compliance with antiseptic hand rub (AHR) use among healthcare personnel...
Psychological distress after severe trauma: a prospective 1-year follow-up study of a trauma intensive care unit populationKirsti Tøien
Intensive Care Unit, Oslo University Hospital, Ulleval, Oslo, Norway
J Trauma 69:1552-9. 2010..The aim of the study was to investigate the level of psychologic distress after trauma and intensive care unit (ICU) stay, memory from the ICU, and predictors for psychologic distress at 12 months...
Quality of life in patients aged 80 or over after ICU dischargeAlexis Tabah
Medical Surgical ICU, Saint Joseph Hospital Network, 185 rue Raymond Losserand, 75014 Paris, France
Crit Care 14:R2. 2010..Our objective was to describe self-sufficiency and quality of life one year after intensive care unit (ICU) discharge of patients aged 80 years or over...
Inadequate antimicrobial treatment of infections: a risk factor for hospital mortality among critically ill patientsM H Kollef
Department of Internal Medicine, Washington University School of Medicine, St Louis, MO, USA
Chest 115:462-74. 1999..To evaluate the relationship between inadequate antimicrobial treatment of infections (both community-acquired and nosocomial infections) and hospital mortality for patients requiring ICU admission...
Comparison of two fluid-management strategies in acute lung injuryHerbert P Wiedemann
Department of Pulmonary, Allergy, and Critical Care Medicine, Cleveland Clinic, 9500 Euclid Ave, Desk A 90, Cleveland, OH 44195, USA
N Engl J Med 354:2564-75. 2006..Optimal fluid management in patients with acute lung injury is unknown. Diuresis or fluid restriction may improve lung function but could jeopardize extrapulmonary-organ perfusion...
Population-based assessment of intensive care unit-acquired bloodstream infections in adults: Incidence, risk factors, and associated mortality rateKevin B Laupland
Division of Critical Care Medicine, University of Calgary, Calgary Health Region, Alberta, Canada
Crit Care Med 30:2462-7. 2002..DESIGN: Population-based prospective cohort. SETTING: Multidisciplinary intensive care units. PATIENTS: All Calgary Health Region (population 930,000) adult patients admitted to multidisciplinary ..
Plasma and urine neutrophil gelatinase-associated lipocalin in septic versus non-septic acute kidney injury in critical illnessSean M Bagshaw
Division of Critical Care Medicine, University of Alberta Hospital, University of Alberta, 3C1 16 Walter C Mackenzie Centre, 8440 122 Street, Edmonton, AB T6G2B7, Canada
Intensive Care Med 36:452-61. 2010..We sought to determine whether there are unique patterns to plasma and urine neutrophil gelatinase-associated lipocalin (NGAL) in septic compared with non-septic AKI...
Reduction in mortality associated with statin therapy in patients with severe sepsisPaul P Dobesh
College of Pharmacy, University of Nebraska Medical Center, Omaha, Nebraska 68198 6045, USA
Pharmacotherapy 29:621-30. 2009..To evaluate the effect of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) on mortality in patients with severe sepsis...
Epidemiology and natural history of acute renal failure in the ICUMichael Joannidis
Medical Intensive Care Unit, Department of General Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria
Crit Care Clin 21:239-49. 2005....
SAPS 3 admission score: an external validation in a general intensive care populationDidier Ledoux
Soins Intensifs Generaux, Centre Hospitalier Universitaire de Liege, Domaine Universitaire de Sart Tilman Bat B35, 4000 Liege, Belgium
Intensive Care Med 34:1873-7. 2008..To validate the SAPS 3 admission score in an independent general intensive care case mix and to compare its performances with the APACHE II and the SAPS II scores...
Clinical characteristics and outcomes of obstetric patients requiring ICU admissionDaniela N Vasquez
Intensive Care Unit, Hospital Interzonal General de Agudos Gral, San Martin, 1 y 70, 1900 La Plata, Buenos Aires, Argentina
Chest 131:718-24. 2007..To review a series of critically ill obstetric patients admitted to our ICU to assess the spectrum of disease, required interventions, and fetal/maternal mortality, and to identify conditions associated with maternal death...
Recommendations for end-of-life care in the intensive care unit: a consensus statement by the American College [corrected] of Critical Care MedicineRobert D Truog
Harvard Medical School and Children s Hospital, Boston, MA, USA
Crit Care Med 36:953-63. 2008..S. perspective. They do not use an evidence grading system because most of the recommendations are based on ethical and legal principles that are not derived from empirically based evidence...
Cytomegalovirus reactivation in critically ill immunocompetent patientsAjit P Limaye
Department of Laboratory Medicine, University of Washington Medical Center, 1959 NE Pacific St, Seattle, WA 98195 7110, USA
JAMA 300:413-22. 2008....
Decision-making process, outcome, and 1-year quality of life of octogenarians referred for intensive care unit admissionMaite Garrouste-Orgeas
Medical ICU, Saint Joseph Hospital, 185 rue Raymond Losserand, 75014 Paris, France
Intensive Care Med 32:1045-51. 2006..To describe triage decisions and subsequent outcomes in octogenarians referred to an ICU...
Procalcitonin kinetics in the prognosis of severe community-acquired pneumoniaNicolas Boussekey
Tourcoing Hospital, Intensive Care and Infectious Disease Unit, 135 rue du Président Coty BP 619, 59208, Tourcoing Cedex, France
Intensive Care Med 32:469-72. 2006..marker in infectious diseases, but few studies of community-acquired pneumonia (CAP) have been performed in intensive care units (ICU). We analyzed the relationship between PCT kinetics and outcome in ICU patients with severe CAP.
Nosocomial infections in adult intensive-care unitsJean Louis Vincent
Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennick 808, B 1070, Brussels, Belgium
Lancet 361:2068-77. 2003..Management of nosocomial infection relies on adequate and appropriate antibiotic therapy, which should be selected after discussion with infectious-disease specialists and adapted as microbiological data become available...
Is EuroSCORE useful in the prediction of extended intensive care unit stay after cardiac surgery?Nouredin Messaoudi
Department of Cardiac Surgery, Antwerp University Hospital, Edegem, Belgium
Eur J Cardiothorac Surg 36:35-9. 2009..The aim of this single-center study was to investigate the prediction of extended ICU stay after cardiac surgery using both the additive and logistic model of the European System for Cardiac Operative Risk Evaluation (EuroSCORE)...
A qualitative exploration of reasons for poor hand hygiene among hospital workers: lack of positive role models and of convincing evidence that hand hygiene prevents cross-infectionV Erasmus
Department of Public Health, University Medical Center Rotterdam, Rotterdam, The Netherlands
Infect Control Hosp Epidemiol 30:415-9. 2009..To study potential determinants of hand hygiene compliance among healthcare workers in the hospital setting...
The paradox of ventilator-associated pneumonia prevention measuresMichael Klompas
Infection Control Department, Brigham and Women s Hospital and Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA
Crit Care 13:315. 2009..The paradox makes changes in VAP rates alone an unreliable measure of whether VAP prevention measures are truly beneficial to patients and behooves us to measure their impact on patient outcomes before advocating their adoption...
Factors associated with maternal death in women admitted to an intensive care unit with severe maternal morbidityAntonio F Oliveira Neto
Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas UNICAMP, Campinas, Sao Paulo, Brazil
Int J Gynaecol Obstet 105:252-6. 2009..To identify factors associated with maternal death among women with severe maternal morbidity...
The time-dependent bias and its effect on extra length of stay due to nosocomial infectionAdrian G Barnett
Queensland University of Technology, Brisbane, Australia
Value Health 14:381-6. 2011..This leads to the "time-dependent bias," which biases multiplicative hazard ratios. We demonstrate the time-dependent bias on the additive scale of extra length of stay...
Prediction models for prolonged intensive care unit stay after cardiac surgery: systematic review and validation studyRoelof G A Ettema
University of Applied Science Utrecht, Faculty of Health Care, Bolognalaan 101 3584 CJ Utrecht, Netherlands
Circulation 122:682-9, 7 p following p 689. 2010..However, no extensive quantitative validation of these models has yet been conducted. This study sought to identify and validate existing prediction models for prolonged ICU length of stay after cardiac surgery...
Quality of life in the five years after intensive care: a cohort studyBrian H Cuthbertson
Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, M4N 3M5, Canada
Crit Care 14:R6. 2010..Data on quality of life beyond 2 years after intensive care discharge are limited and we aimed to explore this area further. Our objective was to quantify quality of life and health utilities in the 5 years after intensive care discharge...
Early vs late tracheotomy for prevention of pneumonia in mechanically ventilated adult ICU patients: a randomized controlled trialPier Paolo Terragni
Anestesia e Rianimazione 1, Ospedale S Giovanni Battista, Universita di Torino, Turin, Italy
JAMA 303:1483-9. 2010..This is of clinical importance because timing is a key criterion for performing a tracheotomy and patients who receive one require a large amount of health care resources...
Outcome after injury: memories, health-related quality of life, anxiety, and symptoms of depression after intensive careMona Ringdal
Institute of Health and Care Sciences, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden
J Trauma 66:1226-33. 2009....
Toward shared decision making at the end of life in intensive care units: opportunities for improvementDouglas B White
Division of Pulmonary and Critical Care Medicine and Program in Medical Ethics, Department of Medicine, School of Medicine, University of California, San Francisco, CA 94143 0903, USA
Arch Intern Med 167:461-7. 2007In North America, families generally wish to be involved in end-of-life decisions when the patient cannot participate, yet little is known about the extent to which shared decision making occurs in intensive care units.
Short-term and long-term mortality in very elderly patients admitted to an intensive care unitS E de Rooij
Department of Internal Medicine, Academic Medical Center, 22700, 1100 DE, Amsterdam, The Netherlands
Intensive Care Med 32:1039-44. 2006..To report short-term and long-term mortality of very elderly ICU patients and to determine independent risk factors for short-term and long-term mortality..
Urinary neutrophil gelatinase-associated lipocalin (NGAL) as an early marker of acute kidney injury in critically ill multiple trauma patientsKonstantinos Makris
Clinical Biochemistry Department, KAT General Hospital, Kiffissia, Athens, Greece
Clin Chem Lab Med 47:79-82. 2009..The aim of this study was to evaluate urinary NGAL levels as a predictor of early AKI (first 5 days after injury) in multi-trauma patients...
Circulating levels of GH predict mortality and complement prognostic scores in critically ill medical patientsPhilipp Schuetz
Division of Endocrinology, Diabetes and Clinical Nutrition, Department of Internal Medicine, Diabetes and Clinical Nutrition, University Hospital Basel, Basel, Switzerland
Eur J Endocrinol 160:157-63. 2009..We assessed the prognostic implications of GH on admission and during follow-up in critically ill adult patients admitted to a medical intensive care unit...
Oral probiotic and prevention of Pseudomonas aeruginosa infections: a randomized, double-blind, placebo-controlled pilot study in intensive care unit patientsChristiane Forestier
Université de Clermont 1 UFR Pharmacie Laboratoire de Bactériologie, 28 place Henri Dunant 63000 Clermont Ferrand France
Crit Care 12:R69. 2008..tract is an infection control strategy used to reduce the occurrence of ventilator-associated pneumonia in intensive care units. However, antibiotic use in selective decontamination protocols is controversial...
Mortality in healthy elderly patients after ICU admissionEmilio Sacanella
Geriatric Unit, Department of Internal Medicine, Hospital Clinic de Barcelona, Institut d Investigacions Biomediques August Pi i Sunyer, Universitat de Barcelona, Barcelona, Spain
Intensive Care Med 35:550-5. 2009..The aim of this study was to assess mortality in healthy elderly patients after non-elective medical ICU admission and to identify predictive factors of mortality in these patients...
Bench-to-bedside review: rare and common viral infections in the intensive care unit--linking pathophysiology to clinical presentationNicholas Stollenwerk
Division of Pulmonary and Critical Care Medicine, University of California Davis School of Medicine, Davis, CA, USA
Crit Care 12:219. 2008..This review discusses the basic pathophysiology leading to clinical presentations in a few common and rare, but important, viruses found in the intensive care unit: influenza, RSV, SARS, VZV, adenovirus, CMV, VHF, and Hantavirus...
Mini-series: II. clinical aspects. clinically relevant CYP450-mediated drug interactions in the ICUIsabel Spriet
Department of Pharmacy, University Hospital Leuven, Herestraat 49, 3000, Louvain, Belgium
Intensive Care Med 35:603-12. 2009....
Quality of life after intensive care: a systematic review of the literatureSandra G Oeyen
Department of Intensive Care Medicine, Ghent University Hospital, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
Crit Care Med 38:2386-400. 2010....
Early intervention with erythropoietin does not affect the outcome of acute kidney injury (the EARLYARF trial)Zoltan H Endre
Christchurch Kidney Research Group, Department of Medicine, University of Otago, Christchurch, New Zealand
Kidney Int 77:1020-30. 2010..with erythropoietin could prevent the development of acute kidney injury in patients in two general intensive care units. As a guide for choosing the patients for treatment we measured urinary levels of two biomarkers, the ..
C-reactive protein levels and post-ICU mortality in nonsurgical intensive care patientsWilhelm Grander
Department of Intensive Care Medicine, Academic Teaching Hospital Hall in Tirol, Hall in Tirol, Austria
Chest 138:856-62. 2010..There are no data on the association between acute inflammation during critical illness and long-term mortality in ICU patients...
Effect of dexmedetomidine versus lorazepam on outcome in patients with sepsis: an a priori-designed analysis of the MENDS randomized controlled trialPratik P Pandharipande
Anesthesiology Service, VA TN Valley Health Care System, Nashville, TN 37212 2637, USA
Crit Care 14:R38. 2010....
A multifaceted intervention for quality improvement in a network of intensive care units: a cluster randomized trialDamon C Scales
Interdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada
JAMA 305:363-72. 2011..Evidence-based practices improve intensive care unit (ICU) outcomes, but eligible patients may not receive them. Community hospitals treat most critically ill patients but may have few resources dedicated to quality improvement...
Hormonal status and ICU-acquired paresis in critically ill patientsTarek Sharshar
Department of Intensive Care Medicine, AP HP, Raymond Poincare Hospital, University Versailles Saint Quentin en Yvelines, 104 boulevard Raymond Poincaré, 92380, Garches, France
Intensive Care Med 36:1318-26. 2010..Since ICUAP has been associated with female gender in some studies, we hypothesized that hormonal dysfunction might contribute to ICUAP...
Regulation and prognostic relevance of serum ghrelin concentrations in critical illness and sepsisAlexander Koch
Department of Medicine III, RWTH University Hospital Aachen, Pauwelsstrasse 30, 52074 Aachen, Germany
Crit Care 14:R94. 2010....
Therapeutic drug monitoring of beta-lactams in critically ill patients: proof of conceptJason A Roberts
Burns, Trauma and Critical Care Research Centre, The University of Queensland, Brisbane, Australia
Int J Antimicrob Agents 36:332-9. 2010..05) were found to be predictive of mortality. In conclusion, further research is required to determine definitively whether achievement of optimal beta-lactam pharmacodynamic targets improves clinical outcomes...
One-year trajectories of care and resource utilization for recipients of prolonged mechanical ventilation: a cohort studyMark Unroe
Duke University, Durham, North Carolina 27710, USA
Ann Intern Med 153:167-75. 2010..Little is known about the patterns of care as patients transition from acute care hospitals to postacute care facilities or about the associated resource utilization...
Case fatality rates based on population estimates of influenza-like illness due to novel H1N1 influenza: New York City, May-June 2009James L Hadler
Department of Health and Mental Hygiene, City of New York, New York, New York, United States of America
PLoS ONE 5:e11677. 2010..New York City (NYC) experienced an intensive initial outbreak that peaked in late May, providing the need and opportunity to rapidly quantify the severity of nH1N1...
Nasal meticillin-resistant Staphylococcus aureus carriage among intensive care unit hospitalised adult patients in a Taiwanese medical centre: one time-point prevalence, molecular characteristics and risk factors for carriageC B Chen
College of Medicine, Chang Gung University, Taoyuan, Taiwan
J Hosp Infect 74:238-44. 2010..Though most isolates were HA-MRSA, community strains accounted for a proportion of the isolates...
Posttraumatic stress, anxiety and depression symptoms in patients during the first year post intensive care unit dischargeHilde Myhren
Intensive Care Unit, Ulleval, Oslo University Hospital, Kirkeveien 177, 0407 Oslo, Norway
Crit Care 14:R14. 2010..To study the level and predictors of posttraumatic stress, anxiety and depression symptoms in medical, surgical and trauma patients during the first year post intensive care unit (ICU) discharge...
Acute renal failure in patients with sepsis in a surgical ICU: predictive factors, incidence, comorbidity, and outcomeEric A J Hoste
Intensive Care Unit and Renal Unit, Ghent University Hospital, Gent, Belgium
J Am Soc Nephrol 14:1022-30. 2003..This model allows initiating specific therapeutic measures earlier in the course of sepsis, hopefully resulting in a lower incidence of ARF and needi for RRT, thereby lowering mortality...
Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infectionsRajiv Jain
Patient Care Services, Veterans Affairs Central Office, and the VA Pittsburgh Healthcare System, Pittsburgh, USA
N Engl J Med 364:1419-30. 2011..Health care-associated infections with methicillin-resistant Staphylococcus aureus (MRSA) have been an increasing concern in Veterans Affairs (VA) hospitals...
The impact of a Critical Care Information System (CCIS) on time spent charting and in direct patient care by staff in the ICU: a review of the literatureRebecca L Mador
University of Alberta, Faculty of Medicine and Dentistry, Department of Medicine, Edmonton, AB, Canada
Int J Med Inform 78:435-45. 2009..The objective of this literature review is to establish the impact of a CCIS on time spent documenting and in direct patient care by staff in the ICU...
Incidence and outcomes of acute kidney injury in intensive care units: a Veterans Administration studyCharuhas V Thakar
Nephrology, Cincinnati VA Medical Center, Cincinnati, OH, USA
Crit Care Med 37:2552-8. 2009..Acute kidney injury in intensive care unit patients is associated with significant mortality...
Methicillin-resistant Staphylococcus aureus central line-associated bloodstream infections in US intensive care units, 1997-2007Deron C Burton
Surveillance Branch, Division of Healthcare Quality Promotion, National Center for Preparedness, Detection, and Control of Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
JAMA 301:727-36. 2009..Concerns about rates of methicillin-resistant Staphylococcus aureus (MRSA) health care-associated infections have prompted calls for mandatory screening or reporting in efforts to reduce MRSA infections...
Prevalence and mortality associated with cytomegalovirus infection in nonimmunosuppressed patients in the intensive care unitAndre C Kalil
University of Nebraska Medical Center, Omaha, NE, USA
Crit Care Med 37:2350-8. 2009..Cytomegalovirus is the most common viral opportunistic infection in immunocompromised patients. However, recent studies have demonstrated active cytomegalovirus infection in nonimmunosuppressed intensive care unit patients...
Nosocomial pneumonia after acute stroke: implications for neurological intensive care medicineRuediger Hilker
Department of Neurology, University Hospital, Cologne, Germany
Stroke 34:975-81. 2003..Only limited data are available on stroke-associated pneumonia (SAP) in specialized neurological intensive care units (NICUs)...
Acute kidney injury in intensive care unit patients: a comparison between the RIFLE and the Acute Kidney Injury Network classificationsJosé António Lopes
Department of Nephrology and Renal Transplantation, Hospital de Santa Maria, Av, Prof, Egas Moniz, Lisboa 1649 035, Portugal
Crit Care 12:R110. 2008..We evaluated the incidence of acute kidney injury and compared the ability of the maximum RIFLE and of the maximum AKIN within intensive care unit hospitalization in predicting inhospital mortality of critically ill patients...
Acute kidney injury in patients with sepsis: a contemporary analysisJosé António Lopes
Department of Nephrology and Renal Transplantation, Hospital de Santa Maria, Av Prof Egas Moniz, 1649 035, Lisbon, Portugal
Int J Infect Dis 13:176-81. 2009....
Mechanisms of neuromuscular dysfunction in critical illnessJaffar Khan
Department of Neurology, Emory University School of Medicine, Atlanta, GA 30322, USA
Crit Care Clin 24:165-77, x. 2008..Finally, a defective sodium channel regulation as a unifying mechanism underlying NMD in critically ill patients is proposed...
Bacteremia in patients with ventilator-associated pneumonia is associated with increased mortality: A study comparing bacteremic vs. nonbacteremic ventilator-associated pneumoniaKemal Agbaht
Critical Care Department, Joan XXIII University Hospital, University Rovira i Virgili, Institut Pere Virgili, Tarragona, Spain
Crit Care Med 35:2064-70. 2007..To assess whether bacteremic ventilator-associated pneumonia (B-VAP) differs in terms of risk factors, organisms, and outcomes from nonbacteremic VAP (NB-VAP)...
Elevated nucleosome levels in systemic inflammation and sepsisSacha Zeerleder
University Hospital, Bern, Switzerland
Crit Care Med 31:1947-51. 2003..DESIGN: Retrospective study. SETTING: Medical and surgical wards or intensive care units of two university hospitals...
Impact of clinical guidelines in the management of severe hospital-acquired pneumoniaGuy W Soo Hoo
Pulmonary and Critical Care Section 111Q, West Los Angeles Healthcare Center, VA Greater Los Angeles Healthcare System, Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA 90073, USA
Chest 128:2778-87. 2005..To asses the impact of locally developed antimicrobial treatment guidelines in the initial empiric treatment of ICU patients with severe hospital-acquired pneumonia (HAP)...
Methicillin-resistant Staphylococcus aureus in a general intensive care unitD S Thompson
Medway Maritime Hospital, Gillingham ME7 5NY, UK
J R Soc Med 97:521-6. 2004Methicillin-resistant Staphylococcus aureus (MRSA) has presented special problems in intensive care units (ICUs) because of the difficulties in implementing infection control measures...
Review of antibiotic drug use in a surgical ICU: management with a patient data management system for additional outcome analysis in patients staying more than 24 hoursBernd Hartmann
Department of Anesthesiology, Intensive Care Medicine, and Pain Therapy, University Hospital Giessen, Giessen, Germany
Clin Ther 26:915-24; discussion 904. 2004..It would also be helpful to integrate certain therapy standards and reminder functions for the duration of therapy in the PDMS...
Bloodstream infection due to Acinetobacter spp: epidemiology, risk factors and impact of multi-drug resistanceD W Wareham
Division of Infection, Barts and The London NHS Trust, London, UK
Eur J Clin Microbiol Infect Dis 27:607-12. 2008..A prospective study is required to identify both the most effective intervention and those most likely to benefit from treatment...
Effect of acute kidney injury on weaning from mechanical ventilation in critically ill patientsJose M Vieira
Oncologic Intensive Care Unit, Hospital do Câncer de São Paulo, Sao Paulo, Brazil
Crit Care Med 35:184-91. 2007..Acute kidney injury (AKI) worsens outcome in various scenarios. We sought to investigate whether the occurrence of AKI has any effect on weaning from mechanical ventilation...
Intensive insulin therapy in the medical ICUGreet Van den Berghe
Department of Intensive Care Medicine, Catholic University of Leuven, Leuven, Belgium
N Engl J Med 354:449-61. 2006Intensive insulin therapy reduces morbidity and mortality in patients in surgical intensive care units (ICUs), but its role in patients in medical ICUs is unknown.
Outcome of critically ill oldest-old patients (aged 90 and older) admitted to the intensive care unitKonstantinos Rellos
Intensive Care Unit, Henry Dunant Hospital, Athens, Greece
J Am Geriatr Soc 54:110-4. 2006....
[Infections caused by Acinetobacter spp. in critically ill ICU patients]Francisco Alvarez-Lerma
Servicio de Medicina Intensiva, Hospital del Mar, Barcelona, Spain
Enferm Infecc Microbiol Clin 23:533-9. 2005To determine the frequency of infections caused by Acinetobacter spp. in critically ill patients admitted to Spanish intensive care units (ICUs) and to assess the clinical features and outcome.
A multi-centre evaluation of the RIFLE criteria for early acute kidney injury in critically ill patientsSean M Bagshaw
Division of Critical Care Medicine, University of Alberta Hospital, 3C1 16 Walter C Mackenzie Centre, 8440 122 Street, Edmonton, Alberta T6G2B7, Canada
Nephrol Dial Transplant 23:1203-10. 2008..We sought to evaluate the RIFLE criteria on the day of ICU admission in a large heterogenous population of critically ill patients...
Noninvasive ventilation in patients with "do-not-intubate" orders: medium-term efficacy depends critically on patient selectionRafael Fernandez
Critical Care Center, Hospital de Sabadell, Parc Tauli s n, 08208, Sabadell, Spain
Intensive Care Med 33:350-4. 2007....
Influence of matching for exposure time on estimates of attributable mortality caused by nosocomial bacteremia in critically ill patientsStijn Blot
Intensive Care Department, Ghent University Hospital, Gent, Belgium
Infect Control Hosp Epidemiol 26:352-6. 2005..To evaluate the influence of matching on exposure time on estimates of attributable mortality of nosocomial bacteremia as assessed by matched cohort studies...
Admission hypomagnesemia--impact on mortality or morbidity in critically ill patientsMohammadreza Safavi
Department of Anesthesiology and Intensive Care Medicine, School of Medical Sciences, Isfahan University, Isfahan, Iran
Middle East J Anesthesiol 19:645-60. 2007..The aim of this study was to define the prevalence of admission hypomagnesemia in critically ill patients and to evaluate its relationship with organ dysfunction, length of stay, and mortality...
Nursing Activities Score in the intensive care unit: analysis of the related factorsKatia Grillo Padilha
School of Nursing, University of Sao Paulo, Av Dr Eneas de Carvalho Aguiar 419, CEP 05403 000, Sao Paulo SP, Brazil
Intensive Crit Care Nurs 24:197-204. 2008..It is also important to be aware of the factors related to high patient care demands in order to help forecast staff requirements in intensive care units (ICUs).
Visits to intensive care unit patients--frequency, duration and impact on outcomeThomas Eriksson
Sahlgrenska University Hospital, Institute of Health and Care Sciences, The Sahlgrenska Academy, Goteborg University, Goteborg, Sweden
Nurs Crit Care 12:20-6. 2007..Most of the older patients had no visitors, which indicates that elderly people may have a poorer social network; thus, there may be a greater need for professional caring relationships and care planning...
Outcomes of acute respiratory distress syndrome (ARDS) in elderly patientsSoumitra R Eachempati
Division of Trauma and Critical Care, Department of Surgery, Weill Medical College of Cornell University, New York, New York, USA
J Trauma 63:344-50. 2007..We reviewed our experience with ARDS to determine whether outcomes were improving over time, and in particular whether outcomes were equally favorable among our elderly patients aged 65 years or older...
Incidence and outcomes of ventilator-associated pneumonia in Japanese intensive care units: the Japanese nosocomial infection surveillance systemMachi Suka
Department of Preventive Medicine, St Marianna University School of Medicine, 2 16 1 Sugao, Miyamae ku, Kawasaki, Kanagawa 216 8511, Japan
Infect Control Hosp Epidemiol 28:307-13. 2007....
Feeding practices of severely ill intensive care unit patients: an evaluation of energy sources and clinical outcomesMary E Hise
The University of Kansas Medical Center, Department of Dietetics and Nutrition, Kansas City, KS 66160 7250, USA
J Am Diet Assoc 107:458-65. 2007..The primary objective of this study was to assess energy intake in severely ill ICU patients and to evaluate the relationship of energy intake with clinical outcomes...
Influence of time-to-interventions for emergency department critical care patients on hospital mortalityKaren Clark
University of Maryland, Shady Grove Center, Rockville, MD 20850, USA
J Emerg Nurs 33:6-13; quiz 90. 2007....
The effect of workload on infection risk in critically ill patientsStephane Hugonnet
Infection Control Program, Department of Internal Medicine, University of Geneva Hospitals, Geneva, Switzerland
Crit Care Med 35:76-81. 2007..There is growing evidence that low nurse staffing jeopardizes quality of patient care. The objective of the study was to determine whether low staffing level increases the infection risk in critical care...
At-risk drinkers are at higher risk to acquire a bacterial infection during an intensive care unit stay than abstinent or moderate drinkersArnaud Gacouin
Service de Maladies Infectieuses et Reanimation Medicale, Hopital Pontchaillou, Rennes, France
Crit Care Med 36:1735-41. 2008..To determine whether excessive alcohol consumption increases the risk for intensive care unit (ICU)-acquired bacterial infection, especially ventilator-associated pneumonia (VAP), in nontrauma patients...
Admission hyperglycemia and other risk factors as predictors of hospital mortality in a medical ICU populationAmado X Freire
Division of Pulmonary Critical Care and Sleep Medicine, Department of Medicine, University of Tennessee Health Science Center, Memphis, 38163, USA
Chest 128:3109-16. 2005..Tight glycemic control is recommended for patients in the ICU, as hyperglycemia is associated with increased morbidity and mortality...
Association between hyperglycemia and increased hospital mortality in a heterogeneous population of critically ill patientsJames Stephen Krinsley
Division of Critical Care, The Stamford Hospital, Stamford, Conn 06902, USA
Mayo Clin Proc 78:1471-8. 2003..To investigate the relationship between hyperglycemia and hospital mortality in a heterogeneous group of critically ill patients...
Outcome and attributable cost of ventilator-associated pneumonia among intensive care unit patients in a suburban medical centerDavid K Warren
Division of Infectious Diseases, Washington University School of Medicine, St Louis, MO 63110, USA
Crit Care Med 31:1312-7. 2003..To determine the attributable cost of ventilator-associated pneumonia from a hospital-based cost perspective, after adjusting for potential confounders...
Comparison of a high-protein disease-specific enteral formula with a high-protein enteral formula in hyperglycemic critically ill patientsA Mesejo
Intensive Care Unit, Hospital General Universitario, Alicante, Spain
Clin Nutr 22:295-305. 2003..DESIGN: A prospective, randomized, controlled, single-blind trial in two University Hospital Intensive Care Units in Spain...
Impact of exclusion criteria on case mix, outcome, and length of stay for the severity of disease scoring methods in common use in critical careHannah Wunsch
Department of Medicine, Columbia University, New York-Presbyterian Hospital, New York, NY, USA
J Crit Care 19:67-74. 2004..the impact of the exclusion criteria on the case mix, outcomes and length of stay for admissions to intensive care units (ICUs) in England, Wales and Northern Ireland...
Predictive accuracy of severity scoring system: a prospective cohort study using APACHE III in a Korean intensive care unitJeong Ihnsook
Department of Nursing, College of Medicine, Pusan National University, 1 10 Ami dong Seo gu, 602 739 Pusan, South Korea
Int J Nurs Stud 40:219-26. 2003..To evaluate the discrimination, calibration, and uniformity of fit by age group, operative status, and location before ICU admission of APACHE III in a single-center ICU population...
Steroid-induced myopathy in patients intubated due to exacerbation of chronic obstructive pulmonary diseaseRosario Amaya-Villar
Intensive Care Unit, University Hospital Virgen del Rocio, Avenida Manuel Siurot s n, 41013 Seville, Spain
Intensive Care Med 31:157-61. 2005..To determine incidence, risk factors and impact on various outcome parameters of the development of acute quadriplegic myopathy in a selected population of critically ill patients...
Impact of ventilator-associated pneumonia on resource utilization and patient outcomeStephane Hugonnet
Infection Control Program, Department of Internal Medicine, University of Geneva Hospitals, Geneva, Switzerland
Infect Control Hosp Epidemiol 25:1090-6. 2004..To assess the effect of ventilator-associated pneumonia on resource utilization, morbidity, and mortality...
Length of stay and mortality in neurocritically ill patients: impact of a specialized neurocritical care teamJose I Suarez
Neurosciences Critical Care, The Department of Neurology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH, USA
Crit Care Med 32:2311-7. 2004....
Risk of mortality with a bloodstream infection is higher in the less severely ill at admissionPeter W Kim
VA Maryland Health Care System, 100 N. Greene St. (Lower level, Baltimore, MD 21201, USA
Am J Respir Crit Care Med 171:616-20. 2005..Focusing interventions to prevent bloodstream infections in less severely ill patients would be expected to have a greater benefit in terms of mortality reduction...
Reappraisal of attributable mortality in critically ill patients with nosocomial bacteraemia involving Pseudomonas aeruginosaS Blot
Department of Intensive Care, Ghent University Hospital, Belgium
J Hosp Infect 53:18-24. 2003..In conclusion, P. aeruginosa bacteraemia is associated with a clinically relevant attributable mortality (15%). However, we could not find statistical evidence of P. aeruginosa being an independent predictor of mortality...
Blood usage in an Australian intensive care unit: have we met best practice goals?D Farrar
Intensive Care Unit and Haematology Department, The Royal Melbourne Hospital, Melbourne, Victoria
Anaesth Intensive Care 32:775-80. 2004..10, 95% CI 0.02-0.58). The low red cell concentrate and blood product usage in our ICU were consistent with restrictive transfusion practice and selective red cell concentrate transfusion was associated with reduced mortality...
Research Grants
- MULTICENTER NETWORK OF NEONATAL INTENSIVE CARE UNITST O SHEA; Fiscal Year: 2005..in this region there are approximately 20,000 births, including 1400 who are admitted to the WFUSM neonatal intensive care units, and 270 who are very low birth weight...
- Bilirubin-induced Auditory Neuropathy in PretermsSANJIV AMIN; Fiscal Year: 2007..The OAE reflects cochlear function and is the current standard of care in many Neonatal Intensive Care Units (NICU) for hearing screening...
- Effects of Noise on Newborns < 1000g BirthweightRobert Lasky; Fiscal Year: 2007Noise levels in neonatal intensive care units (NICUs) may have serious adverse effects on high risk infants by increasing apneic, bradycardic, or desaturation episodes; sleep disturbances; mechanical ventilation; hospital stay; poor ..
- Biomarker Profiles for Early Diagnosis of Sepsis in NeonatesJames Mapes; Fiscal Year: 2007Sepsis is a frequent and serious problem in neonatal intensive care units, particularly in very low birth weight (VLBW) infants. Over 20% of all VLBW infants experience one or more episodes of late-onset sepsis...
- Prevention of Nosocomial Infections and Cost-Effectiveness Refined (P-NICER)Patricia W Stone; Fiscal Year: 2010..major contributor to increased morbidity, mortality and hospital costs;and, the majority of these occur in intensive care units (ICUs) and many are associated with insertion of an invasive device...
- Susceptibility Testing, Treatment Choices, and Outcomes of MDR-GNB InfectionsLisa Maragakis; Fiscal Year: 2009..increasingly the cause of a variety of serious infections in hospitalized patients, particularly those in intensive care units. Therapeutic choices for these infections are severely limited since many of these MDR organisms have ..
- Susceptibility Testing, Treatment Choices, and Outcomes of MDR-GNB InfectionsLisa Maragakis; Fiscal Year: 2007..increasingly the cause of a variety of serious infections in hospitalized patients, particularly those in intensive care units. Therapeutic choices for these infections are severely limited since many of these MDR organisms have ..
- AMELIORATION OF SEPSIS BY MACROPHAGE ACTIVATIONDavid Williams; Fiscal Year: 1999..advances in critical care, sepsis continues to be a pivotal factor in 40% to 60% of deaths in surgical intensive care units. Sepsis syndrome occurs in 500,000 patients per year and is the 13th most common cause of death in the ..
- Palliation of Thirst in Intensive Care Unit PatientsKathleen Puntillo; Fiscal Year: 2009..most pervasive, intense, unrecognized, and under-treated symptoms suffered by critically ill patients in Intensive Care Units (ICUs)...
- Mechanisms of Novel Herbal Therapies for Sepsis.Haichao Wang; Fiscal Year: 2010..advance in antibiotic therapy and intensive care, sepsis remains the most common cause of death in the intensive care units, claiming >225,000 victims annually in the U.S. alone...
- Applied Research in Antimicrobial Resistance: Studies of Susceptibility TestingLisa Saiman; Fiscal Year: 2007..today, the 'post-antimicrobial era' has been looming for well over a decade as patients, particularly in intensive care units (ICUs), are increasingly developing infections caused by multidrug-resistant (MDR) pathogens...
- Susceptibility Testing, Treatment Choices, and Outcomes of MDR-GNB InfectionsLisa Saiman; Fiscal Year: 2009..the 'post-antimicrobial era' has been looming for well over a decade as patients, particularly in intensive care units (ICUs), are increasingly developing infections caused by multidrug-resistant (MDR) pathogens...
- MULTICENTER NETWORK OF NEONATAL INTENSIVE CARE UNITSJon Tyson; Fiscal Year: 2003..John C. Sinclair, MD, an eminent neonatologist, clinical epidemiologist, and Network advisor, will join the Center Jan. 2001. ..
- Standardized Rehabilitation for ICU Patients with Acute Respiratory FailurePeter E Morris; Fiscal Year: 2010..1 million of the 4.4 million people admitted to US Intensive Care Units (ICU) every year...
- Standardized Rehabilitation for ICU Patients with Acute Respiratory FailurePeter Morris; Fiscal Year: 2009..1 million of the 4.4 million people admitted to US Intensive Care Units (ICU) every year...
- NEOPAIN MULTICENTER TRIAL: DATA COORDINATING CENTERBruce Barton; Fiscal Year: 2001..Analgesic practices recorded prospectively in 109 Neonatal Intensive Care Units (NICUs) showed that opioids and benzodiazepines were most commonly used, with large variations in clinical ..
- Mesenteric Lymph Linking Gut & Distant Organ InjuryEdwin Deitch; Fiscal Year: 2007Trauma is the leading cause of death in people under the age of 40 and MODS is the leading cause of death in intensive care units. Consequently, understanding the mechanisms by which trauma-hemorrhagic shock (T/HS) leads to MODS is of ..
- Platelet Transfusions in the Neonatal Intensive Care UnitMartha Sola Visner; Fiscal Year: 2007..is a common problem among sick newborn infants, affecting 20-35% of all patients admitted to Neonatal Intensive Care Units (NICUs)...
- Identifying Effective Strategies to Disclose Prognosis in Patients with ARDSDouglas White; Fiscal Year: 2009..Three decades of research on end-of-life care in the United States indicates that Americans dying in intensive care units often spend their final days receiving life sustaining treatment they would not choose...
- Identifying Effective Strategies to Disclose Prognosis in Patients with ARDSDouglas B White; Fiscal Year: 2010..Three decades of research on end-of-life care in the United States indicates that Americans dying in intensive care units often spend their final days receiving life sustaining treatment they would not choose...
- MICROVASCULAR ABNORMALITIES IN SEPSISSteven Hollenberg; Fiscal Year: 2002Septic shock, the leading cause of death in intensive care units, is characterized by vasodilation with decreased peripheral vascular resistance, which is often refractory to exogenously administered vasopressor agents...
- DEVELOPING CIRCADIAN RHYTHMICITYScott Rivkees; Fiscal Year: 2002..In neonatal intensive care units, preterm infants are typically exposed to continuous dim lighting without photic time-of-day cues...
