Search Tag: mortality

ICU Management

USA sepsis incidence and trends measurement, clinical data best

2017 13 Sep

On World Sepsis Day, 13 September, JAMA has published new research into the incidence of sepsis in the United States. The challenges of tackling the sepsis burden include accurately measuring sepsis incidence and trends. Clinical diagnoses of sepsis may be subjective, and insurance claims data, a traditional method of surveillance, can be affected by... Read more

ICU Management

Is there a ‘weekend effect’ for ICU mortality?

2017 07 Sep

The risk of dying in the intensive care unit (ICU) is higher for patients admitted at the weekend compared to a weekday, according to a study published in Critical Care. On the other hand the risk of dying in the ICU on a weekend was found to be lower than on a weekday, highlighting the complexity of the so-called 'weekend effect’. While the causes... Read more

ICU Management

Sepsis-3: Impact on Previously Defined Septic Shock Patients

2017 22 Aug

In a new analysis, 57% of patients meeting old definition for septic shock did not meet Sepsis-3 criteria. Although Sepsis-3 criteria identified a group of patients with increased organ failure and higher mortality, those patients who met the old criteria and not Sepsis-3 criteria still demonstrated significant organ failure and 14% mortality rate.... Read more

ICU Management

ICU Costs Higher for Patients Dying Before Discharge

2017 22 Aug

The high cost of critical care has engendered research into identifying influential factors. However, previous studies have not considered patient vital status at ICU discharge. This is what a new study has found: The largest drivers of ICU costs at the patient level are day 1 room occupancy and day 1 mechanical ventilation, and mortality before unit... Read more

Cardiology Management

Mortality Following Bypass Surgery Increases After 8-10 years

2017 13 Jun

Findings from a new register study from the Department of Clinical Epidemiology at Aarhus University, Denmark show that mortality following bypass surgery increases after 8-10 years. Prognosis following heart bypass surgery is generally good and has shown improvement over the last three decades. However, this new study shows that mortality increases... Read more

ICU Management

Urine Output Monitoring and Early AKI Detection

2017 29 May

Urine output (UO) is a vital sign for critically ill patients but standards for monitoring and reporting vary widely between ICUs. New research indicates that intensive monitoring of UO was associated with increased detection of moderate to severe acute kidney injury (AKI), reduced incidence of fluid overload and is independently associated with reduced... Read more

ICU Management

Levosimendan for Haemodynamic Support after Cardiac Surgery

2017 21 Mar

In patients who required perioperative hemodynamic support after cardiac surgery, low-dose levosimendan in addition to standard care did not result in lower 30-day mortality than placebo, according to a multicentre study published in The New England Journal of Medicine.See Also: Categorisation of Survival and Death after Cardiac ArrestEvery year, more... Read more

ICU Management

Predicting Critical Illness Mortality and Personalising Care

2017 07 Feb

Predicting mortality has always been a corner piece of critical care research and practice, and novel early outcome predictors are needed to guide patient/family expectations and decision-making, according to an Editorial article published in the journal Critical Care. The article discusses how muscle quality and quantity measurement could provide an... Read more

ICU Management

ICP Monitoring Lowers Mortality in Severe Traumatic Brain Injury

2017 03 Jan

Results of a meta-analysis published in PLoS ONE indicate that intracranial pressure (ICP) monitoring decreased the mortality rate of patients with severe traumatic brain injury. Specifically, the mortality of ICP monitored group (hospitalised after 2007) was improved, as well as two-week and six-month mortality rates, according to researchers.Previous... Read more

ICU Management

CICU: Cardiac Intensivist-directed Care Linked to Lower Mortality

2016 20 Dec

In the CICU setting, the presence of a dedicated cardiac intensivist has been shown to reduce mortality rates in patients with cardiovascular disease who require critical care. The findings are from a study by South Korean researchers and published in Journal of the American College of Cardiology.See Also: Challenges of Critical Care Cardiology AddressedDedicated... Read more