Stefano Bambi, Gian Domenico Giusti, Alessandro Galazzi, Elisa Mattiussi, Irene Comisso, Matteo Manici, Moris Rosati, Alberto Lucchini
BACKGROUND: Caring for patients with COVID-19 requires wearing a full set of personal protective equipment (PPE) to avoid contamination. Personal discomfort has been associated with use of PPE, and anecdotal reports describe pressure injuries related to wearing PPE. OBJECTIVES: To investigate the occurrence of device-related pressure injuries due to wearing PPE among Italian nurses caring for patients with COVID-19 in critical care settings. METHODS: This descriptive study used an online survey investigating both the demographic characteristics of respondents and complications related to wearing PPE, including the development of pressure injuries...
April 29, 2021: American Journal of Critical Care
Vijay Krishnamoorthy, Tetsu Ohnuma, Raquel Bartz, Matthew Fuller, Nita Khandelwal, Krista Haines, Charles Scales, Karthik Raghunathan
BACKGROUND: The COVID-19 pandemic created pressure to delay inpatient elective surgery to increase US health care capacity. This study examined the extent to which common inpatient elective operations consume acute care resources. METHODS: This cross-sectional study used the Premier Healthcare Database to examine the distribution of inpatient elective operations in the United States from the fourth quarter of 2015 through the second quarter of 2018. Primary outcomes were measures of acute care use after 4 common elective operations: joint replacement, spinal fusion, bariatric surgery, and coronary artery bypass grafting...
April 29, 2021: American Journal of Critical Care
Michael A Liu, Brianna R Bakow, Tzu-Chun Hsu, Jia-Yu Chen, Ke-Ying Su, Emmanuel K Asiedu, Wan-Ting Hsu, Chien-Chang Lee
BACKGROUND: Few population-based studies assess the impact of cancer on sepsis incidence and mortality. OBJECTIVES: To evaluate epidemiological trends of sepsis in patients with cancer. METHODS: This retrospective cohort study included adults (≥20 years old) identified using sepsis-indicator International Classification of Diseases codes from the Nationwide Inpatient Sample database (2006-2014). A generalized linear model was used to trend incidence and mortality...
July 1, 2021: American Journal of Critical Care
Mary E Ernst, Jessica Roberts Williams, Brian E McCabe
BACKGROUND: Having a child in the intensive care unit (ICU) is a stressful event that can cause negative mental health outcomes for parents, but little is known about the experience of parental stress among members of racial/ethnic minority groups. OBJECTIVE: To examine the stress and coping process in a racially/ethnically diverse sample of mothers of a child who was acutely admitted to an ICU. METHODS: Participants (N = 103) completed a cross-sectional self-report survey; 86...
July 1, 2021: American Journal of Critical Care
Dawn Cooper, Monica Gasperini, Janet A Parkosewich
BACKGROUND: Delays in early patient mobility are common in critical care areas. Oral intubation with mechanical ventilation is negatively associated with out-of-bed activities. OBJECTIVES: To explore nurses' mobility practices for patients with oral intubation and mechanical ventilation and identify barriers related to patient, nurse, and environment-of-care factors specific to this population. METHODS: In this cross-sectional, descriptive study in a medical intensive care unit, mobility was defined as standing, sitting in a chair, or walking...
July 1, 2021: American Journal of Critical Care
Celia Wells, Ziya Zhang, Christy Chan, Amy Brito, Roopa Kohli-Seth
BACKGROUND: More than 1 billion peripheral vascular access devices are inserted annually worldwide with potential complications including infection, thrombosis, and vasculature damage. Vasculature damage can necessitate the use of central catheters, which carry additional risks such as central catheter-associated bloodstream infections. To address these concerns, one institution used expert nurses and a consult request system with algorithms embedded in the electronic medical record. OBJECTIVES: To develop a uniform process for catheter insertion by means of a peripheral vascular access service dedicated to selecting, placing, and maintaining all inpatient peripheral catheters outside of the intensive care units...
July 1, 2021: American Journal of Critical Care
Margo A Halm
No abstract text is available yet for this article.
July 1, 2021: American Journal of Critical Care
Mary Beth Happ
Communication is the essence of the nurse-patient relationship. The critical care nurse's role in facilitating patient communication and enabling communication between patients and their families has never been more important or poignant than during the COVID-19 pandemic. We have witnessed tremendous examples of resourceful, caring nurses serving as the primary communication partner and support for isolated seriously ill patients during this pandemic. However, evidence-based tools and techniques for assisting awake, communication-impaired, seriously ill patients to communicate are not yet systematically applied across all settings...
July 1, 2021: American Journal of Critical Care
Aluko A Hope, Cindy L Munro
No abstract text is available yet for this article.
July 1, 2021: American Journal of Critical Care
Mary G Carey, Salah S Al-Zaiti, Teri M Kozik, Michele M Pelter
No abstract text is available yet for this article.
July 1, 2021: American Journal of Critical Care
Titilope Olanipekun, Abimbola Chris-Olaiya, Shawn Esperti, Vinod Nambudiri, Richard Duff, Gloria Westney
BACKGROUND: Each July, teaching hospitals in the United States experience an influx of new resident and fellow physicians. It has been theorized that this occurrence may be associated with increased patient mortality, complication rates, and health care resource use, a phenomenon known as the "July effect." OBJECTIVE: To assess the existence of a July effect in clinical outcomes of patients with acute respiratory distress syndrome (ARDS) receiving mechanical ventilation in the intensive care unit in US teaching hospitals...
July 1, 2021: American Journal of Critical Care
Cindy Cain
No abstract text is available yet for this article.
July 1, 2021: American Journal of Critical Care
Rhonda Board
No abstract text is available yet for this article.
July 1, 2021: American Journal of Critical Care
Grant A Pignatiello
No abstract text is available yet for this article.
July 1, 2021: American Journal of Critical Care
Carol K Chan, Yiqing Song, Ryan Greene, Heidi Lindroth, Sikandar Khan, Gabriel Rios, Babar Khan, Sophia Wang
BACKGROUND: Between 30% and 80% of survivors of critical illness experience cognitive impairment, but the underlying mechanisms remain unknown. OBJECTIVE: To determine whether intensive care unit (ICU) delirium biomarkers align with the National Institute on Aging-Alzheimer's Association (NIA-AA) research framework for diagnostic biomarkers for Alzheimer disease and other related dementias (ADRD). METHODS: Ovid MEDLINE, PsycInfo, Embase, and the Cochrane Library were systematically searched for articles published between January 1, 2000, and February 20, 2020, on the relationship between delirium and biomarkers listed in the NIA-AA framework...
July 1, 2021: American Journal of Critical Care
Katrina E Hauschildt, Claire Seigworth, Lee A Kamphuis, Catherine L Hough, Marc Moss, Joanne M McPeake, Molly Harrod, Theodore J Iwashyna
BACKGROUND: Many patients confront physical, cognitive, and emotional problems after acute respiratory distress syndrome (ARDS). No proven therapies for these problems exist, and many patients manage new disability and recovery with little formal support. Eliciting patients' adaptations to these problems after hospitalization may identify opportunities to improve recovery. OBJECTIVES: To explore how patients adapt to physical, cognitive, and emotional changes related to hospitalization for ARDS...
May 1, 2021: American Journal of Critical Care
Grant A Pignatiello, Aloen L Townsend, Ronald L Hickman
BACKGROUND: The Hospital Anxiety and Depression Scale (HADS) is commonly used clinically and scientifically among surrogate decision makers for critically ill patients. The validity of the HADS has been scrutinized, but its use among surrogate decision makers has not been examined. OBJECTIVE: To examine the structural validity of the HADS. METHODS: This study was a secondary analysis of data obtained from a 3-arm randomized controlled trial of a decision support intervention...
May 1, 2021: American Journal of Critical Care
Bernadette Mazurek Melnyk, Alai Tan, Andreanna Pavan Hsieh, Kate Gawlik, Cynthia Arslanian-Engoren, Lynne T Braun, Sandra Dunbar, Jacqueline Dunbar-Jacob, Lisa M Lewis, Angelica Millan, Liana Orsolini, Lorraine B Robbins, Cynthia L Russell, Sharon Tucker, JoEllen Wilbur
BACKGROUND: Critical care nurses experience higher rates of mental distress and poor health than other nurses, adversely affecting health care quality and safety. It is not known, however, how critical care nurses' overall health affects the occurrence of medical errors. OBJECTIVE: To examine the associations among critical care nurses' physical and mental health, perception of workplace wellness support, and self-reported medical errors. METHODS: This survey-based study used a cross-sectional, descriptive correlational design...
May 1, 2021: American Journal of Critical Care
Eileen Kim, Charles Kast, Anika Afroz-Hossain, Michael Qiu, Karalyn Pappas, Liron Sinvani
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...
May 1, 2021: American Journal of Critical Care
Burcu Ceylan, Leyla Baran, Ülkü Yapucu Güneş
BACKGROUND: All clinical alarms require nurses to respond even if an intervention is not needed. Nurses are expected to respond appropriately to each alarm and establish priorities among their care practices accordingly. This study was conducted to examine the number and types of clinical device alarms used in intensive care units, the duration of their activation, and nurses' degree of sensitivity to them. METHODS: This observational study was conducted in 4 intensive care units in a university hospital in Turkey...
May 1, 2021: American Journal of Critical Care
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