The incidence of potential missed organ donors in intensive care units and emergency rooms: a retrospective cohort

2013 ◽  
Vol 39 (8) ◽  
pp. 1452-1459 ◽  
Author(s):  
Demetrios J. Kutsogiannis ◽  
Sonal Asthana ◽  
Derek R. Townsend ◽  
Gurmeet Singh ◽  
Constantine J. Karvellas
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Retrospective Cohort ◽  
Organ Donors ◽  
Emergency Rooms

scholarly journals Rethinking ‘essential’ and ‘nonessential’: the developmental paediatrician’s COVID-19 response

2020 ◽  
Vol 25 (5) ◽  
pp. 265-267 ◽  
Author(s):  
Alastair Fung ◽  
M Florencia Ricci
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Developmental Disabilities ◽  
Child Development ◽  
Intensive Care Units ◽  
Practical Purpose ◽  
Quality Care ◽  
Emergency Rooms ◽  
Phone Calls ◽  
Provide Quality Care

Abstract While terms such as ‘essential’ and ‘nonessential’ used amidst the COVID-19 pandemic may serve a practical purpose, they also pose a risk of obstructing our view of the harmful indirect health consequences of this crisis. SARS-CoV-2 cases and deaths in children are minimal compared to adults, but the pandemic impacts other ‘essential’ aspects of children’s health including child development and the associated areas of paediatric behaviour, mental health, and maltreatment. Alongside the management of severe SARS-CoV-2 cases in emergency rooms and intensive care units, continuing to care for children with developmental disabilities must also be concurrently championed as ‘essential’ during this crisis. The potentially devastating lifelong effects of the pandemic and isolation on an already vulnerable population demand that action be taken now. Video conferences and phone calls are ‘essential’ instruments we can use to continue to provide quality care for our patients.

scholarly journals Epidemiology of Cardiopulmonary Resuscitation in Critically Ill Children Admitted to Pediatric Intensive Care Units Across England: A Multicenter Retrospective Cohort Study

2021 ◽  
Vol 10 (9) ◽  
Author(s):  
Khurram Mustafa ◽  
Hannah Buckley ◽  
Richard Feltbower ◽  
Ramesh Kumar ◽  
Barnaby R. Scholefield
Keyword(s):  
Intensive Care ◽  
Quality Improvement ◽  
Cardiopulmonary Resuscitation ◽  
Intensive Care Units ◽  
Retrospective Cohort ◽  
Pediatric Intensive Care ◽  
Paediatric Intensive Care ◽  
Critically Ill Children ◽  
Pediatric Intensive Care Units ◽  
National Quality

Background Cardiopulmonary arrests are a major contributor to mortality and morbidity in pediatric intensive care units (PICUs). Understanding the epidemiology and risk factors for CPR may inform national quality improvement initiatives. Methods and Results A retrospective cohort analysis using prospectively collected data from the Paediatric Intensive Care Audit Network database. The Paediatric Intensive Care Audit Network contains data on all PICU admissions in the United Kingdom. We identified children who received cardiopulmonary resuscitation (CPR) in 23 PICUs in England (2013–2017). Incidence rates of CPR and associated factors were analyzed. Logistic regression was used to estimate the size and precision of associations. Cumulative incidence of CPR was 2.2% for 68 114 admissions over 5 years with an incidence rate of 4.9 episodes/1000 bed days. Cardiovascular diagnosis (odds ratio [OR], 2.30; 95% CI, 2.02–2.61), age <1 year (OR, 1.84; 95% CI, 1.65–2.04), the Paediatric Index of Mortality 2 score on admission (OR, 1.045; 95% CI, 1.042–1.047) and longer length of stay (OR, 1.013; 95% CI, 1.012–1.014) were associated with increased odds of receiving CPR. We also found a higher risk of CPR associated with a history of preadmission cardiac arrest (OR, 20.69; [95% CI, 18.16–23.58) and for children with a cardiac condition admitted to a noncardiac PICU (OR, 2.75; 95% CI, 1.91–3.98). Children from Black (OR, 1.68; 95% CI, 1.36–2.07) and Asian (OR, 1.49; 95% CI, 1.28–1.74) racial/ethnic backgrounds were at higher risk of receiving CPR in PICU than White children. Conclusions Data from this first multicenter study from England provides a foundation for further research and evidence for benchmarking and quality improvement for prevention of cardiac arrests in PICU.

Nosocomial pneumonie in intensive care units: problems and solutions

2018 ◽  
Vol 2 (4) ◽  
pp. 20-29
Author(s):  
A.G. Salmanov ◽  
L.F. Slepova
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Significant Proportion ◽  
Underlying Disease ◽  
Emergency Rooms ◽  
State Of Emergency ◽  
Antibiotic Resistant ◽  
Problems And Solutions ◽  
The Cost

Nosocomial pneumonia (NP) is a serious problem in healthcare in the world and remains the same, despite the application of new therapies and prevention. Among the infections associated with the provision of healthcare, the state of emergency takes the second - the third place in terms of prevalence and second place in terms of mortality. NP significantly impairs the prognosis of the underlying disease, increases the length of stay of the patient in the hospital and the cost of treatment. Insufficient resolution of issues of prophylaxis, early diagnosis and treatment is the reason that a significant proportion of cases of NP are diagnosed only by the results of autopsy. In recent years, there has been an increase in the number of cases of NP caused by antibiotic-resistant microorganisms, which complicates the implementation of effective empirical antibiotic therapy and disease prevention. The authors propose recommendations that take into account the modern scientific developments of many domestic and foreign researchers on NP issues. The issues of epidemiology, etiology, pathogenesis, clinical classification of the disease are elucidated in detail. Particular attention is paid to surveillance of emergency rooms in intensive care units (ICU).

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