Readmission to the intensive care unit: An indicator that reflects the potential risks of morbidity and mortality of surgical patients in the intensive care unit

Surgery Today ◽  
2009 ◽  
Vol 39 (4) ◽  
pp. 295-299 ◽  
Author(s):  
Khee-Siang Chan ◽  
Che-Kim Tan ◽  
Chiu-Shu Fang ◽  
Chi-Lun Tsai ◽  
Ching-Cheng Hou ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Morbidity And Mortality ◽  
Surgical Patients ◽  
Potential Risks

scholarly journals Healthcare-Associated Infections among Patients in a Large Burn Intensive Care Unit: Incidence and Pathogens, 2008–2012

2014 ◽  
Vol 35 (10) ◽  
pp. 1304-1306 ◽  
Author(s):  
David J. Weber ◽  
David van Duin ◽  
Lauren M. DiBiase ◽  
Charles Scott Hultman ◽  
Samuel W. Jones ◽  
...  
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
The United States ◽  
Burn Injuries ◽  
Morbidity And Mortality ◽  
Common Source ◽  
Healthcare Associated Infections ◽  
Burn Patients ◽  
Healthcare Associated

Burn injuries are a common source of morbidity and mortality in the United States, with an estimated 450,000 burn injuries requiring medical treatment, 40,000 requiring hospitalization, and 3,400 deaths from burns annually in the United States. Patients with severe burns are at high risk for local and systemic infections. Furthermore, burn patients are immunosuppressed, as thermal injury results in less phagocytic activity and lymphokine production by macrophages. In recent years, multidrug-resistant (MDR) pathogens have become major contributors to morbidity and mortality in burn patients.Since only limited data are available on the incidence of both device- and nondevice-associated healthcare-associated infections (HAIs) in burn patients, we undertook this retrospective cohort analysis of patients admitted to our burn intensive care unit (ICU) from 2008 to 2012.

scholarly journals Profile of Intensive Care Unit admission and Outcomes of Medical and Surgical patients at A Tertiary Government Hospital: A 5 Year Trend Analysis

2018 ◽  
Vol 29 (2) ◽  
pp. 59-62
Author(s):  
Shakera Ahmed ◽  
Omar Faruque Yusuf ◽  
AKM Shamsul Alam ◽  
Anisul Awal
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Rate ◽  
Ventilatory Support ◽  
Surgical Patients ◽  
College Hospital ◽  
Medical College ◽  
Advanced Airway ◽  
Medical Discipline ◽  
Record Review

Background: The intensive care unit (ICU) is that part of the hospital where critically ill patients that require advanced airway, respiratory and haemodynamic supports are usually admitted. Intensive care unit admissions which aim at achieving an outcome better than if the patients were admitted into other parts of the hospital however come at a huge cost to the hospital, the personnel and patients’ relations.Objective: To audit the 5 year bed occupancy rate and outcome of medicine and surgical patients admitted into the ICU of the Chittagong Medical College Hospital, Chittagong, Bangladesh.Design: A 5 years retrospective study (Record review) from January 2012 to December 2016. Method: Data were extracted from the ICU records of the patient and analyzed.Results: During this study period, the frequency of admission into ICU was significantly more (p<0.001) from medical discipline (55.20%) than surgical disciplines (44.80%). The incidence of survival was significantly lower (p<0.001) from medical discipline (37.68%), than from surgical disciplines (49.05%). Occurrence of total ventilatory support provided in all disciplines was 60.32% and it was significantly higher for the surgical patients. Overall mortality rate was 57.23%.Conclusion: During prioritizing the patients for ICU admission surgical cases should get preference. It is primarily necessary to optimize patient to doctor ratio and patient to nurse ratio and providing the service by critical care physicians (“intensivists”) to reduce the mortality rate of ICU.Bangladesh J Medicine Jul 2018; 29(2) : 59-62

scholarly journals Consenting patients for elective procedures during the pandemic: Are we consenting for risk of nosocomial COVID-19 infection

2021 ◽  
pp. 175045892110452
Author(s):  
CU Menakaya ◽  
M Durand-Hill ◽  
O Okereke ◽  
DM Eastwood
Keyword(s):  
Intensive Care Unit ◽  
United Kingdom ◽  
Intensive Care ◽  
Surgical Procedures ◽  
Surgical Patients ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
Risk Of Death ◽  
The United Kingdom

Introduction: Nosocomial COVID-19 increases morbidity and mortality in patients undergoing surgical procedures. This study assesses the consenting process in patients admitted for surgical procedures with regard to risks of contracting nosocomial COVID-19 infection during the three lockdown periods in the United Kingdom. Methods: Retrospective review of consecutive surgical patients admitted to our tertiary referral centre for surgical procedures during the lockdown periods in the United Kingdom. Data from our hospital’s electronic theatre database cross-referenced with the online surgical operative, admission and discharge records were reviewed by three independent reviewers. Discussion: A total of 180 patients (104 males and 76 females) were studied. No patients tested positive perioperatively for COVID-19. The first lockdown had a significantly larger proportion of consultants consenting (P < 0.001). Surgeons consented patients for risk of COVID-19 infection in 34.4% of cases, COVID-19-related illness in 33.9%, inpatient Intensive Care Unit (ITU) admission secondary to COVID-19 infection and risk of death due to COVID-19 in 0.0% and risk of death secondary to inpatient COVID infection in 1.1%. Conclusion: As surgical activity continues and COVID-19 persists, surgeons should be vigilant and ensure proper documentation for consent regarding COVID-19-related complications in line with the Royal College of Surgeons of England guidelines.

Peri-Operative Considerations of Dementia, Delirium, and Cognitive Decline

2019 ◽  
pp. 297-302
Author(s):  
Phillip E. Vlisides ◽  
Zhongcong Xie
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cognitive Decline ◽  
Postoperative Cognitive Dysfunction ◽  
Cognitive Disorders ◽  
The Elderly ◽  
Surgical Patients ◽  
Anaesthetic Agents ◽  
Study Methodology ◽  
The Many

As the elderly population increases, so will the number of surgical patients with dementia and other cognitive disorders. Laboratory evidence suggests that some commonly used anaesthetic agents may accelerate the Alzheimer’s disease (AD) process, but robust clinical research is still needed. This chapter discusses the need for peri-operative guidelines for patients with dementia, and the many opportunities for further research to inform such guidelines. It also covers postoperative delirium and its association with longer hospital and intensive care unit stays, cognitive decline after surgery, and higher mortality. Finally, it covers postoperative cognitive dysfunction (POCD), how standardized definitions and study methodology are lacking, and that studying cognitive trajectory after anaesthesia and surgery is often confounded by various clinical elements that cannot be accounted for methodologically.

scholarly journals The impact of metabolic syndrome on morbidity and mortality among intensive care unit admitted COVID-19 patients

2020 ◽  
Vol 14 (6) ◽  
pp. 1979-1986
Author(s):  
Nasser Malekpour Alamdari ◽  
Fateme Sadat Rahimi ◽  
Siamak Afaghi ◽  
Afshin Zarghi ◽  
Shohra Qaderi ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Morbidity And Mortality ◽  
The Impact

scholarly journals The occurrence of adverse events is associated with increased morbidity and mortality in children admitted to a single pediatric intensive care unit

2019 ◽  
Vol 179 (3) ◽  
pp. 473-482
Author(s):  
Pablo G. Eulmesekian ◽  
Juan P. Alvarez ◽  
José M. Ceriani Cernadas ◽  
Augusto Pérez ◽  
Stefanía Berberis ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Adverse Events ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Morbidity And Mortality
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