New resuscitation guidelines may result in an increased incidence of severe chest wall injury, and lead to prolonged length of stay in the Intensive Care Unit

Resuscitation ◽  
2011 ◽  
Vol 82 (10) ◽  
pp. 1355 ◽  
Author(s):  
Neil Young ◽  
Brian Cook ◽  
Michael Gillies
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Chest Wall ◽  
Prolonged Length ◽  
Chest Wall Injury ◽  
Resuscitation Guidelines ◽  
Wall Injury

scholarly journals COVID-19-Associated Pulmonary Aspergillosis in a Series of Complete Autopsies from the Brazilian Amazon

2022 ◽  
Author(s):  
Maria Eduarda Farias ◽  
Monique Freire Santana ◽  
Luiz Ferreira ◽  
Mayla Borba ◽  
João Silva-Neto ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Gene Sequencing ◽  
Brazilian Amazon ◽  
Mortality Rates ◽  
Pulmonary Aspergillosis ◽  
Prolonged Length ◽  
Autopsy Series ◽  
Individualized Approach

Between April and July 2020, and, therefore, prior to the broad recommendation of corticosteroids for severe COVID-19, a total of 50 full autopsies were performed in Manaus. We confirmed two invasive cases of aspergillosis through histopathology and gene sequencing (4%) in our autopsy series. The confirmed invasive aspergillosis incidence seems much lower than expected based on the “probable and possible” definitions, and an individualized approach should be considered for each country scenario. Interestingly, a prolonged length of stay in the intensive care unit was not observed in any of the cases. Timely diagnosis and treatment of fungal infection can reduce mortality rates.

Survival After Prolonged Length of Stay in a Trauma Intensive Care Unit

2007 ◽  
Vol 62 (1) ◽  
pp. 147-150 ◽  
Author(s):  
Vincent Trottier ◽  
Mark G. McKenney ◽  
Michael Beninati ◽  
Ronald Manning ◽  
Carl I. Schulman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Prolonged Length

scholarly journals Factors Associated with Prolonged Length of Stay in Intensive Care Unit: Systematic Review and Meta-analysis

2021 ◽  
Vol 9 (1) ◽  
pp. 30
Author(s):  
Nashwa M. Radwan ◽  
Nagla E. Mahmoud ◽  
Amal H. Alfaifi ◽  
Khaled I. Alabdulkareem
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
English Language ◽  
Medical Condition ◽  
Severity Of Illness ◽  
Risk Of Bias ◽  
Prolonged Length ◽  
Factors Associated

Background: Prolonged length of Stay (PLOS) increases the risk of hospital-acquired infections and disrupts patient flowand access to care due to bed shortages. The extent to which PLOS is attributable to complications, patient characteristics, illness, or inefficienpractice style is unclear. Objectives: To determine risk factors associated with prolonged length of stay (PLOS) in intensive care unit. (ICU). Search methods: We searched the COCHRANE, MEDLINE, TRIP and EMBASE from 2010 till now. Selection criteria: We included all the studies published in English language from 2010 till now and investigated the PLOS in ICU after any medical condition. Data collection and analysis: Two authors independently assessed trials eligibility and risk of bias and extracted data. Review Manager 5.3 was utilized to manage the data. Main results: The review included 84719 participants from fourteen observational studies that had some degree of risk of bias and substantial heterogeneity. Post-operative sepsis/ septic shock and the severity of illness of the patients at hospital admission were the most common risk factors for PLOS (OR= 5.65, CI= 1.98, 16.08 and OR=3.95, CI= 1.67, 9.34 respectively), followed by emergency operation (OR= 2.68, CI= 1.56, 4.62), and comorbidities including renal failure and coronary heart disease (OR= 2.64, CI=1.26, 5.51 and OR=2.57, CI= 1.61, 4.10 respectively). Other variables associated with PLOS were respectively; pre-operative condition (OR=2.36, CI=1.28, 4.34), long term use of corticosteroids (OR= 2.03, CI= 1.81, 2.29 ), age >70 years (OR=1.89, CI=0.54, 2.32), operation duration >180 minutes (OR=1.86, CI=1.46, 2.38), most deprived condition (OR= 1.82, CI= 1.15, 2.89), diabetes (OR= 1.36, CI=1.18, 1.56), hypertension (OR=1.32, CI= 1.09, 1.62), smoking (OR=1.25, CI= 1.13, 1.39) and male sex (OR= 1.11, CI=1.06, 1.17). Authors conclusion: Identificationof risk factors associated with PLOS provides the opportunity for intervention to reduce the LOS and support efficient/optimause of hospital resources.

Traumatic Injuries Associated with Segways and Personal Transporters

2009 ◽  
Vol 75 (8) ◽  
pp. 722-724 ◽  
Author(s):  
Kyle B. Vincent ◽  
Ernest F. J. Block ◽  
Jonathan Black
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critically Ill Patient ◽  
Vehicular Traffic ◽  
Traumatic Injuries ◽  
Lower Extremity Fracture ◽  
Blunt Force Trauma ◽  
Chest Wall Injury ◽  
Extremity Fracture ◽  
Wall Injury

Segways and other personal transporters are emerging as alternative modes of transportation that blur the distinction between pedestrian and vehicular traffic. We reviewed the records of four patients who were traumatically injured while piloting personal transporters. All required hospital admission for major blunt force trauma; three were admitted to the intensive care unit. Two intensive care unit admissions were for neurologic monitoring of severe intracranial hemorrhage. The other critically ill patient had an extensive chest wall injury and respiratory failure resulting in a tracheostomy. The fourth patient suffered an open lower extremity fracture requiring extensive reconstructive orthopedic surgery. Surgeons should be aware of the potential serious nature of associated injuries.

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