Prospective investigation of factors associated with success on the American College of Veterinary Emergency and Critical Care certification examination (2016‐2018)

SynopsisThe study is a prospective investigation of the factors associated with treatment compliance in 61 patients discharged from hospital with a ward diagnosis of schizophrenia. All cases were classified using reliable diagnostic criteria and all were followed up for two years. Compliance was assessed by inspection of records and by analysis of urine. Sociodemographic factors and illness variables were unrelated to compliance. Some aspects of a patient's insight and attitude, namely, a belief that medication had helped during the admission, a stated willingness to take treatment after discharge and a generally optimistic outlook, were associated with improved compliance. Other variables which showed such an association were the absence of the drug side-effect akinesia, good previous compliance and voluntary, as opposed to compulsory, admission to hospital.

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Factors Associated with Failure of Non-invasive Positive Pressure Ventilation in a Critical Care Helicopter Emergency Medical Service

Prehospital and Disaster Medicine ◽

10.1017/s1049023x15000199 ◽

2015 ◽

Vol 30 (3) ◽

pp. 239-243 ◽

Cited By ~ 3

Author(s):

James S. Lee ◽

Domhnall O’Dochartaigh ◽

Mark MacKenzie ◽

Darren Hudson ◽

Stephanie Couperthwaite ◽

...

Keyword(s):

Critical Care ◽

Emergency Medical Service ◽

Medical Service ◽

Positive Pressure Ventilation ◽

Helicopter Emergency Medical Service ◽

Positive Pressure ◽

Factors Associated ◽

Non Invasive ◽

Emergency Medical ◽

The Impact

AbstractIntroductionNon-invasive positive pressure ventilation (NIPPV) is used to treat severe acute respiratory distress. Prehospital NIPPV has been associated with a reduction in both in-hospital mortality and the need for invasive ventilation.Hypothesis/ProblemThe authors of this study examined factors associated with NIPPV failure and evaluated the impact of NIPPV on scene times in a critical care helicopter Emergency Medical Service (HEMS). Non-invasive positive pressure ventilation failure was defined as the need for airway intervention or alternative means of ventilatory support.MethodsA retrospective chart review of consecutive patients where NIPPV was completed in a critical care HEMS was conducted. Factors associated with NIPPV failure in univariate analyses and from published literature were included in a multivariable, logistic regression model.ResultsFrom a total of 44 patients, NIPPV failed in 14 (32%); a Glasgow Coma Scale (GCS) <15 at HEMS arrival was associated independently with NIPPV failure (adjusted odds ratio 13.9; 95% CI, 2.4-80.3; P=.003). Mean scene times were significantly longer in patients who failed NIPPV when compared with patients in whom NIPPV was successful (95 minutes vs 51 minutes; 39.4 minutes longer; 95% CI, 16.2-62.5; P=.001).ConclusionPatients with a decreased level of consciousness were more likely to fail NIPPV. Furthermore, patients who failed NIPPV had significantly longer scene times. The benefits of NIPPV should be balanced against risks of long scene times by HEMS providers. Knowing risk factors of NIPPV failure could assist HEMS providers to make the safest decision for patients on whether to initiate NIPPV or proceed directly to endotracheal intubation prior to transport.LeeJS, O’DochartaighD, MacKenzieM, HudsonD, CouperthwaiteS, Villa-RoelC, RoweBH. Factors associated with failure of non-invasive positive pressure ventilation in a critical care helicopter Emergency Medical Service. Prehosp Disaster Med2015; 30(2): 1–5

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Factors associated with critical care nurses’ engagement in end-of-life care practices

Australian Critical Care ◽

10.1016/j.aucc.2013.10.052 ◽

2014 ◽

Vol 27 (1) ◽

pp. 59

Author(s):

K. Ranse ◽

P. Yates ◽

F. Coyer

Keyword(s):

Critical Care ◽

End Of Life ◽

End Of Life Care ◽

Critical Care Nurses ◽

Life Care ◽

Factors Associated ◽

Care Practices

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Clinical characteristics of confirmed cases of COVID-19 admitted at Al-Nahdha hospital, Oman: a cross-sectional descriptive study

10.21203/rs.3.rs-39988/v1 ◽

2020 ◽

Author(s):

Saud Al Harthi ◽

Magdi AlOsali ◽

Ruwaida Al Ismaili ◽

Sultan Al Lawati ◽

Bina Kamble ◽

...

Keyword(s):

Critical Care ◽

Clinical Characteristics ◽

Clinical Laboratory ◽

Arabian Gulf ◽

Health Information System ◽

Cross Sectional ◽

Factors Associated ◽

Gulf Countries ◽

Fundamental Information ◽

Artery Disease

Abstract Background: With the coronavirus disease 19 (COVID-19) pervading the world, little has been published regarding the hospitalized cases of COVID-19 (confirmed) in the Arabian Gulf countries. This paper describes the socio-demographic, clinical, laboratory, and radiological characteristics, treatment and clinical outcomes of these cases in Al-Nahdha hospital, Oman. Additionally, factors associated with requiring critical care were identified.Methods: Data of all the positive cases in Al-Nahdha hospital were retrieved from the electronic health information system retrospectively from 3rd of March to 9th May 2020. Required information was recorded in a bespoke sheet and exported to SPSS for further analysis. The primary outcome was defined as requiring vs not requiring critical care.Results:Out of 102 total admissions, 19 cases required critical care (18.6%). Compared to the non-critical cases, majority of the severe cases requiring critical care were older [54.1(13.4) years vs 48.9(14.9) years], males [89.5% vs 74.7%] and non-nationals [63.2 vs 55.4%]. Significant factors associated with requiring critical care were symptoms of shortness of breath (89.5% vs 65.1%, P=0.03), diabetes (68.4% vs 32.5%, OR=1.5, P=0.004), chronic artery disease (15.8% vs 3.6%, OR=1.7, P=0.04), diagnosis of ARDS (63.2% vs 6.0%, P<0.001). Additionally, the mean ferritin levels was significantly higher in cases requiring critical care compared to their counter cases (2350.4(423.8) vs 795.7(554.3), P=0.005). Depending on disease severity, treatment included anti-bacterial, anti-viral, heparin and steroids. The utilization of steroids was significantly higher in the cases requiring critical care (63.2% vs 26.5%, P=0.001). Out of cases who required critical care (n=19), nine died (death rate= 47.4%). Conclusions:Results from this study provides fundamental information about the non-clinical and clinical characteristics of confirmed COVID-19 cases in Oman. The information obtained can be utilized to follow up the clinical progress of hospitalized patients with COVID-19 in the Arabic speaking countries where such reports are limited.

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