Cardiopulmonary arrest in general wards: a retrospective study of referral patterns to an intensive care facility and their influence on outcome.

The increasing incidence of ischemic heart disease is concomitantly increasing percutaneous coronary intervention (PCI) treatments. Adequate nurse staffing has enhanced quality of care and this study was conducted to determine the relationship between survival-related PCI treatment and the level of nursing staff who care for patients admitted to receive PCI. National Health Insurance claims data from 2014 to 2015 for 67,927 patients who underwent PCI in 43 tertiary hospitals were analyzed. The relationships of nurse staffing in intensive care units (ICUs) and general wards with survival after PCI were investigated using logistic regression analyses with a generalized estimation model. The in-hospital mortality rate in ICUs was lower in hospitals with first-grade nurse staffing {odds ratio (OR) = 0.33, 95% confidence interval (CI) = 0.23–0.48}, second-grade nurse staffing (OR = 0.55, 95% CI = 0.40–0.77), or third-grade nurse staffing (OR = 0.71, 95% CI = 0.53–0.95) than in hospitals with fifth-grade nurse staffing. Nurse staffing in general wards was not related to in-hospital mortality due to PCI treatment. This study found that nurse staffing in PCI patients requiring short-term intensive care significantly affected patient survival. An understanding of the importance of managing the ICU nursing workforce for PCI treatment is required.

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Diuretic strategies in patients with resistance to loop-diuretics in the intensive care unit: A retrospective study from the MIMIC-III database

Journal of Critical Care ◽

10.1016/j.jcrc.2021.06.009 ◽

2021 ◽

Vol 65 ◽

pp. 282-291

Author(s):

Jean-Maxime Côté ◽

Josée Bouchard ◽

Patrick T. Murray ◽

William Beaubien-Souligny

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Retrospective Study ◽

Loop Diuretics ◽

Mimic Iii

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Geographical access to critical care services in Scotland

Journal of the Intensive Care Society ◽

10.1177/1751143717714948 ◽

2017 ◽

Vol 19 (1) ◽

pp. 6-14 ◽

Cited By ~ 8

Author(s):

Philip Emerson ◽

Naomi Dodds ◽

David R Green ◽

Jan O Jansen

Keyword(s):

Critical Care ◽

Intensive Care ◽

Rural Areas ◽

Care Facility ◽

Population Data ◽

Small Towns ◽

Health Board ◽

Care Services ◽

Geographical Access ◽

Scottish Population

Background Critical illness requires specialist and timely management. The aim of this study was to create a geographic accessibility profile of the Scottish population to emergency departments and intensive care units. Methods This was a descriptive, geographical analysis of population access to ‘intermediate’ and ‘definitive’ critical care services in Scotland. Access was defined by the number of people able to reach services within 45 to 60 min, by road and by helicopter. Access was analysed by health board, rurality and as a country using freely available geographically referenced population data. Results Ninety-six percent of the population reside within a 45-min drive of the nearest intermediate critical care facility, and 94% of the population live within a 45-min ambulance drive time to the nearest intensive care unit. By helicopter, these figures were 95% and 91%, respectively. Some health boards had no access to definitive critical care services within 45 min via helicopter or road. Very remote small towns and very remote rural areas had poorer access than less remote and rural regions.

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