scholarly journals Advantages and disadvantages of patients’ hospitalization in Intensive Care Units

2021 ◽  
Vol 7 (4) ◽  
pp. 155
Author(s):  
Spyridon Kafantaris ◽  
Olga Kadda
Keyword(s):  
Intensive Care ◽  
Sleep Disturbances ◽  
Team Work ◽  
Cochrane Library ◽  
Successful Implementation ◽  
Advantages And Disadvantages ◽  
Evidenced Based ◽  
Environment Noise ◽  
Evidenced Based Practice ◽  
Special Hospital

Background: An Intensive Care Unit (ICU) is a special hospital department with many advantages and disadvantages for the patient.Aim: The aim of the present systematic review was to explore the advantages and disadvantages of hospitalized ICU patients.Material and Method: A literature review in international databases (Pubmed, Cinahl, Google Scholar, Cochrane Library) was conducted. A time limited criteria was applied with respect to the publication of articles (articles published in the last 15 years). Ten articles were found that met the criteria for participation in the present review.Results: Results thematic analysis revealed the following advantages and disadvantages of ICU hospitalization: Advantages related to patients care in ICU and advantages related to team work. Disadvantages related to the ICU environment (noise, lighting) that complicate the patient's hospitalization status and cause the patient's sleep disturbances and / or delirium. Additionally, it was found that financial cost of hospitalization is a very significant disadvantage for both patient and health care providers.Conclusions: Preparation and successful implementation of significant strategies will convert disadvantages of ICU hospitalization into advantages in daily clinical practice through increased use of protocols, the maintenance of a checklist, evidenced based practice, data recording, development of interdisciplinary groups and finally the extensive application of technology for patient’ s benefit.

Point-of-Care Echocardiography and Hemodynamic Monitoring in Cirrhosis and Acute-on-Chronic Liver Failure in the COVID-19 Era

2021 ◽  
pp. 088506662098828
Author(s):  
Madhumita Premkumar ◽  
Kamal Kajal ◽  
Anand V. Kulkarni ◽  
Ankur Gupta ◽  
Smita Divyaveer
Keyword(s):  
Intensive Care ◽  
Liver Failure ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Point Of Care ◽  
Kidney Injury ◽  
Regional Wall Motion ◽  
Chronic Liver ◽  
Chronic Liver Failure ◽  
Evidenced Based

Point-of-Care (POC) transthoracic echocardiography (TTE) is transforming the management of patients with cirrhosis presenting with septic shock, acute kidney injury, hepatorenal syndrome and acute-on-chronic liver failure (ACLF) by correctly assessing the hemodynamic and volume status at the bedside using combined echocardiography and POC ultrasound (POCUS). When POC TTE is performed by the hepatologist or intensivist in the intensive care unit (ICU), and interpreted remotely by a cardiologist, it can rule out cardiovascular conditions that may be contributing to undifferentiated shock, such as diastolic dysfunction, myocardial infarction, myocarditis, regional wall motion abnormalities and pulmonary embolism. The COVID-19 pandemic has led to a delay in seeking medical treatment, reduced invasive interventions and deferment in referrals leading to “collateral damage” in critically ill patients with liver disease. Thus, the use of telemedicine in the ICU (Tele-ICU) has integrated cardiology, intensive care, and hepatology practices across the spectrum of ICU, operating room, and transplant healthcare. Telecardiology tools have improved bedside diagnosis when introduced as part of COVID-19 care by remote supervision and interpretation of POCUS and echocardiographic data. In this review, we present the contemporary approach of using POC echocardiography and offer a practical guide for primary care hepatologists and gastroenterologists for cardiac assessment in critically ill patients with cirrhosis and ACLF. Evidenced based use of Tele-ICU can prevent delay in cardiac diagnosis, optimize safe use of expert resources and ensure timely care in the setting of critically ill cirrhosis, ACLF and liver transplantation in the COVID-19 era.

scholarly journals Association between depression and sleep quality in patients with systemic lupus erythematosus: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Rulan Yin ◽  
Lin Li ◽  
Lan Xu ◽  
Wenjie Sui ◽  
Mei’e Niu ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Sleep Quality ◽  
Lupus Erythematosus ◽  
Sleep Disturbances ◽  
Cochrane Library ◽  
Poor Sleep ◽  
Moderate Correlation ◽  
Systemic Lupus ◽  
Poor Sleep Quality ◽  
Subjective Sleep Quality

Abstract Background Currently, there is no consistent understanding of the relationship between depression and sleep quality in patients with systemic lupus erythematosus (SLE). This study aimed to explore the correlation between depression and sleep quality in SLE patients. Methods Five English (PubMed, Web of Science, EMBASE, Cochrane Library, and CINAHL) databases were systematically searched from inception to January 12, 2021. Two authors independently screened publications and extracted data according to set inclusion and exclusion criteria. Statistical analyses were performed with STATA 16.0. Data were pooled using a random-effects model. Results A total of 9 identified studies matched the inclusion criteria, reporting on 514 patients with SLE in the analysis. A moderate correlation of depression with sleep quality was found (pooled r = 0.580 [0.473, 0.670]). Compared to good sleepers, patients with SLE and poor sleep quality had higher levels of depression (standardized mean difference =  − 1.28 [− 1.87, − 0.69]). Depression was associated with subjective sleep quality (r = 0.332 [0.009, 0.592]), sleep latency (r = 0.412 [0.101, 0.649]), sleep disturbances (r = 0.405 [0.094, 0.645]), daytime dysfunction (r = 0.503 [0.214, 0.711]), the four dimensions of Pittsburgh Sleep Quality Index (PSQI), while no significant correlation was found in the other three PSQI dimensions. Conclusion Depression had a moderate correlation with sleep quality in patients with SLE. Patients with poor sleep quality tended to have higher level of depression than that of good sleepers. Awareness of the correlation may help rheumatology physicians and nurses to assess and prevent depression and improve sleep quality in patients with SLE.

scholarly journals Proposed Policy Frame for Development for Technology and Science Information System in Vietnam Maritime Field

2019 ◽  
Vol 35 (4) ◽  
Author(s):  
Vu Huy Thang
Keyword(s):  
Information System ◽  
Swot Analysis ◽  
Science And Technology ◽  
Policy Framework ◽  
Successful Implementation ◽  
Advantages And Disadvantages ◽  
The World ◽  
New Policies ◽  
Maritime Strategy ◽  
Science Information

The paper will study on the reality of the policies for development for technology and science information system in the world, the necessary discussion before the development of S&T. The author had in-depth assessment of the macroeconomic policy-oriented goals for the development of S&T information in the maritime sector and the development of Vietnamese science and technology information sources. A number of typical policies have been analyzed in the direction of practical application in the situation that Vietnam has been actively integrating with the world. Orientations for development of science and technology, maritime training and coaching to 2025 and a vision to 2030 with the case study of Vietnam Maritime University.  The article conducted researches, surveys, and interviews on the demand trend of S&T information use of information users and managers in the maritime field in the near future through the questionnaire system. From that, the paper proposed a policy framework to develop the S&T information system in Vietnam's maritime sector and analyze the advantages and disadvantages compared to the current policies. The author conducted a SWOT analysis to assess the strengths, weaknesses, opportunities and challenges of the Maritime Science and Technology Information System. Proposal to supplement new policies and complete amendments to existing ones and assess the possible impacts when applying policies in practice. The article confirms the important role of the proposed policies in the context and the practical situation contributing to the successful implementation of the national maritime strategy.

scholarly journals Clinical pharmacoepidemiology of antibiotics usage in intensive care unit of cancer special hospital

2020 ◽  
Vol 9 (3) ◽  
pp. 169
Author(s):  
Akrom Akrom ◽  
Rafiastiana Capritasari
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cancer Patients ◽  
Medical Records ◽  
Medication Administration ◽  
Cross Sectional ◽  
Antibiotics Use ◽  
The Subject ◽  
Cross Sectional Design ◽  
Special Hospital

The pattern of antibiotics use in cancer patients in the intensive care unit (ICU) of dharma is cancer special hospital (DCSH) has not been identified. The purpose of this study is to determine the pattern of antibiotics use in cancer patients treated in the ICU of DCSH from 2012-2014. This study was observational with a cross-sectional design. The data collection is done retrospectively. The inclusion criteria to recruit the subjects, i.e. Adult patients who had nosocomial infections in the ICU; Patients with medical records in the ICU who received antibiotics in the 2012-2014 periods. Patients originating from inpatients (wards); Patients with medical records were read. The exclusion criteria were postoperative patients and Patients with incomplete medical records. We collected data from medical records of cancer patients who had been admitted to the ICU in 2012-2014, medication administration records, sample submission, and laboratory records. There are 202 cancer patients including in the study. Leukemia and breast cancer were the most cancer’s diagnosis in the Subject. More than two hundred cancer patients were receiving antibiotic therapy, with more than 50% of them were diagnosed with pneumonia, followed by central infection (>20%) and urinary tract infection (>10%). The antibiotic most frequently used was meropenem, with 33.8%. The three most commonly used antibiotics from 2012 to 2014 were meropenem, levofloxacin, and ceftriaxone.

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