scholarly journals Redesigned Geriatric Emergency Care May Have Helped Reduce Admissions Of Older Adults To Intensive Care Units

2015 ◽  
Vol 34 (5) ◽  
pp. 788-795 ◽  
Author(s):  
Corita Grudzen ◽  
Lynne D. Richardson ◽  
Kevin M. Baumlin ◽  
Gary Winkel ◽  
Carine Davila ◽  
...  
Keyword(s):  
Older Adults ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Emergency Care

Parameters of bed occupancy of intensive care units in Hungary

2011 ◽  
Vol 152 (24) ◽  
pp. 946-950 ◽  
Author(s):  
Miklós Gresz
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Insurance ◽  
Intensive Care Units ◽  
Emergency Care ◽  
Present Author ◽  
Bed Occupancy ◽  
National Network ◽  
Bed Capacity

According to the Semmelweis Plan for Saving Health Care, ”the capacity of the national network of intensive care units in Hungary is one but not the only bottleneck of emergency care at present”. Author shows on the basis of data reported to the health insurance that not on a single calendar day more than 75% of beds in intensive care units were occupied. There were about 15 to 20 thousand sick days which could be considered unnecessary because patients occupying these beds were discharged to their homes directly from the intensive care unit. The data indicate that on the whole bed capacity is not low, only in some institutions insufficient. Thus, in order to improve emergency care in Hungary, the rearrangement of existing beds, rather than an increase of bed capacity is needed. Orv. Hetil., 2011, 152, 946–950.

scholarly journals Prevalence and prognosis impact of frailty among older adults in cardiac intensive care units

CJC Open ◽  
2021 ◽  
Author(s):  
Kim Volle ◽  
Clément Delmas ◽  
Jean Ferrières ◽  
Olivier Toulza ◽  
Stephanie Blanco ◽  
...  
Keyword(s):  
Older Adults ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Cardiac Intensive Care

EXISTING EMERGENCY MANAGEMENT USED FOR VISARPA DISEASE

2020 ◽  
Vol 8 (9) ◽  
pp. 4478-4486
Author(s):  
Kendre Manchak ◽  
Jaybhaye Sulakshana
Keyword(s):  
Intensive Care ◽  
Emergency Management ◽  
Intensive Care Units ◽  
Emergency Care ◽  
Emergency Treatment ◽  
Review Article ◽  
Care Research

Emergency management in Visarpa is most challenging. The aim of this study is to review the existing Crit-ical care for Visarpa from basic Ayurveda classics as well as online. In this review article, after evaluation of emergency care from brihatrayai as well as laghutrai and available relevant 21 articles regarding Visarpa chikitsa, we discussed the need of development of Ayurveda diagnostic as well as intensive care units in present era. It is found that emergency treatment is not available to the satisfaction in Ayurveda literature. Therefore, possible strategy regarding emergency care research for this critical disease is provid-ed which is useful for Ayurveda researchers.

Prognosis of Severe Nosocomial Sepsis in 33 Older Adults Not Eligible for Intensive Care Units

2012 ◽  
Vol 60 (1) ◽  
pp. 179-180
Author(s):  
Jérôme Bédoucha ◽  
Véronique Mangin d'Ouince ◽  
Farouk Mahious ◽  
Anne-Marie Hallet-Lezy ◽  
Dragoslav Miric
Keyword(s):  
Older Adults ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Nosocomial Sepsis

Abstract 301: Differential Outcomes for Geriatric Patients in Cardiac Intensive Care Unit Compared to Medical Intensive Care Unit

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Caroline Ong ◽  
Albert Lui ◽  
John A Dodson ◽  
Jordan B Strom ◽  
Carlos Alviar
Keyword(s):  
Older Adults ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Medical Center ◽  
Older Age ◽  
Icu Mortality ◽  
Differential Outcomes ◽  
Medical Intensive Care ◽  
Cardiac Intensive Care

Background: The number of older adults admitted to cardiac intensive care units (CICU) have been increasing over the past decade, but it is not known if outcomes vary between CICU and medical intensive care units (MICU). We aimed to describe survival and length of stay (LOS) in older adults admitted to CICU and MICU. Methods: All patients admitted to the CICU or MICU at Beth Israel Deaconess Medical Center from 2001-2012 were identified from MIMIC-III, a large single-center critical care database containing deidentified clinical data for 38,597 patients. Our primary outcomes were ICU mortality and ICU LOS. Regression analyses were performed adjusting for age, gender, ICU setting and Oxford Acute Severity of Illness Score (OASIS), a severity score developed and validated in critically ill patients for ICU mortality. Results: We included 21,088 MICU patients (48.3% female) and 7,726 CICU patients (42% female). Unadjusted mortality was 13.7% in MICU and 12.5% in CICU (p=0.11). When adjusted for age, gender and OASIS, there was no difference in mortality between MICU and CICU (OR 0.62, 95% CI 0.34-1.13, p=0.15). However, we found a significant interaction between older age and type of ICU with mortality (p=0.03) but not with ICU LOS (p=0.15). In patients >75 years (6,837 in MICU and 3,161 in CICU), each 5-year interval of older age was associated with higher mortality when adjusted for gender and OASIS in the CICU (OR 1.05, 95% CI 1.02-1.08 p=0.002), but not in the MICU (OR 1.01, 95% CI 0.99-1.03, p=0.15, Figure). Conclusion: Older adults admitted to the CICU had higher adjusted mortality by age group after age 75, as opposed to older MICU patients in whom mortality was high but remained unchanged after age 75.

scholarly journals Level of acuity, severity and intensity of care of adults and older adults admitted to the Intensive Care Unit

2019 ◽  
Vol 53 ◽  
Author(s):  
Renata Eloah de Lucena Ferretti-Rebustini ◽  
Nilmar da Silva Bispo ◽  
Winnie da Silva Alves ◽  
Thiago Negreiro Dias ◽  
Cristiane Moretto Santoro ◽  
...  
Keyword(s):  
Older Adults ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Group Method ◽  
Predictive Capacity ◽  
Organic Dysfunction ◽  
Intensity Of Care ◽  
Correlation Tests ◽  
The City

ABSTRACT Objective: To characterize the level of acuity, severity and intensity of care of adults and older adults admitted to Intensive Care Units and to identify the predictors of severity with their respective predictive capacity according to the age group. Method: A retrospective cohort based on the analysis of medical records of individuals admitted to eight adult intensive care units in the city of São Paulo. The clinical characteristics at admission in relation to severity profile and intensity of care were analyzed through association and correlation tests. The predictors were identified by linear regression and the predictive capacity through the ROC curve. Results: Of the 781 cases (41.1% from older adults), 56.2% were males with a mean age of 54.1 ± 17.3 years. The burden of the disease, the organic dysfunction and the number of devices were the predictors associated with greater severity among adults and older adults, in which the organic dysfunction had the highest predictive capacity (80%) in both groups. Conclusion: Adults and older adults presented a similar profile of severity and intensity of care in admission to the Intensive Care Unit. Organic dysfunction was the factor with the best ability to predict severity in adults and older adults.

Changes in health-related quality of life and factors predicting long-term outcomes in older adults admitted to intensive care units*

2011 ◽  
Vol 39 (4) ◽  
pp. 731-737 ◽  
Author(s):  
Hassan Khouli ◽  
Alfred Astua ◽  
Wen Dombrowski ◽  
Faiz Ahmad ◽  
Peter Homel ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Health Related Quality ◽  
Long Term Outcomes ◽  
Related Quality ◽  
Health Related

Trends in Geriatric Conditions Among Older Adults Admitted to US Intensive Care Units between 1998-2015

CHEST Journal ◽  
2022 ◽  
Author(s):  
Julien Cobert ◽  
Sun Young Jeon ◽  
John Boscardin ◽  
Allyson C. Chapman ◽  
Lauren E. Ferrante ◽  
...  
Keyword(s):  
Older Adults ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Geriatric Conditions

scholarly journals Detection of SARS-CoV-2 genome on inanimate surfaces in COVID-19 intensive care units and emergency care cohort

2022 ◽  
Author(s):  
Thabata Coaglio Lucas ◽  
Cristiane Rocha Fagundes Moura ◽  
Raquel Aparecida Monteiro ◽  
Valéria da Silva Baracho ◽  
Cintia Maria Rodrigues ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Emergency Care
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