Epidemiological Study of Mortality Caused by Road Accidents in the Intensive Care Unit of Besat Educational-medical Hospital in Hamadan

Introduction: Road accidents are one of the causes of death and it's important to investigate the epidemiological indicators in this context. In this regard, this study aimed to determine the epidemiological causes of road accident mortality in the intensive care unit of Besat Educational-medical Hospital in Hamadan during Nowruz Holidays 2018. Material and Methods: In this descriptive cross-sectional study, data of the patients died for 13 days in Nowruz Holidays in the intensive care unit of Besat Hospital in Hamadan, by census method, was extracted from the medical records of patients by using a checklist from a researcher-made questionnaire. Data were analyzed by Fisher's exact test and SPSS 21 software. Results: Of the 28 Patient admitted to the intensive care unit,16 patients died. Most deaths were in the third decade of life, among single men, with a self-employment job, with diploma education level or cycle education level, with more than 10 days of hospitalization and in the night shift. Based on the results, most of the dead persons were rider (81.25%), suffered head trauma (50%), with head surgery (56.25%), without any underlying illness (93.75%) and without successful experience of cardiopulmonary resuscitation (87.5%). There were no statistically significant differences between the variables and mortality rate (P value > 0/05). Conclusion: Young single men with low level of education are a wide range of road accidents victims. Therefore, it seems it's necessary to reduce mortality from these accidents, health planning such as traffic culture training and driving rules, by using social media, should focus on learning and improving the level of community awareness, especially in this group of people.

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Medication time out as a strategy for patient safety: reducing medication errors

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0136 ◽

2021 ◽

Vol 74 (1) ◽

Author(s):

Laís Lima Santos ◽

Flávia Giron Camerini ◽

Cíntia Silva Fassarella ◽

Luana Ferreira de Almeida ◽

Daniel Xavier de Brito Setta ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Medication Errors ◽

University Hospital ◽

P Value ◽

Cardiac Intensive Care Unit ◽

Cross Sectional ◽

Material Resources ◽

Time Out ◽

Cardiac Intensive Care

ABSTRACT Objectives: to analyze the implementation of the medication time out strategy to reduce medication errors. Methods: this is a quantitative, cross-sectional, inferential study, with direct observation of the implementation of the medication time out strategy, carried out in a cardiac intensive care unit of a university hospital in Rio de Janeiro. Results: 234 prescriptions with 2,799 medications were observed. Of the prescriptions analyzed, 143 (61%) had at least one change with the use of the strategy. In the prescriptions altered, 290 medications had some type of change, and 104 (35.9%) changes were related to potentially harmful medication. During the application of the strategy, prescriptions with polypharmacy had 1.8 times greater chance of presenting an error (p-value = 0.031), which reinforces the importance of the strategy for prescriptions with multiple medications. Conclusions: the implementation of the medication time out strategy contributed to the interception of a high number of medication errors, using few human and material resources.

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Venous thromboembolism in patients with COVID-19 and correlation with D-dimers: a single-centre experience

BMJ Open Respiratory Research ◽

10.1136/bmjresp-2020-000779 ◽

2020 ◽

Vol 7 (1) ◽

pp. e000779

Author(s):

Muhammad Ziaullah Khan ◽

Yousaf Jamal ◽

Benjamin Sutton ◽

Farrukh Rauf

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Venous Thromboembolism ◽

Intensive Care Unit Admission ◽

Queen Elizabeth Hospital ◽

P Value ◽

Cross Sectional ◽

Hospitalised Patients ◽

Imaging Results ◽

Single Centre Experience

ObjectiveTo study the frequency of venous thromboembolism in hospitalised patients with COVID-19 and correlation with the D-dimers and thromboprophylaxis.DesignCross-sectional descriptive study.Place and duration of studyQueen Elizabeth Hospital, 20 April 2020–13 May 2020.Patients and methodsOne hundred and seven (n=107) patients of PCR-confirmed COVID-19 pneumonia admitted to Queen Elizabeth Hospital, Birmingham, between 20 April 2020 and 13 May 2020 were included in the study using consecutive sampling. Data were collected using the Excel audit tool and included age, gender, weight, estimated eGFR, D-dimer values on admission, intensive care unit admission, presence of respiratory failure, imaging results for evaluation of venous thromboembolism (VTE) and anticoagulation received on admission. The data were entered in the SPSS (V.17) and were analysed. Data were summarised as means±SD, number or percentage as appropriate. A p value of less than 0.05 was considered significant.ResultsThe frequency of VTE was found to be 11.2% in patients hospitalised with COVID-19 pneumonia. The mean D-dimers were 3322.24 ng/mL±9603 ng/mL with the values significantly higher for patients with VTE and those requiring intensive care unit admission. All of the seven patients (100%) with D-dimers value above 2000 ng/mL who underwent imaging were found to have VTE.ConclusionVTE is frequent in patients with COVID-19 pneumonia despite anticoagulation. A higher D-dimers value correlates well with the risk of VTE in these patients and further evaluation of such patients for VTE is necessary especially with D-dimers values above 2000 ng/mL.

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Faktor Risiko Kegagalan Ventilasi non Invasif di Pediatric Intensive Care Unit (PICU) RSUD Dr. Moewardi

Sari Pediatri ◽

10.14238/sp21.3.2019.177-82 ◽

2019 ◽

Vol 21 (3) ◽

pp. 177

Author(s):

Leksmana Hidayatullah ◽

Sri Martuti ◽

Pudjiastuti Pudjiastuti

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pediatric Intensive Care Unit ◽

Pediatric Intensive Care ◽

P Value ◽

Invasive Ventilation ◽

Cross Sectional ◽

Non Invasive ◽

Non Invasive Ventilation

Latar belakang. Ventilasi non invasif (non invasive ventilation = NIV) dapat menjadi alternatif ventilasi selain intubasi endotrakeal, belum banyak didapatkan penelitian mengenai NIV di negara berkembang. Karakteristik awal pasien mempunyai peranan sebagai faktor risiko kegagalan NIV, tetapi masih didapatkan hasil yang beragam.Tujuan. Menganalisis faktor risiko kegagalan terapi NIV berdasarkan karakteristik awal pasien di Pediatric Intensive Care Unit Rumah Sakit Umum Daerah Dr. Moewardi.Metode. Penelitian analitik dengan desain cross sectional dengan besar sampel 25 anak, dilakukan pengambilan data melalui rekam medik dengan periode november 2016 sampai mei 2018.Hasil. Didapatkan hasil, sebanyak 10 dari 25 pasien (40%) gagal NIV, 22 pasien (88%) sebagai lini pertama sedangkan sebagai penyapihan ventilator sebanyak 3 pasien (12%). Analisis multivariat dengan menggunakan regresi logistik menunjukkan jalur nutrisi enteral (P value 0,028 ;OR 10,64 (1,29-87,56)CI 95%) dapat menjadi prediktor kegagalan penggunaan NIV.Kesimpulan. Pemberian Nutrisi secara enteral pada saat awal penggunaan NIV dapat dijadikan prediktor kegagalan.

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NURSE’S SOCIAL SUPPORT TOWARD FAMILY’S STRESS AND ANXIETY LEVEL IN INTENSIVE CARE UNIT

The Malaysian Journal of Nursing ◽

10.31674/mjn.2021.v13i02.014 ◽

2021 ◽

Vol 13 (2) ◽

Author(s):

Merina Widyastuti ◽

Imroatul Farida ◽

Dedi Irawandi ◽

Dwi Priyantini

Keyword(s):

Social Support ◽

Intensive Care Unit ◽

Critical Care ◽

Intensive Care ◽

Stress Level ◽

Sampling Technique ◽

Wilcoxon Test ◽

P Value ◽

Validity And Reliability ◽

Cross Sectional

Background: The ICU is a room for critical patients who require continuous airway breathing circulation support. This also affects the family psychology in the form of stress and anxiety. One of the urgent but often overlooked factor in this case is that the families of patients in the ICU need social support and this is expected to be provided by the nurses. Purpose: To examine the relationship between social support nurses and the level of stress and anxiety of the patient's family in ICU. Methods: This study was an observational analytic study with a cross sectional approach. The population in this study were the families of patients who were treated in the critical care room from May to June 2019. The sampling technique was simple random and 95 respondents met the inclusion and exclusion criteria. The instrument used to measure social support is the CCFNI (Critical Care Family Need Information) while to measure the level of stress and anxiety using DASS 42. Both of these instruments have been tested for validity and reliability. Results: The results showed that the majority of respondents had a Social Support Fulfilled (66%), majority of respondents had a normal stress level (55%) and the majority of respondents had normal anxiety levels (34%). The results of the Wilcoxon test statistical test showed that social support with a stress level of p value <0.001, and social support with anxious level showed p<0.01. Conclusion: Nurse's social support is needed by the families of patients who are admitted to the intensive care unit.

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ASSOCIATION BETWEEN WORKLOAD AND ABSENTEEISM IN NURSING TECHNICIANS

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2018-0307 ◽

2019 ◽

Vol 28 ◽

Cited By ~ 1

Author(s):

Carine Feldhaus ◽

Ronan Felipe de Souza ◽

Luciana Magnani Fernandes ◽

Ariana Rodrigues da Silva Carvalho ◽

Vanessa Bordin ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Retrospective Study ◽

Statistical Analysis ◽

Quantitative Approach ◽

Nursing Workload ◽

P Value ◽

Cross Sectional ◽

Adult Intensive Care Unit ◽

And Control

ABSTRACT Objective: to identify absenteeism of nursing technicians in an Intensive Care Unit and to verify the association between absenteeism and workload. Method: cross-sectional retrospective study of documentary source and quantitative approach. It was performed in an adult intensive care unit with 4,920 measurements from the Nursing Activities Score in 2017, in order to extract the nursing workload, and control absenteeism, considering the absences recorded in the management register of the department. Descriptive and inferential statistical analysis was performed, dividing the intensive care unit into two groups (ICU I and ICU II), according to team shifts. Results: in the period analyzed, 461 absences were observed, with a higher proportion in ICU II (5.35%, p-value=0.00). This group also had the highest Nursing Activities Score (99.76) average. However, workload and absenteeism showed no statistically significant correlation in the analyzed groups (ICU I, r=0.02 and ICU II, r=0.06). Conclusion: there was no statistically significant association between absenteeism and workload of nursing technicians in the Intensive Care Unit. However, the team with the highest workload was the most absent.

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THE RELATIONSHIP OF SUCTION ACTION INTENSITY THROUGH THE CHANGING OF OXYGEN SATURATION IN PATIENTS INSTALLED VENTILATOR AT INTESIVE ROOM, RSUD KOTA BOGOR

Jurnal Ilmiah Wijaya ◽

10.46508/jiw.v11i2.64 ◽

2020 ◽

Vol 11 (2) ◽

pp. 134-142

Author(s):

Widia Widia Astuti AW ◽

Fajar Fajar Adhie Sulistyo

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Oxygen Saturation ◽

Airway Obstruction ◽

Endotracheal Tube ◽

Sampling Technique ◽

P Value ◽

High Morbidity ◽

Chi Square ◽

Cross Sectional

Respiratory failule is the cause of high morbidity and high mortality at the Intensive Care Unit. The condition that leads to respiratory failule is airway obstruction, including obstruction on endotracheal tube. The airway obstruction handling due to the accumulation of secretions in the endotrackel tube is done through suction. The endotracheal tube suction can give effects such as oxygen saturation reduction as much as greater 5%. The objective of this resarch is to knowing the corelation intensity of suctionaction with changes in oxygen saturation levels in ventilator- installed patients the intensive care unit of general hospital of Bogor City. This type of research is quantitative, using analytical descriptive approach. The analysis technique used in this research is using cross sectional method. How to sample this research with total sampling technique with the number of 42 respondents who installed ventilator in Intensive Care Unit room. Data collection was obtained through an observation sheet assisted by 5 nurses on duty. Data analysis used is univariate and bivariate (Chi Square). From 42 respondents, there were 20 (47,6%) respondents with the intensity of suction action insufficient and 35 (83,3%) respondents in normal oxygen saturation range, where p value = 0,01. This means Ha accepted and Ho rejected, meaning there is a significant relationship between the two variables.

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HUBUNGAN ANTARA LAMA RAWAT DENGAN TINGKAT KECEMASAN KELUARGA PASIEN DI RUANG INTENSIVE CARE UNIT RSUD DR SOEKARDJO KOTA TASIKMALAYA

JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU ◽

10.36085/jkmu.v7i1.308 ◽

2019 ◽

Vol 7 (1) ◽

pp. 33-38

Author(s):

Ida Rosidawati ◽

Siti Hodijah

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Length Of Stay ◽

Research Result ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

The Family ◽

Chi Square Test ◽

Chi Square Analysis

Intensive Care Unit (ICU) is a unit care of critical patients with mood in fast. The activity in an ICU is always busy and limited time visit, which find the family difficult to communicate with patient,while critically ill patients are usually treated for a long time, this can trigger families to experienced anxiety. The purpose of this research is to determine the relationship between length of stay and the level of anxiety family patients who being treated in dr. Soekardjo Tasikmalaya Hospital. This method of this research is used quantitative correlative with cross sectional approach. The sample of this research is family of patients who were waiting in the ICU room as many as 16 persons by using accidental sampling for two weeks. The data collected by using HARS scale and Chi Square analysis. The research result showed that patients with new length of stay (mean = 3.81) as many as 7 people, families of patients not experiencing anxiety as many as 5 people (71%) and families who experienced anxiety as many as 2 people (29%). While patients with long duration of care (≥ mean = 3.81) as many as 9 people, the patient's family all experienced anxiety (100%). Chi-square test result showed p-value of 0.005 α 0.05. The conclusion of the results of this study is that there is a relationship between length of stay with the level of anxiety of the patient's family, so it is recommended that the nurse or other medical team always coordinate with the family regarding the actions taken to the patient.Keywords: Intensive Care Unit (ICU), Long Care, Anxiety, Family Patients

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Breast feeding practices in children with sepsis admitted in intensive care.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.05.3748 ◽

2020 ◽

Vol 27 (05) ◽

pp. 935-938

Author(s):

Ali Hammad ◽

Hafiz Muhammad Anwar ◽

Sadia Latif ◽

Malik Muhammad Naeem

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Breast Feeding ◽

Maternal Education ◽

Feeding Practices ◽

Bottle Feeding ◽

P Value ◽

Feeding Practice ◽

Cross Sectional ◽

Breast Fed

Objectives: The objective was to study breast feeding practices in children with sepsis admitted in intensive care unit of Children Hospital, Lahore. Study Design: Descriptive cross-sectional study. Setting: Medical Intensive Care Unit of The Children Hospital and Institute of Child Health Lahore. Period: From June 2018 to December 2018. Material & Methods: Considering 95% confidence level, 7.5% margin of error and the expected percentage of bottle feeding children i.e. 27% (least among both) feeding types in children with sepsis admitted in ICU, a sample size of 140 children was taken. All the patients from 6 month to 2 years of age and either gender admitted in medical ICU with sepsis were included in the study through non-probability consecutive sampling. After taking an informed written consent from caregiver, a preformed and pre-tested questionnaire was used for data collection. Diagnosis of sepsis as based upon the criteria for SIRS. Exclusively breastfed children for first 6 months of life were classified as ‘breastfed’. Data was analyzed using SPSS version 22 and Chi-square test. P value < 0.05 was taken as significant. Results: Total 140 children were included in the study with the mean age of 14.64 ± 5.26 months. In this study, 47 (33.57%) children were found breast fed while 93 (66.43%) children were not breast fed as per history. Conclusion: The study concluded that breast feeding practice is uncommon in children admitted in intensive care unit with sepsis and breastfeeding was found to be significantly associated with maternal education and gender of the child.

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Perfil epidemiológico dos pacientes com sepse de foco abdominal

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.240403 ◽

2019 ◽

Vol 13 ◽

Author(s):

Natasha Varjão Volpáti ◽

Patricia Rezende Do Prado ◽

Luís Eduardo Maggi

Keyword(s):

Risk Factors ◽

Intensive Care Unit ◽

Septic Shock ◽

Intensive Care ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Factores De Riesgo ◽

Terapia Intensiva

Objetivo: identificar o perfil epidemiológico, os fatores associados ao óbito e nortear as intervenções de enfermagem frente aos pacientes com sepse de foco abdominal. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado com 40 pacientes internados em uma em uma Unidade de Terapia Intensiva. Realizou-se a associação com o óbito por meio dos testes de qui-quadrado de Pearson e exato de Fisher. Apresentaram-se os resultados em forma de tabelas. Resultados: registra-se que, dos 40 (100%) pacientes, 57,5% eram do sexo masculino, 67,5% tinham um diagnóstico inicial pertencente ao sistema gastrointestinal. Elencam-se as variáveis que apresentaram a associação com o óbito nesta UTI: idade maior a 60 anos, que, embora representasse apenas 22,5% da amostra, respondeu por, aproximadamente, 90% das mortes (p-valor 0,005) e pacientes que foram classificados com choque séptico, já que 56,7% dos 75% foram a óbito (p-valor 0,04). Conclusão: entende-se que os fatores de risco associados ao óbito nos pacientes com sepse de foco abdominal na UTI estão relacionados com idade maior a 60 anos e com choque séptico. Descritores: Sepse; Fatores de Risco; Mortalidade; Unidade de Terapia Intensiva; Enfermagem; Perfil Epidemiológico.Abstract Objective: to identify the epidemiological profile, the factors associated with death, and to guide nursing interventions in patients with sepsis of abdominal focus. Method: this is a quantitative, descriptive, cross-sectional study of 40 patients hospitalized in one in an Intensive Care Unit. The association with death was performed using Pearson's chi-square test and Fisher's exact test. Results were presented in the form of tables. Results: it was recorded that of the 40 (100%) patients, 57.5% were male, 67.5% had an initial diagnosis belonging to the gastrointestinal system. The variables that showed association with death in this ICU were: age greater than 60 years, which, although representing only 22.5% of the sample, accounted for approximately 90% of the deaths (p-value 0.005) and patients which were classified as septic shock, since 56.7% of the 75% died (p-value 0.04). Conclusion: it is understood that the risk factors associated with death in patients with sepsis of abdominal focus in the ICU are related to age greater than 60 years and with septic shock. Descriptors: Sepsis; Risk Factors; Mortality; Intensive Care Unit; Nursing; Profile Epidemiological.Resumen Objetivo: identificar el perfil epidemiológico, los factores asociados al óbito y orientar las intervenciones de enfermería frente a los pacientes con sepsis de foco abdominal. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado con 40 pacientes internados en una Unidad de Terapia Intensiva. Se realizó la asociación con el óbito por medio de las pruebas de chi-cuadrado de Pearson y exacto de Fisher. Se presentaron los resultados en forma de tablas. Resultados: se registra que, de los 40 (100%) pacientes, el 57,5% eran del sexo masculino, el 67,5% tenían un diagnóstico inicial perteneciente al sistema gastrointestinal. Se identifican las variables que presentaron la asociación con el óbito en esta UTI: edad mayor a 60 años, que, aunque representaba apenas el 22,5% de la muestra, respondió por aproximadamente el 90% de las muertes (p-valor 0,005) y pacientes que fueron clasificados con shock séptico, ya que el 56,7% del 75% fue la muerte (p-valor 0,04). Conclusión: se entiende que los factores de riesgo asociados al óbito en los pacientes con sepsis de foco abdominal en la UTI están relacionados con edad mayor a 60 años y con shock séptico. Descriptors: Sepsis; Factores de riesgo; Mortalidad; Intensive Care Unit; Enfermería; Perfil Epidemiológico.

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Nutritional status of trauma patients hospitalized at surgical intensive care unit

European Journal of Translational Myology ◽

10.4081/ejtm.2020.8721 ◽

2020 ◽

Vol 30 (2) ◽

pp. 311-317

Author(s):

Babak Hosseinzadeh Zoroufchi ◽

Abolfazl Abdolahpour ◽

Hamid Reza Hemmati

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Nutritional Status ◽

Clinical Status ◽

Surgical Intensive Care Unit ◽

P Value ◽

Trauma Patients ◽

Surgical Intensive Care ◽

Cross Sectional ◽

Significance Level

Malnutrition results from a decrease or increase or imbalance of energy, protein and other nutrients, leading to measurable negative effects on body tissue, body shape, organ function and clinical status. Research shows that nutritional support is one of the necessary processes for survival of traumatic patient hospitalized at surgical intensive care unit. The purpose of this study is to evaluate the nutritional status of trauma patients hospitalized at surgical intensive care unit of Kowsar Hospital in Semnan, Iran. This cross-sectional descriptive study was performed on patients older than 18 years with head, neck and femur injuries. Initial data were collected using a checklist containing demographic information questions, designed from the Ministry of Health and Medical Education's Nutrition Screening Form, which was available in the Nutrition Assessment Forms and Guidelines for Hospitalized Patients Approved in 2013. The data were analyzed using Chi-square or Fisher's exact tests, paired t-test and Pearson coefficient. The confidence level was 95% and significance level was less than 0.05 in all tests. The amount of energy determined by the intensive care unit for the patients, with a significantly lower relationship than the amount of energy required by the patients for 24 hours, based on the Harris Benedict formula was (918.20±474.80 calories vs. 1535.76±243.73 calories, respectively and P-value˂0.001). The amount of protein determined by the intensive care unit for the patients for 24 hours, with a significantly relationship lower than the protein required for the patients for 24 hours, was (51.68±34.39 vs. 106.57±13.67, respectively, and P-value˂ 0.001). There was a statistically significant relationship between the age of the patients and energy (P˂0.001) and protein (P˂0.001) determined by the intensive care unit for the patients for 24 hours and energy (P˂0.001) and protein (P˂0.001) required for the patients for 24 hours. The results of this study showed that both the amount of energy and the amount of protein determined by the intensive care unit for trauma patients for less than 24 hours were lower than the required level; therefore, dietary modification for these patients is recommended.

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