scholarly journals Father's experiences during the stay of the premature baby in the Intensive Care Unit (ICU): a systematic review protocol

2021 ◽  
Author(s):  
ZulyKatherine Garnica-Torres ◽  
Greicyani Brarymi Dias ◽  
Janari da Silva Pedroso
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Psychological Health ◽  
Premature Baby ◽  
Cochrane Library ◽  
Cochrane Central Register ◽  
Kangaroo Care ◽  
Neonatal Icu ◽  
Father's Experience

Abstract Background: This systematic review aims to understand the father's experience in the neonatal ICU while accompanying his premature baby. Prematurity rates are increasing; every year, millions of parents faced having their premature baby hospitalized in neonatal ICU without being prepared to face this situation. It is relevant to talk about how fathers feel with the experience of being parents of premature babies. The father-baby attachment is affected by prematurity, thus performing the kangaroo care method with the active participation of the father is vital to promote the attachment between the dyad. Method: The authors will include original father-centered research articles, with measurements made in the Intensive Care Unit (ICU). Databases included articles from 2010 to 2020, are APA PsycNet, BVS, Web of Science, PubMed, Scopus, and The Cochrane Library (Cochrane Central Register of Controlled Trials. CENTRAL). Two researchers will extract the data and evaluate the quality of each study through the Newcastle-Ottawa Scale (NOS) and the Critical Appraisal Skills Programme (CASP) and references will be managed in the Mendeley software. This review will not perform a meta-analysis, results will be presented in a qualitative narrative synthesis that includes all the data found.Discussion: This review will contribute to the construction of evidence about the father's experience in the neonatal intensive care unit, as well as how attachment develops between the baby and the father in this field and how the kangaroo care method promotes attachment in this dyad. Ethics and disseminationThis is a protocol for a systematic review, therefore, no approval from an ethics committee is required. We will submit the article to a peer-reviewed health journal, and the results will be published in congresses focused on neonatal, child, and psychological health.PROSPERO registration number: CRD42019142086

scholarly journals Father's experiences during the stay of the premature baby in the Neonatal Intensive Care Unit (NICU): a systematic review protocol

2021 ◽  
Author(s):  
ZulyKatherine Garnica-Torres ◽  
Greicyani Brarymi Dias ◽  
Janari da Silva Pedroso
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Premature Baby ◽  
Cochrane Library ◽  
Kangaroo Care ◽  
Neonatal Icu ◽  
Father's Experience

Abstract Background: This systematic review aims to understand the father's experience in the neonatal ICU while accompanying his premature baby. Prematurity rates are increasing; every year, millions of parents faced having their premature baby hospitalized in neonatal ICU without being prepared to face this situation. It is relevant to talk about how fathers feel with the experience of being parents of premature babies. The father-baby attachment is affected by prematurity, thus performing the kangaroo care method with the active participation of the father is vital to promote the attachment between the dyad. Method: The authors will include original father-centered research articles, with measurements made in the Intensive Care Unit (ICU). Databases included articles from 2010 to 2020, are APA PsycNet, BVS, Web of Science, PubMed, Scopus, and The Cochrane Library (Cochrane Central Register of Controlled Trials. CENTRAL). Two researchers will extract the data and evaluate the quality of each study through the Newcastle-Ottawa Scale (NOS) and the Critical Appraisal Skills Programme (CASP) and references will be managed in the Mendeley software. This review will not perform a meta-analysis, results will be presented in a qualitative narrative synthesis that includes all the data found.Discussion: This review will contribute to the construction of evidence about the father's experience in the neonatal intensive care unit, as well as how attachment develops between the baby and the father in this field and how the kangaroo care method promotes attachment in this dyad. Ethics and dissemination: This is a protocol for a systematic review, therefore, no approval from an ethics committee is required. We will submit the article to a peer-reviewed health journal, and the results will be published in congresses focused on neonatal, child, and psychological health.PROSPERO registration number: CRD42019142086

scholarly journals Father's Experiences During the Stay of the Premature Baby in the Neonatal Intensive Care Unit (NICU): A Systematic Review Protocol

2020 ◽  
Author(s):  
ZulyKatherine Garnica-Torres ◽  
Greicyani Brarymi Dias ◽  
Janari da Silva Pedroso
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Premature Baby ◽  
Cochrane Library ◽  
Cochrane Central Register ◽  
Kangaroo Care ◽  
Father's Experience

Abstract Background: This systematic review aims to understand the father's experience in the neonatal Intensive Care Unit (NICU) while accompanying his premature baby. Prematurity rates are increasing; every year, millions of parents faced having their premature baby hospitalized in NICU without being prepared to face this situation. It is relevant to talk about how fathers feel with the experience of being parents of premature babies. The father-baby attachment is affected by prematurity, thus performing the kangaroo care method with the active participation of the father is vital to promote the attachment between the dyad. Method: The authors will include original father-centered research articles, with measurements made in the NICU. Databases included articles from 2010 to 2020, are APA PsycNet, BVS, Web of Science, PubMed, Scopus, and The Cochrane Library (Cochrane Central Register of Controlled Trials. CENTRAL). Two researchers will extract the data and evaluate the quality of each study through the Newcastle-Ottawa Scale (NOS) and the Critical Appraisal Skills Programme (CASP) and references will be managed in the Mendeley software. This review will not perform a meta-analysis, results will be presented in a qualitative narrative synthesis that includes all the data found.Discussion: This review will contribute to the construction of evidence about the father's experience in the neonatal intensive care unit, as well as how attachment develops between the baby and the father in this field and how the kangaroo care method promotes attachment in this dyad. Ethics and disseminationThis is a protocol for a systematic review, therefore, no approval from an ethics committee is required. We will submit the article to a peer-reviewed health journal, and the results will be published in congresses focused on neonatal, child, and psychological health.PROSPERO registration number: CRD42019142086

scholarly journals Safety and efficacy of routine diagnostic test reduction interventions in patients admitted to the intensive care unit: A systematic review and meta-analysis

2021 ◽  
Vol 49 (1) ◽  
pp. 23-34
Author(s):  
Katherine P Hooper ◽  
Matthew H Anstey ◽  
Edward Litton
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Meta Analysis ◽  
Diagnostic Testing ◽  
Intervention Group ◽  
Cochrane Central Register ◽  
Safety And Efficacy ◽  
Significant Difference

Reducing unnecessary routine diagnostic testing has been identified as a strategy to curb wasteful healthcare. However, the safety and efficacy of targeted diagnostic testing strategies are uncertain. The aim of this study was to systematically review interventions designed to reduce pathology and chest radiograph testing in patients admitted to the intensive care unit (ICU). A predetermined protocol and search strategy included OVID MEDLINE, OVID EMBASE and the Cochrane Central Register of Controlled Trials from inception until 20 November 2019. Eligible publications included interventional studies of patients admitted to an ICU. There were no language restrictions. The primary outcomes were in-hospital mortality and test reduction. Key secondary outcomes included ICU mortality, length of stay, costs and adverse events. This systematic review analysed 26 studies (with more than 44,00 patients) reporting an intervention to reduce one or more diagnostic tests. No studies were at low risk of bias. In-hospital mortality, reported in seven studies, was not significantly different in the post-implementation group (829 of 9815 patients, 8.4%) compared with the pre-intervention group (1007 of 9848 patients, 10.2%), (relative risk 0.89, 95% confidence intervals 0.79 to 1.01, P = 0.06, I2 39%). Of the 18 studies reporting a difference in testing rates, all reported a decrease associated with targeted testing (range 6%–72%), with 14 (82%) studies reporting >20% reduction in one or more tests. Studies of ICU targeted test interventions are generally of low quality. The majority report substantial decreases in testing without evidence of a significant difference in hospital mortality.

scholarly journals Protocol for a systematic review and meta-analysis of respiratory rehabilitation following intensive care unit discharge for COVID-19 survivors

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041184
Author(s):  
Dan Wang ◽  
Jin Li ◽  
Feilong Zhu ◽  
Qianqin Hong ◽  
Ming Zhang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Meta Analysis ◽  
Biomedical Literature ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
The Impact ◽  
Respiratory Rehabilitation

IntroductionBoth physical and mental disorders may be exacerbated in patients with COVID-19 due to the experience of receiving intensive care; undergoing prolonged mechanical ventilation, sedation, proning and paralysis. Pulmonary rehabilitation is aimed to improve dyspnoea, relieve anxiety and depression, reduce the incidence of related complications, as well as prevent and improve dysfunction. However, the impact of respiratory rehabilitation on discharged patients with COVID-19 is currently unclear, especially on patients who have been mechanically ventilated over 24 hours. Therefore, we aim to investigate the efficacy of respiratory rehabilitation programmes, initiated after discharge from the intensive care unit, on the physical and mental health and health-related quality of life in critical patients with COVID-19.Methods and analysisWe have registered the protocol on PROSPERO and in the process of drafting it, we strictly followed the checklist of Preferred Reporting Items for Systematic Review and Meta-Analysis Potocols. We will search the PubMed, EMBASE, Web of Science, the Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, WanFang, VIP information databases and Chinese Biomedical Literature Database. Additionally, ongoing trials in the WHO International Clinical Trials Registry Platform, ClinicalTrials.gov and ISRCTN registry will be searched as well. Studies in English or Chinese and from any country will be accepted regardless of study design. Two review authors will independently extract data and assess the quality of included studies. Continuous data are described as standard mean differences (SMDs) with 95% CIs. Dichotomous data from randomised controlled trials are described as risk ratio(RR) with 95% CIs; otherwise, it is described as odds ratio(OR) with 95% CIs. I2 and the Cochrane’s Q statistic will be used to conduct heterogeneity assessment. The quality of evidence of main outcomes will be evaluated according to the Grading of Recommendations, Assessment, Development and Evaluation(GRADE) criteria. When included studies are sufficient, we will conduct subgroup analysis and sensitivity analysis; the publication bias will be statistically analysed using a funnel plot analysis and Egger’s test.Ethics and disseminationOur review, planning to include published studies, does not need the request to the ethical committee. The final results of this review will be published in a peer-reviewed journal after completion.Patient and public involvementNo patient involved.PROSPERO registration numberCRD42020186791.

Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs

2021 ◽  
pp. bmjqs-2020-012474
Author(s):  
Joanna Abraham ◽  
Alicia Meng ◽  
Sanjna Tripathy ◽  
Michael S Avidan ◽  
Thomas Kannampallil
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Operating Room ◽  
Meta Analysis ◽  
Intervention Group ◽  
Future Research ◽  
Original Research ◽  
Cochrane Central Register ◽  
The Impact

ObjectiveTo conduct a systematic review and meta-analysis to ascertain the impact of operating room (OR) to intensive care unit (ICU) handoff interventions on process-based and clinical outcomes.MethodWe included all English language, prospective evaluation studies of OR to ICU handoff interventions published as original research articles in peer-reviewed journals. The search was conducted on 11 November 2019 on MEDLINE, CINAHL, EMBASE, Scopus and the Cochrane Central Register of Controlled Trials databases, with no prespecified criteria for the type of comparison or outcome. A meta-analysis of similar outcomes was conducted using a random effects model. Quality was assessed using a modified Downs and Black (D&B) checklist.Results32 studies were included for review. 31 studies were conducted at a single site and 28 studies used an observational study design with a control. Most studies (n=28) evaluated bundled interventions which comprised information transfer/communication checklists and protocols. Meta-analysis showed that the handoff intervention group had statistically significant improvements in time to analgesia dosing (mean difference (MD)=−42.51 min, 95% CI −60.39 to −24.64), fewer information omissions (MD=−2.22, 95% CI −3.68 to –0.77), fewer technical errors (MD=−2.38, 95% CI −4.10 to –0.66) and greater information sharing scores (MD=30.03%, 95% CI 19.67% to 40.40%). Only 15 of the 32 studies scored above 9 points on the modified D&B checklist, indicating a lack of high-quality studies.DiscussionBundled interventions were commonly used to support OR to ICU handoff standardisation. Although the meta-analysis showed significant improvements for a number of clinical and process outcomes, the statistical and clinical heterogeneity must be accounted for when interpreting these findings. Implications for OR to ICU handoff practice and future research are discussed.

scholarly journals Risk Factors for Colonization and Infection With Resistant Pseudomonas Aeruginosa in Intensive Care Unit: Protocol for a Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Serge Eyebe ◽  
Hugues Nana-Djeunga ◽  
Magellan Guewo-Fokeng ◽  
Guy Sadeu Wafeu ◽  
Marius Wouking ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Intensive Care Unit ◽  
Pseudomonas Aeruginosa ◽  
Intensive Care ◽  
Environmental Factors ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Prevalence Odds Ratio ◽  
Factors Associated

Abstract Background: Infection with resistant Pseudomonas aeruginosa (RPA) in Intensive Care Unit (ICU) is known to be either endogenous or exogenous or both, but the roles of each of these contamination routes is yet to be clarified. Data regarding prevalence, risk factors and environmental factors associated with RPA in ICU are very scanty and even when they exist, they seem to be contradictory. So, there is a strong interest in understanding both individual and environmental factors associated with RPA infection. This systematic review aims to investigate individual and environmental factors associated with the colonization and infection with RPA in ICU.Methodology: MEDLINE (Pubmed), EMBASE (OVID), the Cochrane Library (Wiley), Web of Science, CINAHL (EBSCOHost) and LILACS (BIREME) will be searched from inception onwards. Grey literature will be identified through Google Scholar and open Grey. Two reviewers will independently screen all citations, abstracts and full-text articles. Potential conflicts will be resolved through discussion. Methodological quality including bias will be appraised using appropriate approaches. A narrative synthesis will describe quality and content of the epidemiological evidence. Prevalence, Odds ratio, Relative Risk, Hazard radio with their respective 95% confidence intervals will be calculated. A meta-analysis of data extracted from eligible studies with similar population and RPA testing will be performed. The analysis will evaluate factors influencing the estimates. A random effect model will be used to summarize effect sizes.Discussion: Two contrasting hypotheses on risk factors of acquisition, colonisation, and infection of RPA are being debated, especially in a context where available data are scanty or exhibit high discrepancy. Indeed, most of the reviews have been focalized on hospitalised patients, and not in ICU, and few of them really address the environmental factors issue. To fill that gap, this review will combine both analysis of individual and environmental risk factors using prevalence study in ICU and evaluation of different methodologies. These two hypotheses will be tested and challenged, and could serve as a basis for a more in-depth studies to fill the methodological gaps that will be identified as part of this current review.Systematic review registration: This protocol has been submitted registered with Prospective Register of Systematic Reviews (PROSPERO) on 07 march 2021 under number CRD42021233832

scholarly journals Actigraphy to Measure Physical Activity in the Intensive Care Unit: A Systematic Review

2019 ◽  
Vol 35 (11) ◽  
pp. 1323-1331 ◽  
Author(s):  
Kristin E. Schwab ◽  
An Q. To ◽  
Jennifer Chang ◽  
Bonnie Ronish ◽  
Dale M. Needham ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Data Extraction ◽  
Adverse Outcomes ◽  
Cochrane Library ◽  
Activity Levels ◽  
Activity Data ◽  
Icu Patients

Objective: In the intensive care unit (ICU), prolonged inactivity is common, increasing patients’ risk for adverse outcomes, including ICU-acquired weakness. Hence, interventions to minimize inactivity are gaining popularity, highlighting actigraphy, a measure of activity involving a wristwatch-like accelerometer, as a method to inform these efforts. Therefore, we performed a systematic review of studies that used actigraphy to measure patient activity in the ICU setting. Data Sources: We searched PubMed, EMBASE, CINAHL, Cochrane Library, and ProQuest from inception until December 2016. Study Selection: Two reviewers independently screened studies for inclusion. A study was eligible for inclusion if it was published in a peer-reviewed journal and used actigraphy to measure activity in ≥5 ICU patients. Data Extraction: Two reviewers independently performed data abstraction and risk of bias assessment. Abstracted actigraphy-based activity data included total activity time and activity counts. Results: Of 16 studies (607 ICU patients) identified, 14 (88%) were observational, 2 (12%) were randomized control trials, and 5 (31%) were published after 2009. Mean patient activity levels per 15 to 60 second epoch ranged from 25 to 37 daytime and 2 to 19 nighttime movements. Actigraphy was evaluated in the context of ICU and post-ICU outcomes in 11 (69%) and 5 (31%) studies, respectively, and demonstrated potential associations between actigraphy-based activity levels and delirium, sedation, pain, anxiety, time to extubation, and length of stay. Conclusion: Actigraphy has demonstrated that patients are profoundly inactive in the ICU with actigraphy-based activity levels potentially associated with important measures, such as delirium, sedation, and length of stay. Larger and more rigorous studies are needed to further evaluate these associations and the overall utility of actigraphy in the ICU setting.

scholarly journals Impact of Alarm Fatigue on the Work of Nurses in an Intensive Care Environment—A Systematic Review

2020 ◽  
Vol 17 (22) ◽  
pp. 8409
Author(s):  
Katarzyna Lewandowska ◽  
Magdalena Weisbrot ◽  
Aleksandra Cieloszyk ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
Sabina Krupa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Continuous Wave ◽  
Intensive Therapy ◽  
Weighted Average ◽  
Nursing Personnel ◽  
Cochrane Library ◽  
Quality Model ◽  
Alarm Fatigue

Background: In conditions of intensive therapy, where the patients treated are in a critical condition, alarms are omnipresent. Nurses, as they spend most of their time with patients, monitoring their condition 24 h, are particularly exposed to so-called alarm fatigue. The purpose of this study is to review the literature available on the perception of clinical alarms by nursing personnel and its impact on work in the ICU environment. Methods: A systematic review of the literature was carried out according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) protocol. The content of electronic databases was searched through, i.e., PubMed, OVID, EBSCO, ProQuest Nursery, and Cochrane Library. The keywords used in the search included: “intensive care unit,” “nurse,” “alarm fatigue,” “workload,” and “clinical alarm.” The review also covered studies carried out among nurses employed at an adult intensive care unit. Finally, seven publications were taken into consideration. Data were analyzed both descriptively and quantitatively, calculating a weighted average for specific synthetized data. Results: In the analyzed studies, 389 nurses were tested, working in different intensive care units. Two studies were based on a quality model, while the other five described the problem of alarms in terms of quantity, based on the HTF (Healthcare Technology Foundation) questionnaire. Intensive care nurses think that alarms are burdensome and too frequent, interfering with caring for patients and causing reduced trust in alarm systems. They feel overburdened with an excessive amount of duties and a continuous wave of alarms. Having to operate modern equipment, which is becoming more and more advanced, takes time that nurses would prefer to dedicate to their patients. There is no clear system for managing the alarms of monitoring devices. Conclusion: Alarm fatigue may have serious consequences, both for patients and for nursing personnel. It is necessary to introduce a strategy of alarm management and for measuring the alarm fatigue level.

scholarly journals Effect of daily sedation interruption and the patient’s outcome who are under mechanical ventilation: A mini systematic review

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Konstantina Satolia ◽  
Dimitrios Alefragkis
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Length Of Stay ◽  
Total Duration ◽  
Cochrane Library ◽  
Continuous Administration ◽  
Meta Analyses ◽  
Daily Sedation Interruption

Continuous administration of sedatives to the intensive care unit may increase the duration of mechanical ventilation, extend the patient's stay in the intensive care unit, and, subsequently, to the hospital. The objective was to improve the outcome of intubated patients in terms of the total duration of mechanical ventilation, the stay of these patients in the intensive care unit (ICU), and their mortality. This systematic review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The literature search was conducted in October 2020. Articles were searched in the PubMed and Cochrane Library online databases. Data were extracted from all included research studies and analyzed thematically. The search duration was between 2008 and 2018. The studies do not document statistically significant differences with the parameters under study (total duration of mechanical ventilation, the total length of stay in the intensive care unit (ICU), and mortality), for a better outcome of intubated patients. The application of the daily sedation interruption (DSI) did not appear to affect the duration of Mechanical Ventilation, the length of stay in the ICU, and mortality in intubated patients. Keywords: Daily sedation interruption, intubated patients

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