Review
Critical Care Medicine
Mary Quien, Alexander Thomas, Jonathan Ludmir, P. Elliott Miller
Summary: This review aims to explore how to improve the staffing model in CICU, with a particular focus on the impact of closed CICU and intensivist staffing on patient outcomes.
CURRENT OPINION IN CRITICAL CARE
(2022)
Article
Medicine, General & Internal
Elena Conoscenti, Maria Campanella, Antonino Sala, Maria Cristina Di Stefano, Dario Vinci, Rosario Lombardo, Giuseppe Arena, Angelo Ginestra, Rosario Fiolo, Fabio Tuzzolino, Alessia Ippolito, Gennaro Martucci, Giuseppe Enea, Angelo Luca
Summary: An organizational model implemented in an Italian hospital during the COVID-19 pandemic was perceived as appropriate and effective in ensuring the safety of the staff.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Environmental Sciences
Young-Taek Park, JeongYun Park, Ji Soo Jeon, Young Jae Kim, Kwang Gi Kim
Summary: In general wards of hospitals in Korea, nurse staffing levels did not decrease but instead increased during the COVID-19 pandemic, indicating a potential shortage of nursing staff.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Public, Environmental & Occupational Health
Sarah Benatar, Kathryn Paez, Emily M. Johnston, Jennifer Lucado, Graciela Castillo, Caitlin Cross-Barnet, Ian Hill
Summary: The study observed the prevalence of gestational diabetes mellitus (GDM) among women receiving prenatal care from Birth Centers, Group Prenatal Care, and Maternity Care Homes. Results showed that Birth Center participants had significantly lower rates of GDM compared to women in Maternity Care Homes of the same race/ethnicity, indicating the need for further investigation on prenatal care approaches to reduce GDM and address health disparities.
JOURNAL OF WOMENS HEALTH
(2021)
Article
Pediatrics
Yarden S. Fraiman, Christine C. Cheston, Diana Morales, Kristen T. Leeman, Anne R. Hansen
Summary: Healthcare staff are aware of bias and its impact on their interactions with patients, families, and colleagues. They believe that implicit bias has a greater influence on their behaviors than explicit bias, and perceive themselves as having less bias than others. Staff have suggestions for approaches to mitigate the impact of bias.
PEDIATRIC RESEARCH
(2023)
Article
Nursing
Rachel E. Culbreth, Regena Spratling, Lauranne Scates, Laryssa Frederick, Jordan Kenney, Douglas S. Gardenhire
Summary: This study aimed to investigate the association between perceptions of safety and culture among NICU staff with medical error reporting behaviors. Results showed that while respiratory therapists and nurses had similar safety attitude scores, there were differences in job satisfaction and stress levels. Overall, NICU staff were more likely to report major medical errors.
JOURNAL OF CLINICAL NURSING
(2021)
Article
Multidisciplinary Sciences
Sung Jun Ko, Jaeyoung Cho, Sun Mi Choi, Young Sik Park, Chang-Hoon Lee, Chul-Gyu Yoo, Jinwoo Lee, Sang-Min Lee
Summary: The study found that the closed unit model was superior to the mandatory critical care consultation model in terms of ICU mortality and length of stay among ICU survivors. The closed unit model group had lower rates of central venous catheter insertion and ventilator-associated pneumonia compared to the mandatory critical care consultation model group.
Article
Critical Care Medicine
Robin Digby, Elizabeth Manias, Kimberley J. Haines, Judit Orosz, Joshua Ihle, Tracey K. Bucknall
Summary: During the COVID-19 pandemic in Australia, ICU staff faced challenges in patient care and communication. Communication was hindered by the use of personal protective equipment, leading to difficulties in conveying empathy. Separating families and patients caused psychological stress for the staff.
AUSTRALIAN CRITICAL CARE
(2023)
Article
Endocrinology & Metabolism
Shivani Agarwal, Justin Mathew, Georgia M. Davis, Alethea Shephardson, Ann Levine, Rita Louard, Agustina Urrutia, Citlalli Perez-Guzman, Guillermo E. Umpierrez, Limin Peng, Francisco J. Pasquel
Summary: This study conducted real-time continuous glucose monitoring in a group of COVID-19 patients, finding high accuracy and significant reduction in the frequency of point-of-care glucose testing during critical illness.
Article
Critical Care Medicine
Saori Ikumi, Takuya Shiga, Takuya Ueda, Eichi Takaya, Yudai Iwasaki, Yu Kaiho, Kunio Tarasawa, Kiyohide Fushimi, Yukiko Ito, Kenji Fujimori, Masanori Yamauchi
Summary: This study evaluated the clinical outcomes and cost-effectiveness of different types of ICUs in Japan. The study found that patients in ICU1/2 had lower ICU and in-hospital mortality rates compared to those in ICU3/4. Treatments under ICU1/2 were also more cost-effective.
JOURNAL OF INTENSIVE CARE
(2023)
Article
Cardiac & Cardiovascular Systems
P. Elliott Miller, Fouad Chouairi, Alexander Thomas, Yukiko Kunitomo, Faisal Aslam, Maureen E. Canavan, Christa Murphy, Krishna Daggula, Thomas Metkus, Saraschandra Vallabhajosyula, Anthony Carnicelli, Jason N. Katz, Nihar R. Desai, Tariq Ahmad, Eric J. Velazquez, Joseph Brennan
Summary: The study found lower in-hospital and CICU mortality rates after transitioning to a closed cardiac intensive care unit. Additionally, cases of cardiac arrest and respiratory insufficiency in the closed unit showed lower in-hospital mortality rates.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Management
Nicolai Ostberg, Jonathan Ling, Shira G. Winter, Sreeroopa Som, Christos Vasilakis, Andrew Y. Shin, Timothy T. Cornell, David Scheinker
Summary: This study aimed to identify and evaluate the factors that nurse managers use to determine the number of nurses for each shift. Through simulation and multivariate regression, it was found that patient turnover was the primary factor causing discrepancies in nurse staffing levels, and new rules were able to reduce this difference, allowing for better matching of demand with nurse schedules.
JOURNAL OF NURSING MANAGEMENT
(2021)
Article
Nursing
Zhaosheng Jin, Tomas Jovaisa, Beverley Thomas, Mandeep Phull
Summary: The study tested two alternative workforce management models in critical care nursing, the on-call model and the predictive model. Results showed that the on-call model was 16% more cost-effective than the fixed roster, while maintaining safe staffing levels on 97% of days. The implementation of an on-call model could potentially improve coverage and cost efficiency in critical care nursing rostering.
INTENSIVE AND CRITICAL CARE NURSING
(2021)
Article
Health Care Sciences & Services
Katherine Guttmann, John Flibotte, Holli Seitz, Matthew Huber, Sara B. DeMauro
Summary: This study investigated the relationship between quality of Goals of Care (GOC) conversations and moral distress among neonatal intensive care unit (NICU) providers. The findings showed that most providers experienced an increase in moral distress following GOC discussions, and that different elements of discussions and provider roles had varying effects on moral distress levels.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2021)
Article
Nursing
Keith Feldman, Annie J. Rohan
Summary: The challenge of nurse staffing in the acute care neonatal intensive care unit is influenced by various factors at different levels. The factors include infant factors, nurse factors, and unit factors. Variability of these factors within shifts must be considered for effective staffing decisions. Technology and predictive analytics can be used to improve workload estimations and acuity measures. Decentralized decision-making and innovative care models can enhance nurse staffing decisions affected by intra-shift variability. Improving NICU staffing requires a deliberate approach, commitment from nurses, resources from management, and a patient safety-focused institutional culture.
MCN-THE AMERICAN JOURNAL OF MATERNAL-CHILD NURSING
(2022)
Article
Rehabilitation
Sabrina Eggmann, Martin L. Verra, Valentine Stefanicki, Angela Kindler, Joerg C. Schefold, Bjoern Zante, Caroline H. G. Bastiaenen
Summary: This study investigated the predictive validity of the CPAx tool in critically ill adults at ICU discharge for their 90-day outcomes. The results showed that the CPAx had good accuracy in predicting a return to home within 90 days, but was not associated with subsequent health-related quality of life.
DISABILITY AND REHABILITATION
(2023)
Article
Nursing
Marie-Madlen Jeitziner, Beatrice Jenni-Moser, Bjoern Zante, Katja Erne, Maria Brauchle, Sarah A. Moser, Joerg C. Schefold, Karin Amrein, Magdalena Hoffmann
Summary: This study assessed the opinions and experiences of healthcare professionals, former patients, and their families during the first wave of the COVID-19 pandemic. It found that family support in the intensive care unit was perceived as highly important, and virtual contact through video calls and websites was implemented to establish confidence in the treatment.
INTENSIVE AND CRITICAL CARE NURSING
(2023)
Letter
Acoustics
Micah L. A. Heldeweg, Tomas T. R. Heldeweg, Patrick Schober, Pieter Roel Tuinman, Harm-Jan de Grooth
JOURNAL OF ULTRASOUND IN MEDICINE
(2023)
Article
Emergency Medicine
Sebastiaan M. Bossers, Robert Verheul, Erik W. van Zwet, Frank W. Bloemers, Georgios F. Giannakopoulos, Stephan A. Loer, Lothar A. Schwarte, Patrick Schober
Summary: The current data does not support the routine practice of prehospital intubation, and the effect of prehospital intubation on mortality might depend on the experience of EMS clinicians. Therefore, when intubation is required, it is advisable to involve prehospital personnel who are proficient in prehospital intubation.
PREHOSPITAL EMERGENCY CARE
(2023)
Article
Anesthesiology
Mark Borthwick, Anders Granholm, Soren Marker, Mette Krag, Theis Lange, Matt P. Wise, Stepani Bendel, Frederik Keus, Anne Berit Guttormsen, Joerg C. Schefold, Jorn Wetterslev, Anders Perner, Morten Hylander Moller
Summary: Critically ill patients are at risk of gastrointestinal bleeding, and pharmacological stress ulcer prophylaxis (SUP) is commonly used to minimize this risk. The effect of enteral nutrition as SUP on GI bleeding rates is uncertain, with conflicting data and variable practice. This study aims to explore the association between enteral nutrition and GI bleeding rates in ICU patients and evaluate any interactions with pharmacologic SUP. The results may provide important insights for guiding practice and designing future clinical trials on the effect of enteral nutrition on GI bleeding.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Review
Pharmacology & Pharmacy
Livia Mueller, Michel Moser, Josef Prazak, Daniel G. Fuster, Joerg C. Schefold, Patrick Zuercher
Summary: This study investigated the impact of renal dysfunction and renal replacement therapy (RRT) on the outcomes of metformin-associated lactic acidosis (MALA). Higher ingested metformin dose and plasma/serum creatinine levels were associated with a better outcome. Patients receiving RRT had higher plasma/serum creatinine levels, higher lactate levels, and lower arterial pH. Survival was similar in patients with or without need for RRT.
Letter
Surgery
Jeroen Hermanides, Patrick Schober, Hans J. Avis
Letter
Anesthesiology
Georg Wolff, Bernhard Wernly, Hans Flaatten, Jesper Fjolner, Raphael Romano Bruno, Antonio Artigas, Bernardo Bollen C. Pinto, Joerg C. Schefold, Malte Kelm, Stephan Binneboessel, Philipp Baldia, Michael Beil, Sigal Sivri, Peter Vernon van Heerden, Wojciech Szczeklik, Muhammed Elhadi, Michael Joannidis, Sandra Oeyen, Maria Flamm, Brian H. Marsh, Finn H. Andersen, Rui Moreno, Ariane W. Boumendil, Dylan W. De Lange, Bertrand Guidet, Susannah Leaver, Christian Jung, COVIP Study Grp
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2023)
Article
Infectious Diseases
Timo Mayerhoefer, Sebastian Klein, Bernhard Wernly, Hans Flaatten, Bertrand Guidet, Dylan W. De Lange, Jesper Fjolner, Susannah Leaver, Michael Beil, Sigal Sviri, Raphael Romano Bruno, Antonio Artigas, Peter Vernon van Heerden, Bernardo Bollen Pinto, Joerg C. Schefold, Rui Moreno, Maurizio Cecconi, Wojciech Szczeklik, Christian Jung, Michael Joannidis
Summary: This study investigated the impact of diabetes mellitus on 90-day mortality in a high-risk cohort of critically ill patients over 70 years of age. The study found that patients with diabetes had a significantly higher 90-day mortality rate compared to those without diabetes. This suggests that diabetes is a relevant risk factor for COVID-19 in old critically ill patients.
Article
Multidisciplinary Sciences
Jennifer S. Breel, Agnes G. C. L. Wensing, Susanne Eberl, Benedikt Preckel, Patrick Schober, Marcella C. A. Muller, Robert J. M. Klautz, Markus W. Hollmann, Henning Hermanns
Summary: This study aims to delineate the specific coagulation patterns and their clinical consequence in patients undergoing cardiac surgery due to infective endocarditis. The findings show significantly altered coagulation profiles in patients with infective endocarditis, with concomitant hyper- and hypocoagulability. The incidence of bleeding complications and transfusion requirements were also increased in patients with endocarditis.
Article
Medicine, Research & Experimental
Sascha David, Christian Bode, Klaus Stahl
Summary: This is a clinical trial evaluating the impact of early therapeutic plasma exchange (TPE) on patients with septic shock. The researchers hypothesize that TPE can mitigate the maladaptive host response, thereby limiting organ dysfunction and improving survival. This study has the potential to change the current treatment standard for this condition.
Letter
Otorhinolaryngology
Patrick Schober, Lothar Andreas Schwarte, Stephan Alexander Loer
JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY
(2023)
Article
Critical Care Medicine
Magdalena Hoffmann, Marie-Madlen Jeitziner, Regina Riedl, Gerhard Mueller, Andreas Peer, Adelbert Bachlechner, Patrik Heindl, Harald Burgsteiner, Joerg C. Schefold, Dirk von Lewinski, Philipp Eller, Thomas Pieber, Gerald Sendlhofer, Karin Amrein
Summary: Family members of critically ill patients often experience significant PTSD symptoms, and online information about intensive care does not lead to a reduction in these symptoms.
INTENSIVE CARE MEDICINE
(2023)
Article
Medicine, General & Internal
Aileen C. Naef, Samuel E. J. Knobel, Nicole Ruettgers, Marilyne Rossier, Marie-Madlen Jeitziner, Bjoern Zante, Rene M. Muri, Joerg C. Schefold, Tobias Nef, Stephan M. Gerber
Summary: Elevated sound pressure levels in the ICU negatively impact patient and staff health. This study identified sources such as cleaning, admission, discharge, and renal interventions that contribute to high sound pressure levels. Recognizing these sources can help target future interventions and create a healthier environment.
FRONTIERS IN MEDICINE
(2023)
Article
Critical Care Medicine
Rudolf Likar, Ilia Aroyo, Katrin Bangert, Bjorn Degen, Rainer Dziewas, Oliver Galvan, Michaela Trapl Grundschober, Markus Kostenberger, Paul Muhle, Joerg C. Schefold, Patrick Zuercher
Summary: This article presents expert opinions on the diagnosis and management of dysphagia in ICU patients. The panel suggests adopting clinical algorithms to promote standardized and high-quality care, and proposes two clinical management algorithms to improve early detection and effective treatment of dysphagia in ICU patients.
JOURNAL OF CRITICAL CARE
(2024)