Key performance indicators in intensive care medicine. A retrospective matched cohort study

The Journal of International Medical Research
M KastrupClaudia Spies

Abstract

Expert panel consensus was used to develop evidence-based process indicators that were independent risk factors for the main clinical outcome parameters of length of stay in the intensive care unit (ICU) and mortality. In a retrospective, matched data analysis of patients from five ICUs at a tertiary university hospital, agreed process indicators (sedation monitoring, pain monitoring, mean arterial pressure [MAP] >or= 60 mmHg, tidal volume [TV] <or= 6 ml/kg body weight, peak inspiratory pressure [PIP] <or= 35 cmH(2)O and blood glucose [BG] >or= 80 and <or= 130 mg/dl) were validated using a prospective dataset of 4445 consecutive patients. After matching for age, sex and ICU, 634 patients were analysed. Logistic regression of the 634 patients showed that monitoring analgesia and sedation, MAP >or= 60 mmHg and BG >or= 80 mg/dl were relevant for survival. Linear regression of the 634 patients showed that analgesia monitoring, PIP <or= 35 cmH(2)O and TV <or= 6 ml/kg were associated with reduced length of ICU stay. Linear regression on all 4445 patients showed analgesia, sedation monitoring, MAP >or= 60 mmHg, BG >or= 80 mg/dl and <or= 130 mg/dl, PIP <or= 35 cmH(2)O and TV <or= 6 ml/kg were associated with reduced length of ICU stay,...Continue Reading

References

Aug 1, 1989·Critical Care Medicine·J TuchschmidtO P Sharma
Jun 1, 1997·American Journal of Surgery·S L TsuiJ Wong
Feb 4, 1999·Critical Care Clinics·J Epstein, M J Breslow
May 4, 2000·The New England Journal of Medicine·UNKNOWN Acute Respiratory Distress Syndrome NetworkArthur Wheeler
May 18, 2000·The New England Journal of Medicine·J P KressJ B Hall
Sep 26, 2001·Current Opinion in Critical Care·P J PronovostH Rubin
Jan 16, 2002·JAMA : the Journal of the American Medical Association·Andrés EstebanUNKNOWN Mechanical Ventilation International Study Group
Jan 17, 2002·The New England Journal of Medicine·G van den BergheR Bouillon
Mar 21, 2002·Critical Care Medicine·Stanley A NasrawayUNKNOWN Task Force of the American College of Critical Care Medicine of the Society of Critical Care Medicine and the American Socie
Mar 21, 2002·Critical Care Medicine·Judith JacobiUNKNOWN Task Force of the American College of Critical Care Medicine (ACCM) of the Society of Critical Care Medicine (SCCM), America
Jun 1, 2002·Journal of Critical Care·Sean M BerenholtzPeter J Pronovost
Nov 27, 2002·Quality & Safety in Health Care·R GrolF Moss
Mar 11, 2003·Critical Care Medicine·R Phillip Dellinger
Apr 12, 2003·BMJ : British Medical Journal·S M CampbellM N Marshall
Jun 12, 2003·JAMA : the Journal of the American Medical Association·E Wesley ElyGordon R Bernard
Nov 5, 2003·Journal of Critical Care·Peter J PronovostTodd Dorman
Apr 15, 2004·JAMA : the Journal of the American Medical Association·E Wesley ElyRobert S Dittus
Oct 13, 2004·Archives of Internal Medicine·Anastassios G PittasJoseph Lau
Oct 16, 2004·Journal of Critical Care·Peter J PronovostSean M Berenholtz
Jun 11, 2005·Chest·Allan Garland
Jun 24, 2005·Intensive Care Medicine·Marjut VarpulaVille Pettilä
Sep 1, 2005·Intensive Care Medicine·Teresa A WilliamsSteve A R Webb
Feb 3, 2006·The New England Journal of Medicine·Greet Van den BergheRoger Bouillon
Apr 21, 2006·Critical Care Medicine·Gerald ChanquesJean-Jacques Eledjam
Jun 13, 2006·Seminars in Thoracic and Cardiovascular Surgery·Victor J Cardenas, James E Lynch
Oct 3, 2006·Surgery·Wendy Lynn WahlPaul A Taheri
Aug 11, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·WhaSook Seo, HyunSoo Oh
Sep 22, 2007·Critical Care Medicine·Jean-Charles Preiser, Philippe Devos
Dec 7, 2007·Intensive Care Medicine·R Phillip DellingerJean-Louis Vincent
Dec 19, 2007·Journal of Critical Care·Maartje de VosPeter H J van der Voort
Jan 11, 2008·The New England Journal of Medicine·Frank M BrunkhorstUNKNOWN German Competence Network Sepsis (SepNet)
Jan 29, 2008·Medicina intensiva·M C MartínUNKNOWN Grupos de trabajo de la Sociedad Española de Medicina Intensiva Crítica y Unidades Coronarias (SEMICYUC), Sociedad Española
Feb 14, 2008·JAMA : the Journal of the American Medical Association·Alain MercatUNKNOWN Expiratory Pressure (Express) Study Group
May 22, 2008·JAMA : the Journal of the American Medical Association·Ricard FerrerUNKNOWN Edusepsis Study Group

❮ Previous
Next ❯

Citations

May 9, 2014·Nursing in Critical Care·Céline GélinasCécile Michaud
Jun 3, 2015·Critical Care Nurse·Judy E DavidsonAnna Dermenchyan
Sep 3, 2014·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Friederike ComptonMarkus van der Giet
Aug 13, 2014·Health Services Insights·Wadi B Alonazi, Shane A Thomas
Jan 10, 2017·Journal of Intensive Care·Takeshi Suzuki
Mar 13, 2014·Medizinische Klinik, Intensivmedizin und Notfallmedizin·N Theuerkauf, U Guenther
Oct 30, 2016·Tuberculosis and Respiratory Diseases·Young-Jae ChoUNKNOWN Korean Academy of Tuberculosis and Respiratory Diseases Consensus Group
Jun 25, 2021·Journal of Pain Research·Mina F NordnessPratik Pandharipande
Mar 10, 2011·Current Opinion in Anaesthesiology

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Acta Anaesthesiologica Scandinavica
Matti ReinikainenE Ruokonen
Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
Kavitha SaravuChiranjay Mukhopadhyay
© 2022 Meta ULC. All rights reserved