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1,823 results for “intensive care”
Urinary Sodium Excretion is Low Prior to Acute Kidney Injury in Intensive Care Unit Patients
<p>Dataset corresponding to the submitted manuscript "Urinary Sodium Excretion is Low Prior to Acute Kidney Injury in Intensive Care Unit Patients"</p> <p>doi: 10.3389/fneph.2022.929743</p>
Parents' participation in care during neonatal intensive care unit stay in COVID-19 era
<p>During the stay in the neonatal intensive care unit, parents play a crucial role in the care of their infants. Recent studies reported a decrease in parental participation due to Coronavirus Disease (COVID-19) pandemic that determined restricted access policies in hospitals. The aim of this study is to describe the barriers to a good parents’ participation during the stay in the neonatal intensive care unit in the COVID-19 era. Methods: A quantitative observational study was carried out. Results: 270 parents participated in this study. Mothers’ participation in care seems to be higher as compared to fathers (p = 0.017). Parents who lived the birth of their first child reported a better level of participation in care when compared to those who lived the birth of their second born (p = 0.005). Parents of extremely preterm neonates reported a lower interaction with their infant if compared to parents of term newborns (p < 0.001). Conclusions: Some more disadvantaged categories have reported lower scores: cultural and linguistic minorities, parents of multiple children and fathers. COVID-19 pandemic made several Family Centred Care activities not possible with a higher impact on those who benefited the most of these facilities. This study was prospectively registered by the IRB-CRRM of the University “G. d’Annunzio” Chieti-Pescara on the 23/01/2024 with registration number CRRM;2023_12_07_01.</p>
Prediction model of in-hospital mortality in intensive care unit patients with heart failure: machine learning-based, retrospective analysis of the MIMIC-III database
<p><b>Objective:</b> The predictors of in-hospital mortality for intensive care units (ICU)-admitted HF patients remain poorly characterized.We aimed to develop and validate a prediction model for all-cause in-hospital mortality among ICU-admitted HF patients.</p> <p><b>Design: </b>A retrospective cohort study.</p> <p><b>Setting and Participants: </b>Data were extracted from the MIMIC-III database. Data on 1,177 heart failure patients were analysed.</p> <p><strong>Methods</strong>: Patients meeting the inclusion criteria were identified from the MIMIC-III database and randomly divided into derivation and validation groups. Independent risk factors for in-hospital mortality were screened using XGBoost and LASSO regression models in the derivation sample. Multivariable logistic regression analysis was used to build prediction models. Discrimination, calibration, and clinical usefulness of the predicting model were assessed using the C-index, calibration plot, and decision curve analysis. After pairwise comparison, the best performing model was chosen to build a nomogram according to the regression coefficients.</p> <p><b>Results:</b> Among the 1,177 admissions, in-hospital mortality was 13.52%. In both groups, the XGBoost, LASSO regression, and GWTG-HF risk score models showed acceptable discrimination. The XGBoost and LASSO regression models also showed good calibration. In pairwise comparison, the prediction effectiveness was higher with the XGBoost and LASSO regression models than with the GWTG-HF risk score model (P<0.05). The XGBoost model was chosen as our final model for its more concise and wider net benefit threshold probability range and was presented as the nomogram.</p> <p><b>Conclusions</b><b>:</b> Our nomogram enabled good prediction of in-hospital mortality in ICU-admitted HF patients, which may help clinical decision-making for such patients.</p>
Advances in the rehabilitation of intensive care unit acquired weakness
<p>Traditional physiotherapy is currently the best approach to manage patients with intensive care unit acquired weakness (ICUAW). We report on a patient with ICUAW, who was provided with an intensive, in-patient regimen, that is, conventional plus robot-assisted physiotherapy. Aim of this case study was to assess the efficacy of a combined approach (conventional plus robot-assisted physiotherapy), on muscle strength, overall mobility, and disability burden in a patient with ICUAW in post-ICU intensive rehabilitation setting.</p> <p>Patient concerns:</p> <p>A 56-years-old male who was unable to stand and walk independently after hospitalization in an Intensive Care Unit. He initially was provided with daily sessions of conventional physiotherapy for 2 months, with mild results. The patient was affected by ICUAW. Given that the patient showed a relatively limited improvement after conventional physiotherapy, he was provided with daily sessions of robot-aided training for upper and lower limbs and virtual reality-aided rehabilitation for other 4 months, beyond conventional physiotherapy. At the discharge (6 months after the admission), the patient reached the standing station and was able to ambulate with double support. Our case suggests that patients with ICUAW should be intensively treated in in-patient regimen with robot-aided physiotherapy. Even though our approach deserves confirmation, the combined rehabilitation strategy may offer some advantage in maximizing functional recovery and containing disability.</p>
Respiratory Syncytial Virus Infection in Neonatal Intensive Care Units Throughout Turkey: Prospective Multicenter Study (TurkNICU-RSV Trial)
ClinicalTrials.gov study NCT01915394. IPD Sharing: Not stated. Countries: 1. Publications: 3.
Role of Some Biochemical Indices for Prediction of Acute Kidney Injury in Intensive Care Unit Patients in Upper Egypt
ClinicalTrials.gov study NCT06791200. IPD Sharing: NO. Countries: 1. Publications: 1.
Music Use and Perceived Psycho-social Benefits of Music of Caregivers of Patients in an Intensive Care Unit
ClinicalTrials.gov study NCT03156192. IPD Sharing: NO. Countries: 1. Publications: 4.
Safety and Efficacy of Emergency On-call Respiratory Physiotherapy Services in the Paediatric Intensive Care Unit
ClinicalTrials.gov study NCT01999426. IPD Sharing: Not stated. Countries: 1. Publications: 4.
Effects of Multidisciplinary Intensive Targeted Care in Improving Diabetes Outcomes: a Pilot Study in Singapore
ClinicalTrials.gov study NCT03413215. IPD Sharing: NO. Countries: 1. Publications: 6.
Dexmedetomidine Versus Propofol for Continuous Sedation in the Intensive Care Unit (ICU)
ClinicalTrials.gov study NCT00479661. IPD Sharing: Not stated. Countries: 7. Publications: 2.
The Effect of Prone Position Use Ventilator-Associated Pneumonia in Intensive Care Patients
ClinicalTrials.gov study NCT05760716. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Personalised Simulation Technologies for Optimising Treatment in the Intensive Care Unit
ClinicalTrials.gov study NCT04297397. IPD Sharing: NO. Countries: 1. Publications: 4.
Effectiveness of Non-invasive Vagus Nerve Stimulation as an Adjuvant Treatment in Patients With Sepsis in Intensive Care.
ClinicalTrials.gov study NCT04774705. IPD Sharing: UNDECIDED. Countries: 1. Publications: 1.
Effects of Music Therapy on Reducing Delirium in Mechanically Ventilated Adults in Intensive Care Unit
ClinicalTrials.gov study NCT04065256. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Alliance for Family Integrated Care Implementation in Neonatal Intensive Care Units
ClinicalTrials.gov study NCT06087666. IPD Sharing: UNDECIDED. Countries: 2. Publications: 1.
Eye Masks and Earplugs for Delirium and Pain Prevention in Pediatric Intensive Care Unit
ClinicalTrials.gov study NCT06867523. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
Procalcitonin Monitoring May Decrease Antibiotic Use in the Intensive Care Unit
ClinicalTrials.gov study NCT01085994. IPD Sharing: Not stated. Countries: 1. Publications: 4.
Comparison of Two Chest Radiograph Prescription Strategies in Intensive Care Unit
ClinicalTrials.gov study NCT00893672. IPD Sharing: Not stated. Countries: 1. Publications: 1.
The Effect of Proactive Clinical Ethics Consultations on End-of-life Care of the Critically Ill in the Intensive Care Settings
ClinicalTrials.gov study NCT04926610. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Impact of Non-pharmacological Prevention Measures on the Incidence of Delirium in Adult Intensive Care Units
ClinicalTrials.gov study NCT03125252. IPD Sharing: NO. Countries: 1. Publications: 10.
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OpenNeuro
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