Development of a quality indicator set to measure and improve quality of ICU care in low- and middle-income countries
Abstract Purpose: To develop a set of actionable quality indicators for critical care suitable for use in low- or middle-income countries (LMICs). Methods: A list of 84 candidate indicators compiled from a previous literature review and stakeholder recommendations were categorised into three domains (foundation,
International Comparisons of ICU Performance: A Proposed Approach to Severity Scoring Systems
Quintairos, Amanda MD1,2; Haniffa, Rashan MD, PhD3–6; Dongelmans, Dave MD, PhD7,8; Salluh, Jorge I. F. MD, PhD1,9; on behalf of LOGIC (Linking of Global Intensive Care). International Comparisons of ICU Performance: A Proposed Approach to Severity Scoring Systems. Critical Care
ICU scoring systems
Four decades of prognostic scores in intensive care Intensive care units (ICUs) are people- and technology-intensive environments where timely and wise use of advanced monitoring and life support is crucial to revert or avoid life-threatening conditions. From their inception, this highly
Trends in Intensive Care Admissions and Outcomes of Stroke Patients Over 10 Years in Brazil
Abstract Background The coronavirus 2019 (COVID-19) pandemic affected stroke care worldwide. Data from low- and middle-income countries are limited. Research Question What was the impact of the pandemic in ICU admissions and outcomes of patients with stroke, in comparison with trends over the last
Assessing contemporary intensive care unit outcome: development and validation of the Australian and New Zealand Risk of Death admission model
Summary The Australian and New Zealand Risk of Death (ANZROD) model currently used for benchmarking intensive care units (ICUs) in Australia and New Zealand utilises physiological data collected up to 24 hours after ICU admission to estimate the risk of hospital
Challenges for the care delivery for critically ill COVID-19 patients in developing countries: the Brazilian perspective
Background The delivery of critical care is a major challenge for developing countries [1]. The inequity of access to an ICU bed, heterogeneous triage policies, a low staff/patient ratio and suboptimal adherence to evidence-based practices contribute to disproportionally high mortality of
An International Perspective on the Frequency, Perception of Utility, and Quality of Interprofessional Rounds Practices in Intensive Care Units
Abstract Purpose: To describe international variation in interprofessional rounds in intensive care units (ICUs). Materials and methods: Survey of ICU clinicians on their practices and perceptions of rounds using societal mailing lists and social media. Results: Out of 2402 respondents, 1752 (72.8%) use rounds. Teams are
Impact of Chronic Obstructive Pulmonary Disease on Incidence, Microbiology and Outcome of Ventilator-Associated Lower Respiratory Tract Infections
Abstract Objectives: To determine the impact of chronic obstructive pulmonary disease (COPD) on incidence, microbiology, and outcomes of ventilator-associated lower respiratory tract infections (VA-LRTI). Methods: Planned ancillary analysis of TAVeM study, including 2960 consecutive adult patients who received invasive mechanical ventilation (MV) > 48
Identification of Distinct Clinical Phenotypes in Mechanically Ventilated Patients With Acute Brain Dysfunction Using Cluster Analysis
Abstract Acute brain dysfunction (ABD) is a frequent and severe syndrome occurring in critically ill patients and early identification of high-risk patients is paramount. In the present analysis, we propose a clinically applicable model for early phenotype identification of ABD at
Organizational Factors Associated With Adherence to Low Tidal Volume Ventilation: A Secondary Analysis of the CHECKLIST-ICU Database
Abstract Background: Survival benefit from low tidal volume (VT) ventilation (LTVV) has been demonstrated for patients with acute respiratory distress syndrome (ARDS), and patients not having ARDS could also benefit from this strategy. Organizational factors may play a role on adherence to