A Novel Approach to ICU Survivor Care: A Population Health Quality Improvement Project

A Novel Approach to ICU Survivor Care: A Population Health Quality Improvement Project

Our ICU survivor care process results in decreased mortality and a net annual cost savings to the insurer compared with usual care processes. There was no statistically significant difference in readmission rates. Demographic... read more

Admissions Trends, Resource Use, and Risk-adjusted Hospital Mortality for Elderly Patients Admitted to ICUs

Admissions Trends, Resource Use, and Risk-adjusted Hospital Mortality for Elderly Patients Admitted to ICUs

Over the past two decades, elderly patients have been more commonly admitted to ICU than can be explained solely by the demographic shift. Importantly, as with the wider population, outcomes in elderly patients admitted to... read more

ICU Bouncebacks Associated with Worse Outcomes

ICU Bouncebacks Associated with Worse Outcomes

ICU Bouncebacks (ICUBBs) are associated with worse outcomes and are disproportionately burdened by respiratory complications. These findings emphasize the importance of the TQIP Collaborative in identifying statewide... read more

Effects of Sepsis on Mortality in Critically Ill Patients 2 Years After ICU Discharge

Effects of Sepsis on Mortality in Critically Ill Patients 2 Years After ICU Discharge

Compared with patients without sepsis, those with sepsis have higher mortality in the intensive care unit and have more pain, hospital readmissions, and functional decline within 2 years after discharge. During the study,... read more

Epidemiology and Costs of Sepsis in the United States

Epidemiology and Costs of Sepsis in the United States

The highest burden of incidence and total costs occurred in the lowest severity sepsis cohort population. Sepsis cases not diagnosed until after admission, and those with increasing severity had a higher economic burden and... read more

Racial and Ethnic Differences in 30-Day Hospital Readmissions Among US Adults with Diabetes

Racial and Ethnic Differences in 30-Day Hospital Readmissions Among US Adults with Diabetes

In this study, black patients with diabetes had a significantly higher risk of readmission than members of other racial/ethnic groups. This increased risk was most pronounced among lower-income patients hospitalized in... read more

20 Percent of Patients Hospitalized for Cardiac Arrest Readmitted Within a Month

20 Percent of Patients Hospitalized for Cardiac Arrest Readmitted Within a Month

This cohort study found increased rates of readmission among patients who survived cardiac arrest. Early follow-up with health care professionals may enable timely management of both cardiac and general medical conditions... read more

Impact of Critical Illness on Resource Utilization

Impact of Critical Illness on Resource Utilization

An ICU admission is associated with increased resource utilization including hospital readmissions, with many due to an ambulatory care sensitive condition. Lower socioeconomic status and higher severity of illness are associated... read more

PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance

PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance

This practice statement and level of care guidance manuscript addresses important specifications for each PICU level of care, including the team structure and resources, technology and equipment, education and training, quality... read more

Physical Function Impairment in Survivors of Critical Illness in an ICU Recovery Clinic

Physical Function Impairment in Survivors of Critical Illness in an ICU Recovery Clinic

Physical function measurement in a recovery clinic is feasible and may inform subsequent morbidity and mortality. 36 patients were seen in clinic from July 2014 to June 2015; the median SPPB score was 5 (IQR 5). The... read more

Randomized Clinical Trial of an ICU Recovery Pilot Program for Survivors of Critical Illness

Randomized Clinical Trial of an ICU Recovery Pilot Program for Survivors of Critical Illness

This randomized pilot trial found that a multidisciplinary ICU recovery program could deliver more interventions for post ICU recovery than usual care. The finding of longer time-to-readmission with an ICU recovery program... read more

Post-discharge Impact of Healthcare-associated Infections in a Developing Country

Post-discharge Impact of Healthcare-associated Infections in a Developing Country

The impact of healthcare-associated infections (HCAIs) on in-hospital mortality, morbidity, length-of-stay, and costs has been extensively reported. However, few studies have focused on the follow-up of HCAI-affected subjects... read more

In-hospital Mortality Associated with the Misdiagnosis or Unidentified Site of Infection at Admission

In-hospital Mortality Associated with the Misdiagnosis or Unidentified Site of Infection at Admission

Rapid detection, early resuscitation, and appropriate antibiotic use are crucial for sepsis care. Accurate identification of the site of infection may facilitate a timely provision of appropriate care. We aimed to investigate... read more

Approaches to Addressing PICS Among ICU Survivors

Approaches to Addressing PICS Among ICU Survivors

Critical illness can be lethal and devastating to survivors. Improvements in acute care have increased the number of intensive care unit (ICU) survivors. These survivors confront a range of new or worsened health states that... read more