Understanding How to Improve Quality and Value for Patients With AMI

Understanding How to Improve Quality and Value for Patients With AMI

Although the United States lags behind comparable nations in many health measures, mortality following acute myocardial infarction (AMI) is lower in the United States than in many other developed countries, including Finland,... read more

Causes of Mortality in ICU-Acquired Weakness

Causes of Mortality in ICU-Acquired Weakness

Intensive care unit–acquired weakness (ICU-AW) is a common complication of critical illness and is associated with increased mortality, longer mechanical ventilation and longer hospital stay. Little is known about the causes... read more

The Effect of ICU Out-of-Hours Admission on Mortality

The Effect of ICU Out-of-Hours Admission on Mortality

Adjusted risk of death for ICU admission was greater over the weekends compared with weekdays. The absence of a dedicated intensivist on-site overnight may be associated with increased mortality for acute admissions. These... read more

Late Mortality After AHRF

Late Mortality After AHRF

Acute hypoxic respiratory failure (AHRF) is associated with significant acute mortality. It is unclear whether later mortality is predominantly driven by pre-existing comorbid disease, the acute inciting event or is the result... read more

Are hospital readmission penalties a good idea?

Are hospital readmission penalties a good idea?

A closely watched experiment in health care has unfolded over the last few years: Financial incentives for hospitals to reduce readmissions. It was a feature of the Affordable Care Act, and researchers are now assessing its... read more

Factors Associated With Pediatric Ventilator-Associated Conditions in Six U.S. Hospitals

Factors Associated With Pediatric Ventilator-Associated Conditions in Six U.S. Hospitals

A newly proposed surveillance definition for ventilator-associated conditions among neonatal and pediatric patients has been associated with increased morbidity and mortality among ventilated patients in cardiac ICU, neonatal... read more

Hypoxia and Hypotension in Patients Intubated by Physician Staffed Helicopter EMS

Hypoxia and Hypotension in Patients Intubated by Physician Staffed Helicopter EMS

The effective treatment of airway compromise in trauma and non-trauma patients is important. Hypoxia and hypotension are predictors of negative patient outcomes and increased mortality, and may be important quality indicators... read more

New Sepsis Definition (Sepsis-3) and Community-acquired Pneumonia Mortality

New Sepsis Definition (Sepsis-3) and Community-acquired Pneumonia Mortality

qSOFA and CRB outperformed SIRS and presented better clinical usefulness as prompt tools for patients with community-acquired pneumonia in the emergency department. Among the tools for a comprehensive patient assessment,... read more

Spotlight Interview: The World of Fluids

Spotlight Interview: The World of Fluids

Looking at the data from a new perspective, the article "Both Positive and Negative Fluid Balance May Be Associated With Reduced Long-Term Survival in the Critically Ill" published in Critical Care Medicine in August 2017,... read more

Association of the Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure

Association of the Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure

Among fee-for-service Medicare beneficiaries discharged after heart failure hospitalizations, implementation of the HRRP was temporally associated with a reduction in 30-day and 1-year readmissions but an increase in 30-day... read more

Responding to Ten Common Delirium Misconceptions With Best Evidence

Responding to Ten Common Delirium Misconceptions With Best Evidence

Delirium (acute confusion) is a serious, common health condition, and it predicts poor outcomes, including greater rates of mortality, institutionalization, prolonged hospitalization, and cognitive impairment. Expedient diagnosis... read more

Sepsis mortality linked to concentration of critical care fellowships

Sepsis mortality linked to concentration of critical care fellowships

Higher survival rates for sepsis were more concentrated in the Northeast and metropolitan areas in the Western regions of the United States. Compared with other parts of the United States, survival rates for sepsis were highest... read more

The Timing of Early Antibiotics and Hospital Mortality in Sepsis

The Timing of Early Antibiotics and Hospital Mortality in Sepsis

Prior sepsis studies evaluating antibiotic timing have shown mixed results. Objective: To evaluate the association between antibiotic timing and mortality among sepsis patients receiving antibiotics within 6 hours of emergency... read more

Is Intravenous Administration of Iodixanol Associated with Increased Risk of AKI, Dialysis, or Mortality?

Is Intravenous Administration of Iodixanol Associated with Increased Risk of AKI, Dialysis, or Mortality?

Among patients at the highest perceived risk of post-contrast Acute Kidney Injury (AKI), intravenous administration of iodixanol for contrast material enhanced CT was not an independent risk factor for AKI, dialysis, or... read more