Impact of Intensive Care Unit Physician on Care Processes of Patients with Severe Sepsis in Teaching Hospitals

Umegaki, Takeshi; Sekimoto, Miho; Imanaka, Yuichi

doi:10.4172/2155-6148.1000120

Cited by 3 publications

(4 citation statements)

References 44 publications

(62 reference statements)

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“…The aim of this study was to clarify the local anesthetics that induce apoptosis or necrosis and their induction-related factors. The results indicate that local anesthetics with high lipophilicity are highly toxic and induce mainly necrosis [10,44,31], while local anesthetics with low pKa induce more apoptosis.…”

Section: Introductionmentioning

confidence: 88%

Anesthesia and Intensive Care

Nayak¹,

Qurasani²,

Reddy³

2013

J Anesthe Clinic Res

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Section: Introductionmentioning

confidence: 88%

Anesthesia and Intensive Care

Nayak¹,

Qurasani²,

Reddy³

2013

J Anesthe Clinic Res

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“…The third part of the questionnaire was related to the SOFA questionnaire which included the parameters of FiO2, PaO2, GCS, Vasopressors (Dopamine, Dobutamine, Epinephrine and Norepinephrine), creatinine, 24-h urine volume, respiratory 1 Glasgow Coma Scale. 2 Simplified Acute Physiology Score. 3 Acute Physiology And Chronic Health Evaluation.…”

Section: Methodsmentioning

confidence: 99%

“…The most appropriate department for the care of these patients is the intensive care unit [1]. Patients admitted to this ward need advanced and high quality care due to the high variety of acute and critical illnesses [2]. It is only in these circumstances that these patients benefit from hospitalization in the intensive care unit rather than general wards [3].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of mortality prediction using SOFA and APACHE IV tools in trauma and non-trauma patients admitted to the ICU

et al. 2022

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Background Various tools have previously been introduced to predict the recuperation and mortality of patients in intensive care units and to classify them, which have particular advantages and disadvantages compared to each other. The present study compared the prediction power of mortality of trauma and non-trauma patients admitted to the ICU by SOFA and APACHE IV tools. Methods In this retrospective cohort study, patients admitted to the ICU of Kowsar Hospital in Sanandaj from the beginning of April 2020 to the end of December 2020 were assessed. Data were collected in the form of a questionnaire based on APACHE IV and SOFA criteria as well as the demographic information questionnaire. All collected data related to the first 24 h of patients' hospitalization was analyzed in SPSS V16 software using Chi-square, Mann–Whitney, Cox regression and Pearson correlation coefficient. Results This study was performed on 404 patients admitted to the ICU, Out of which 273 people (67.6%) were male, 208 (51.5%) trauma patients and 196 (48.5%) non-trauma ones. Patients’ mean age was 54.76 ± 20.77 years and their average length of stay in the hospital was 10.05 ± 8.49 days. In general, the AUC obtained by APACHE IV tool (0.902) was slightly better than that of SOFA tool (0.895). However, in a specific study of traumatic and non-traumatic patients, it was found that APACHE IV and SOFA tools had better performance in predicting death innon-trauma and trauma patients based on the accuracy, AUC and sensitivity, respectively. Conclusions Based on the results of this study, the difference between APACHE IV and SOFA tools in predicting death of patients admitted to the ICU was very small but the function of APACHE IV was better in predicting mortality of non-traumatic patients, while the function of SOFA was better in predicting the death of traumatic cases. This represents the applicability of these two tools in different patient subgroups.

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“…The most appropriate department for the care of these patients is the intensive care unit (1). Patients admitted to these wards need advanced and high quality care due to the high variety of acute and critical illnesses (2). It is only in these circumstances that these patients bene t from hospitalization in the intensive care unit rather than general wards (3).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of mortality prediction using SOFA and APACHE IV tools in trauma and non-trauma patients admitted to the ICU

Niaz

Moghadam

Aghaei

et al. 2022

Preprint

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Background Various tools have previously been introduced to predict the recuperation and mortality of patients in intensive care units and to classify them. That tools have particular advantages and disadvantages compared to each other. The present study compared the power of mortality prediction in SOFA and APACHE IV tools in trauma and non-trauma patients admitted to the ICU. Methods In this retrospective cohort study, patients admitted to the ICU of Kowsar Hospital in Sanandaj from the beginning of April 2020 to the end (December) of 2020 were assessed. Data were collected in the form of a questionnaire based on APACHE IV and SOFA criteria and the demographic information questionnaire. All collected data were related to the first 24 hours of patients' hospitalization. Data were also analyzed in SPSS V16 software using Chi-square, Mann-Whitney, Cox regression and Pearson correlation coefficients. Results This study was performed on 404 patients admitted to the ICU, of whom 273 people (67.6%) were male. 208 patients (51.5%) had been hospitalized due to an outcome resulted from trauma and 196 patients (48.5%) had been hospitalized due to a non-traumatic outcome. The mean age of the patients was 54.76 ± 20.77 years and their average inpatient hospital stay was 10.05 ± 8.49 days. In general, the AUC obtained from APACHE IV tool (0.902) was slightly better than that of SOFA tool (0.895). However, in a specific study of traumatic and non-traumatic patients, it was found that APACHE IV and SOFA tools had better performance in predicting death in, respectively, non-trauma and trauma patients based on the accuracy, AUC and sensitivity. Conclusions Based on the results of this study, it was found that the difference between APACHE IV and SOFA tools in predicting death in patients admitted to the ICU was very small but if patients were separately examined for being traumatic and non-traumatic, the APACHE IV function in predicting mortality in non-traumatic cases was better while the SOFA function was better in predicting the death in traumatic cases. This fact represents the applicability of these two tools in different subgroups of patients.

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Impact of Intensive Care Unit Physician on Care Processes of Patients with Severe Sepsis in Teaching Hospitals

Abstract: Objective: The purpose of the study was to investigate associations among intensive care unit (ICU) staffing and care processes in patients with severe sepsis.

Cited by 3 publications

References 44 publications

Anesthesia and Intensive Care

Anesthesia and Intensive Care

Evaluation of mortality prediction using SOFA and APACHE IV tools in trauma and non-trauma patients admitted to the ICU

Evaluation of mortality prediction using SOFA and APACHE IV tools in trauma and non-trauma patients admitted to the ICU

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