Specialty neurointensive care—Is it just a name or a way of life?

Kochanek, Patrick M.; Snyder, James V.; Sirio, Carl A.; Saxena, Shashank; Bircher, Nicholas G.

doi:10.1097/00003246-200103000-00053

Cited by 10 publications

(4 citation statements)

References 11 publications

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“…29 In addition, a high dependency unit is not always used in neurocritical care, even in the institute where the present study was undertaken, and the influence of this policy on triage decisions may have affected the results. 30,31 In conclusion, the present study found excellent discrimination for both the LODS and APACHE II scoring systems in predicting mortality in the NICU. There was no difference in the correct prediction of outcome between the two systems.…”

Section: Tk Kim Jr Yoon Lods Versus Apache II In the Nicusupporting

confidence: 56%

Comparison of the Predictive Power of the LODS and APACHE II Scoring Systems in a Neurological Intensive Care Unit

Kim

Yoon

2012

J Int Med Res

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OBJECTIVE:A prospective study to compare the power of the Logistic Organ Dysfunction System (LODS) and the Acute Physiology and Chronic Health Evaluation II (APACHE II) scoring systems to predict survival, in patients admitted to the neurological intensive care unit (NICU). METHODS: Clinical data from 521 consecutive NICU patients were collected during the first 24 h of admission and were used to compare the predictive power of both scoring systems. RESULTS: The observed mortality rate was 10.0% compared with predicted mortality rates of 7.2% and 4.8% according to LODS and APACHE II, respectively. Both scoring systems had excellent discrimination but LODS had superior calibration. CONCLUSION: The LODS scoring system was more stable than the APACHE II scoring system in the NICU setting.

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Section: Tk Kim Jr Yoon Lods Versus Apache II In the Nicusupporting

confidence: 56%

Comparison of the Predictive Power of the LODS and APACHE II Scoring Systems in a Neurological Intensive Care Unit

Kim

Yoon

2012

J Int Med Res

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“…14,104,105 Possible improvements from more specialised care for patients with TBI may reflect more concentrated knowledge among health professionals, and greater numbers of patients. 14,106 However, a common concern is that the evidence base on alterative locations of care following TBI is weak; in the absence of RCTs, confounding is a key concern, and previous studies have failed to undertake adequate risk-adjustment when comparing outcomes across settings. Further, few studies have compared the relative costs and cost-effectiveness of alternative locations of care following acute TBI.…”

Section: Introductionmentioning

confidence: 99%

Risk Adjustment In Neurocritical care (RAIN) – prospective validation of risk prediction models for adult patients with acute traumatic brain injury to use to evaluate the optimum location and comparative costs of neurocritical care: a cohort study

Harrison

Prabhu²,

Grieve³

et al. 2013

Health Technol Assess

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“…It is clear that neuro-ICUs staffed with specially trained personnel are more likely to deliver better neurocritical care, improve resource utilization, and impact on patients outcomes. Based on the above evidence, the neurocritical care specialty is maturing into a distinct discipline that certainly just does not carry a name, but is rather a way of life [33].…”

Section: Resultsmentioning

confidence: 99%