Five-Year Outcomes After Implementing a Pain, Agitation, and Delirium Protocol in a Mixed Intensive Care Unit
| Autor: | Jennifer L Hankwitz, Jared T Baxa, Jared C Mills, Jeffrey Wells, Luke A Sticht, Jeffrey T. Fish, Hee Soo Jung, Ryan Draheim, Matthew Willenborg |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty medicine.drug_class Sedation Pain Hospital mortality Critical Care and Intensive Care Medicine law.invention law medicine Humans Hypnotics and Sedatives In patient Retrospective Studies Analgesics Icu mortality business.industry Delirium Length of Stay Intensive care unit Respiration Artificial Intensive Care Units Standardized mortality ratio Sedative Emergency medicine medicine.symptom business |
| Zdroj: | Journal of intensive care medicine. 37(8) |
| ISSN: | 1525-1489 |
| Popis: | Objective: Assess for continued improvements in patient outcomes after updating our institutional sedation and analgesia protocol to include recommendations from the 2013 Society of Critical Care Medicine (SCCM) Pain, Agitation, and Delirium (PAD) guidelines. Methods: Retrospective before-and-after study in a mixed medical/surgical intensive care unit (ICU) at an academic medical center. Mechanically ventilated adults admitted from September 1, 2011 through August 31, 2012 (pre-implementation) and October 1, 2012 through September 30, 2017 (post-implementation) were included. Measurements included number of mechanically ventilated patients, APACHE IV scores, age, type of patient (medical or surgical), admission diagnosis, ICU length of stay (LOS), hospital LOS, ventilator days, number of self-extubations, ICU mortality, ICU standardized mortality ratio, hospital mortality, hospital standardized mortality ratio, medication data including as needed (PRN) analgesic and sedative use, and analgesic and sedative infusions, and institutional savings. Results: Ventilator days (Pre-PAD = 4.0 vs. Year 5 post = 3.2, P |
| Databáze: | OpenAIRE |
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