Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Effect of length of stay in intensive care unit on hospital and long-term mortality of critically ill adult patients Author(s): T. A. Williams, K. M. Ho, G. J. Dobb, J. C. Finn, M. Knuiman, S. A. R. Webb Publisher or Source: BJA: British Journal of Anaesthesia Type of Media: Medical Journal Media Originally for: Critical Care Physicians, Former ICU Patients, Former ICU Patients' Family Members, Friends or Caregivers, General Public Country of Origin: United Kingdom Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Background Critical illness leading to prolonged length of stay (LOS) in an intensive care unit (ICU) is associated with significant mortality and resource utilization. This study assessed the independent effect of ICU LOS on in-hospital and long-term mortality after hospital discharge. Methods Clinical and mortality data of 22 298 patients, aged 16 yr and older, admitted to ICU between 1987 and 2002 were included in this linked-data cohort study. Cox's regression with restricted cubic spline function was used to model the effect of LOS on in-hospital and long-term mortality after adjusting for age, gender, acute physiology score (APS), maximum number of organ failures, era of admission, elective admission, Charlson's co-morbidity index, and diagnosis. The variability each predictor explained was calculated by the percentage of the χ2 statistic contribution to the total χ2 statistic. Results Most hospital deaths occurred within the first few days of ICU admission. Increasing LOS in ICU was not associated with an increased risk of in-hospital mortality after adjusting for other covariates, but was associated with an increased risk of long-term mortality after hospital discharge. The variability on the long-term mortality effect associated with ICU LOS (2.3%) appeared to reach a plateau after the first 10 days in ICU and was not as important as age (35.8%), co-morbidities (18.6%), diagnosis (10.9%), and APS (3.6%). Conclusions LOS in ICU was not an independent risk factor for in-hospital mortality, but it had a small effect on long-term mortality after hospital discharge after adjustment for other risk factors. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Prevention of cardiac arrest and decisions about CPR Author(s): Gary Smith, David Pitcher Publisher or Source: Resuscitation Council (UK) - RCUK Type of Media: Medical Professional Education Media Originally for: Critical Care Physicians,General Medical Professionals,Nurses and/or Other Critical Care Medical Professionals Country of Origin: United Kingdom of Great Britain and Northern Ireland (the) Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Prevention of cardiac arrest is the first link in the Chain of Survival. This section of the Resuscitation Council UK guidelines stresses the importance of preventing cardiac arrest in all age groups, and the decision-making process when cardiopulmonary resuscitation (CPR) is inappropriate. This update is based on the European Resuscitation Council Guidelines 2015, and includes updates based on NICE Clinical Guideline 50, and the guidance from the British Medical Association (BMA), Resuscitation Council UK, and the Royal College of Nursing (RCN) on decisions relating to CPR. The General Medical Council publication, ‘Treatment and care towards the end of life: good practice in decision making’, also includes advice on decisions relating to CPR. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

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Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Early intensive care unit mobility therapy in the treatment of acute respiratory failure Author(s): Morris PE, Goad A, Thompson C, Taylor K, Harry B, Passmore L, Ross A, Anderson L, Baker S, Sanchez M, Penley L, Howard A, Dixon L, Leach S, Small R, Hite RD, Haponik E Publisher or Source: University of York- the Centre for Reviews and Dissemination Type of Media: Medical Journal Media Originally for: Critical Care Physicians Country of Origin: United Kingdom of Great Britain and Northern Ireland (the) Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study examined the clinical and economic impact of a mobility protocol, based on physical therapy, versus the usual care, for patients with acute respiratory failure in an intensive care unit. The authors concluded that the protocol led to an earlier start of physical therapy and a shorter hospital stay, without compromising the quality of care or increasing the hospital costs. The clinical analysis was satisfactory, but the economic information was limited. The authors’ conclusions appear to be appropriate. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Gwyneth Paltrow details long-term effects of Covid months after battling illness Author(s): Mel Evans Publisher or Source: Metro Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: United States of America (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: Gwyneth Paltrow has revealed she’s still suffering the effects of coronavirus after saying she battled the illness ‘early on’ in the pandemic. The actress detailed the lingering symptoms she’s still facing, which many refer to as ‘long Covid’ – a casual term being used to describe those whose symptoms go on for longer than the officially recognised two-week symptom period. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Health Issues Linger Even After COVID-19 Is Gone Author(s): Eric Berman Publisher or Source: 93.1 WIBC Indianapolis Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: United States of America (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: (INDIANAPOLIS) — Recovery from coronavirus may not end when the infection does. 25-to-40% of people who go on a ventilator get what’s known as post-intensive care syndrome, with shortness of breath, fatigue, memory problems, and chronic pain. IU Health has three research studies in progress to assess whether coronavirus survivors’ longterm effects are different or more severe compared to other ICU survivors. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

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Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Why PTSD May Plague Many Hospitalized Covid-19 Survivors Author(s): Claire Bugos Publisher or Source: Smithsonian Type of Media: Magazine Article Media Originally for: General Public Country of Origin: United States of America (the) Primary Focus of Media: Post Traumatic Stress Disorder COVID-19 Related: Yes Description: While neuropsychologists Erin Kaseda and Andrew Levine were researching the possibility of hospitalized Covid-19 patients developing post-traumatic stress disorder (PTSD), they heard reports of patients experiencing vivid hallucinations. Restrained by ventilators and catheters, delirious from medication and sedatives and confused by the changing cast of medical professionals cycling through the ward, intensive care unit (ICU) patients are especially prone to trauma. For Covid-19 ICU patients, a combination of factors, including side effects of medication, oxygenation issues and possibly the virus itself, can cause delirium and semi-consciousness during their hospital stay. Kaseda says as these patients slip in and out of consciousness, they may visualize doctors wheeling their bodies to a morgue or see violent imagery of their families dying. Such instances, though imagined, can cause trauma that may lead to PTSD in patients long after they have physically recovered from Covid-19. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Post-Traumatic Stress Disorder After a Serious Illness Author(s): Sepsis Alliance Publisher or Source: Sepsis Alliance Type of Media: One-Pager Media Originally for: General Public Country of Origin: United States Primary Focus of Media: Post Traumatic Stress Disorder (PTSD) COVID-19 Related: No Description: Post-traumatic stress disorder (PTSD) can occur after someone experiences a traumatic event. The actual event can be short-lived, such as witnessing an accident or being a victim of a crime, or it can be long-term, like living in an abusive situation or being in a war zone. Not everyone who experiences such events develops PTSD and researchers don’t know why some people do while others don’t. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

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Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Post-ICU Recovery Clinics in the Era of Digital Health and Telehealth Author(s): Laleh Jalilian, MD; Maxime Cannesson, MD, PhD; and Nirav Kamdar, MD, MPP Publisher or Source: Critical Care Medicine Type of Media: Medical Journal Media Originally for: Critical Care Physicians, General Medical Professionals, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: For post-ICU recovery clinics, the opportunities that exist for telehealth and mobile technologies to help extend care delivery, reduce costs, improve the quality of care, and the patient experience in the post discharge period are significant. The demand for intensive care is projected to rise because of an aging population with complex comorbidities and the expanded use of advanced healthcare treatments, and as a result, the number of ICU survivors will rise . Survivors of critical illness require early identification of symptoms and early interventions to decrease symptom burden and enhance their quality of life. Redesign of post-ICU care management and post acute care delivery systems is needed to engage ICU survivors in self-care, monitor for early signs of deteriorating health, intervene early, and reduce costs. As new value-based payment models for medical services increasingly take hold, financial incentives will also need to align with rehabilitation-oriented services in this population with greater focus on post-ICU care. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.