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Recent News and Articles on the Keywords: intensive care + poor outcome + care  Related to the article below (Last Update: 7/8/2008)

Poor at higher risk of death after intensive care: study
ABC Online, Australia - Jul 5, 2008
The study, published in the Medical Journal of Australia, analysed 15000 patients who had been admitted to intensive care units in Western Australia. ...
Poor die sooner than rich after illness
Sydney Morning Herald, Australia - Jul 5, 2008
Dr Ho said more intensive targeting of risky behaviours among poorer patients could potentially improve their long-term outcomes. "Intensive care services ...
Pregnancy Alone Is Not Associated With Increased Risk For Mental ...
Science Daily (press release) - 45 minutes ago
Psychiatric disorders in these groups of women have been linked to poor maternal health, inadequate prenatal care and adverse outcomes for their children ...
Covalon Achieves Significant Progress in Development Agreement ...
Market Wire (press release) -
Covalon Technologies Ltd. is a company with advanced medical products that has developed and patented advanced therapeutic biomaterials for wound care and ...CVE:COV - TSE:X
Blood sugar risk in heart surgery
The Press Association - Jul 7, 2008
... has long been associated with a poor clinical outcome following heart surgery and there have been a number of advances in operative and intensive care ...
Guest column: Rethinking the role of employers
Financial Times, UK - Jul 3, 2008
Quality, defined in terms of outcomes, is the secret to success in healthcare. Second, high-value care is delivered by integrated practice units including ...
Chattanooga: Small babies, big problems
Chattanooga Times Free Press, TN - Jul 6, 2008
Standing in Erlanger hospital?s Neonatal Intensive Care Unit, she reached through a small opening in the side of Zeke?s enclosed incubator, ...

Telegraph.co.uk
A new Labour party may be bad for the Tories' health
Telegraph.co.uk, United Kingdom - Jul 6, 2008
Labour - even under the Brown dispensation - is inching its way toward reforming the arrangements for primary care so that the needs and wishes of patients ...

Daily Mail
On the Critical List: How the NHS is being killed by politics and ...
Daily Mail, UK - Jul 4, 2008
It is a source of pride and comfort that people receive free medical care. The NHS has always been far more than a health service. ...
NC pilot health project should go ahead
Asheville Citizen-Times, NC - Jul 5, 2008
Mission, for example, is a disproportionate share hospital, meaning it delivers more care to the poor, uninsured and those covered by Medicaid than the ...
Source: Google News

AN EVALUATION OF OUTCOME FROM INTENSIVE-CARE IN MAJOR MEDICAL-CENTERS -
PSASANI OF - garfield.library.upenn.edu
... for elderly and poor, chronically ill ... Coronary angioplasty volume-outcome relationships
for ... Organizational characteristics of intensive care units related to ...

Acute renal failure in intensive care units--Causes, outcome, and prognostic factors of hospital … -
FG Brivet, DJ Kleinknecht, P Loirat, PJM Landais - Critical Care Medicine, 1996 - ccmjournal.com
... were thus associated with a poor prognosis: sepsis and ... Figure 1. Hospital outcome
of acute renal failure ... ARF) and ARF occurring during intensive care unit (ICU ...

Measuring the burden of secondary insults in head-injured patients during intensive care.
PA Jones, PJ Andrews, S Midgley, SI Anderson, IR … - J Neurosurg Anesthesiol, 1994 - ncbi.nlm.nih.gov
... In 124 adult head-injured patients studied during intensive care using a ... When good
versus poor outcome was considered, hypotensive insults (p = .0118) and ...

Change in the ratio of interleukin-6 to interleukin-10 predicts a poor outcome in patients with … -
T Taniguchi, Y Koido, J Aiboshi, T Yamashita, S … - Critical Care Medicine, 1999 - ccmjournal.com
... with systemic inflammatory response syndrome (SIRS) can predict a poor outcome.
Design: Prospective study. Setting: Emergency and intensive care unit of a ...

… outcome in ARDS. Plasma IL-1 beta and IL-6 levels are consistent and efficient predictors of outcome … -
GU Meduri - Chest, 1995 - Am Coll Chest Phys
... inflammatory cytokines predicts a poor outcome in ARDS. ... and efficient predictors
of outcome over time. ... K Leeper Pulmonary and Critical Care Division, University ...

[CITATION] … : Validity and Reliability of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) -
E Ely, SK Inouye, GR Bernard, S Gordon, J Francis, … - JAMA: The Journal of the American Medical Association, 2001 - JAMA
... It is associated with poor outcomes in hospitalized patients, including increased
length of ... rates apply to patients who are not in the intensive care unit (ICU ...

… of bone marrow transplant recipients to the intensive care unit: outcome, survival and prognostic … -
SR Jackson, MG Tweeddale, MJ Barnett, JJ Spinelli, … - Bone Marrow Transplantation, 1998 - nature.com
... of all adult BMT recipients admitted to intensive care over a 6 year study period
was performed to determine overall and prognostic indicators of poor outcome. ...

… antibiotic therapy on the outcome of patients admitted to the intensive care unit with sepsis*. -
J Garnacho-Montero, JL Garcia-Garmendia, A Barrero … - Critical Care Medicine, 2003 - ccmjournal.com
... of infection, microbiology, and prognosis clearly differ between intensive care
unit (ICU ... traditionally has been associated with a poor outcome, especially with ...

Survey of critical care management of comatose, head-injured patients in the United States. -
J Ghajar, RJ Hariri, RK Narayan, LA Iacono, K … - Critical Care Medicine, 1995 - ccmjournal.com
... hypertension is associated with a poor prognosis and ... a state-certified facility that
provides emergency care and specialized intensive care to critically ...

Outcome after cardiopulmonary resuscitation in a medical intensive care unit -
MW Peterson - Chest, 1991 - Am Coll Chest Phys
... evaluate CPR in critical care units because these patients often have multisystem
disorders and suffer from diseases reported to carry a poor outcome after CPR ...

Source: Google Scholar
 
 

Corticosteroids associated with poor outcomes, death in the trauma intensive care unit

 
 
Patients in the trauma intensive care unit who receive corticosteroids may have more infections, longer stays in intensive care or on a ventilator and a higher death rate than those who do not.

Physicians use corticosteroids in the intensive care unit ( ICU ) to treat a variety of conditions, including sepsis, swelling of the airway and spinal cord injury.

The medications were first used to treat sepsis in the 1950s and 1960s and evidence has suggested they are effective for this purpose. However, their use suppresses the immune system, leaving patients prone to infections and other complications.

Rebecca C. Britt, of Eastern Virginia Medical School, Norfolk, and colleagues analyzed the records of 100 patients who had received corticosteroids in the trauma-burn ICU at Sentara Norfolk General Hospital between 2002 and 2003.
They matched these patients with 100 control patients who were the same age and had injuries of the same severity, but did not receive corticosteroids.

More patients in the corticosteroid group than those in the control group developed pneumonia ( 26 percent vs. 12 percent ), bloodstream infection ( 19 percent vs. 7 percent ) or urinary tract infection ( 17 percent vs. 8 percent ).
The rates of these infections did not appear to be related to the type of corticosteroids patients were given or the length of time for which they received them.
Patients receiving corticosteroids also stayed in the ICU seven days longer ( 17.6 vs. 10.2 days ) and on a ventilator five additional days ( 9.9 vs. 4.9 days ), and were more likely to die than those who did not.

Many patients in the study had conditions for which use of corticosteroids has not been widely studied.

" Thirty-nine of the 100 patients in our study received corticosteroids for an indication supported by the literature," the authors write. " The remaining 61 should not have received corticosteroids based on a strict interpretation of the current literature. Certainly the risk of infection outweighs the potential benefit in these cases."

Source: Archives of Surgery, 2006
 
 
 
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