OBJECTIVE Increased inflammatory response is related to severity and outcome in community-acquired pneumonia, but the role of inflammatory biomarkers in deciding intensive care unit admission is unknown. We assessed the relationship between inflammatory response, prediction for intensive care unit admission, delayed intensive care unit admission, and outcome in patients with community-acquired ...

patients who are on prolonged ventilator support in critical care unit present wide variety of complications, which range from reduction in oxygen uptake to various musculoskeletal impair-ments. early mobilization and rehabilitation are encouraged to manage these complications effectively. use of tilt table to motivate early mobilization in the intensive care unit for ventilator practices is no...

OBJECTIVE To analyze the impact of decannulation before intensive care unit discharge on ward survival in nonexperimental conditions. DESIGN Prospective, observational survey. SETTING Thirty-one intensive care units throughout Spain. PATIENTS All patients admitted from March 1, 2008 to May 31, 2008. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS At intensive care unit discharge, we...

OBJECTIVE To compare the intensive care unit costs and determine factors influencing these costs in mechanically ventilated patients randomized to dexmedetomidine or midazolam by continuous infusion. DESIGN Cost minimization analysis of a double-blind, multicenter clinical trial randomizing patients 2:1 to receive dexmedetomidine or midazolam from the institutional perspective. SETTING Sixt...

OBJECTIVE The implementation of intensive insulin therapy in the intensive care unit is accompanied by an increase in hypoglycemia. We studied the relation between hypoglycemia on intensive care unit mortality, because the evidence on this subject is conflicting. DESIGN Retrospective database cohort study. SETTING An 18-bed medical/surgical intensive care unit in a teaching hospital (Onze L...

OBJECTIVES Medical and surgical intensive care unit patients represent two different populations and require different treatment approaches. The aim of this study was to investigate the parameters associated with mortality in medical and surgical intensive care units. METHODS This was a prospective cohort study of adult patients admitted to a medical and surgical intensive care unit teaching ...

the incidence of nosocomial fungal infections has increased dramatically during the past two decades as the consequence of continuous increase in the number of severely immunocompromised patients. this study was done to determine the presumptive sources of nosocomial fungal infections at the intensive care unit and transplant wards (in a university- based teaching hospital in tehran) during a 1...

OBJECTIVE The number of patients who require prolonged mechanical ventilation increased during the last decade, which generated a large population of chronically ill patients. This study established the incidence of prolonged mechanical ventilation in four intensive care units and reported different characteristics, hospital outcomes, and the impact of costs and services of prolonged mechanical...