Pub Date : 2025-04-01DOI: 10.1016/j.medin.2024.09.004
Alejandro Arturo Caballo Manuel, Carlos García Fuentes, Jesús Barea Mendoza, Susana Bermejo-Aznáres, Mario Chico-Fernández
{"title":"Recursos humanos y materiales dirigidos en un programa de atención al paciente traumático potencialmente grave en urgencias","authors":"Alejandro Arturo Caballo Manuel, Carlos García Fuentes, Jesús Barea Mendoza, Susana Bermejo-Aznáres, Mario Chico-Fernández","doi":"10.1016/j.medin.2024.09.004","DOIUrl":"10.1016/j.medin.2024.09.004","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 245-247"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nonlinear relationship observed; hypothermia (≤36.67 ℃) associated with increased mortality (adjusted OR = 0.74, 95% CI: 0.70–0.80, p < 0.0001).
Conclusions
Hypothermia in sepsis correlates with higher mortality; rewarming's potential benefit warrants further exploration.
{"title":"The association between body temperature and 28-day mortality in sepsis patients: A retrospective observational study","authors":"Wei Yang , Dan Zhou , Hui Peng , Huilin Jiang , Weifeng Chen","doi":"10.1016/j.medin.2024.08.011","DOIUrl":"10.1016/j.medin.2024.08.011","url":null,"abstract":"<div><h3>Objective</h3><div>This study explored the association between body temperature and 28-day septic ICU hospital mortality.</div></div><div><h3>Design</h3><div>Retrospective cohort analysis.</div></div><div><h3>Setting</h3><div>208 ICUs in the United States.</div></div><div><h3>Patients or participants</h3><div>Sepsis patients from 2014–2015 eICU Collaborative Research Database.</div></div><div><h3>Interventions</h3><div>Binary logistic regression models, Generalized Additive Model (GAM), Two-Piece Binary Logistic Regression Model.</div></div><div><h3>Main variables of interest</h3><div>Body temperature, 28-day inpatient mortality.</div></div><div><h3>Results</h3><div>Nonlinear relationship observed; hypothermia (≤36.67 ℃) associated with increased mortality (adjusted OR = 0.74, 95% CI: 0.70–0.80, p < 0.0001).</div></div><div><h3>Conclusions</h3><div>Hypothermia in sepsis correlates with higher mortality; rewarming's potential benefit warrants further exploration.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 205-215"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01DOI: 10.1016/j.medin.2024.05.020
Olga Rubio Sanchiz , Joan Escarrabill , Joan Fernando Peidró , Anne Sophie Gresle
Patient safety is a priority for health systems and is especially relevant for critically ill patients. Despite its relevance in recent years, many patients suffer adverse events with harm and negative repercussions for professionals and institutions.
Numerous safe practices have been promoted and strategies have been developed that have been incorporated into institutional policies and thereby improving the safety culture. But there are still underdeveloped strategies, such as incorporating the participation of patients and family members in their safety.
Until recently, the patient and family have been considered as a passive part in the reception of health services, not as an active part, much less as a possible opportunity to improve safety against errors that occur during care.
The critically ill patient and/or family members must be informed and, ideally, trained to facilitate active participation in their safety. It is not about transferring responsibility, but about facilitating and promoting their participation by reinforcing their safety. And professionals must be committed to their safety and facilitate the conditions to encourage their participation.We provide tools and reflections to help professionals implement the participation of patients and family members in safety as they pass through intensive medicine services.
{"title":"¿Cómo implicar al paciente y familia en la mejora de la seguridad en los servicios de medicina intensiva?","authors":"Olga Rubio Sanchiz , Joan Escarrabill , Joan Fernando Peidró , Anne Sophie Gresle","doi":"10.1016/j.medin.2024.05.020","DOIUrl":"10.1016/j.medin.2024.05.020","url":null,"abstract":"<div><div>Patient safety is a priority for health systems and is especially relevant for critically ill patients. Despite its relevance in recent years, many patients suffer adverse events with harm and negative repercussions for professionals and institutions.</div><div>Numerous safe practices have been promoted and strategies have been developed that have been incorporated into institutional policies and thereby improving the safety culture. But there are still underdeveloped strategies, such as incorporating the participation of patients and family members in their safety.</div><div>Until recently, the patient and family have been considered as a passive part in the reception of health services, not as an active part, much less as a possible opportunity to improve safety against errors that occur during care.</div><div>The critically ill patient and/or family members must be informed and, ideally, trained to facilitate active participation in their safety. It is not about transferring responsibility, but about facilitating and promoting their participation by reinforcing their safety. And professionals must be committed to their safety and facilitate the conditions to encourage their participation.We provide tools and reflections to help professionals implement the participation of patients and family members in safety as they pass through intensive medicine services.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 237-244"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01DOI: 10.1016/j.medin.2024.02.014
Emilio Rodriguez-Ruiz , Martina Maria Cornelia van Mol , Joseph Maria Latour , Kristina Fuest
Healthcare professionals working in the Intensive Care Unit (ICU) care for patients suffering from a critical illness and their relatives. Working within a team of people with different personalities, competencies, and specialties, with constraints and demands might contribute to a working environment that is prone to conflicts and disagreements. This highlights that the ICU is a stressful place that can threaten healthcare professionals’ wellbeing. This article aims to address the concept of wellbeing by describing how the stressful ICU work-environment threatens the wellbeing of health professionals and discussing how this situation jeopardizes patient safety. To promote wellbeing, it is imperative to explore actionable interventions such as improve communication skills, educational sessions on stress management, or mindfulness. Promoting ICU healthcare professionals’ wellbeing through evidence-based strategies will not only increase their personal resilience but might contribute to a safer and more efficient patient care.
{"title":"Caring to care: Nurturing ICU healthcare professionals’ wellbeing for enhanced patient safety","authors":"Emilio Rodriguez-Ruiz , Martina Maria Cornelia van Mol , Joseph Maria Latour , Kristina Fuest","doi":"10.1016/j.medin.2024.02.014","DOIUrl":"10.1016/j.medin.2024.02.014","url":null,"abstract":"<div><div>Healthcare professionals working in the Intensive Care Unit (ICU) care for patients suffering from a critical illness and their relatives. Working within a team of people with different personalities, competencies, and specialties, with constraints and demands might contribute to a working environment that is prone to conflicts and disagreements. This highlights that the ICU is a stressful place that can threaten healthcare professionals’ wellbeing. This article aims to address the concept of wellbeing by describing how the stressful ICU work-environment threatens the wellbeing of health professionals and discussing how this situation jeopardizes patient safety. To promote wellbeing, it is imperative to explore actionable interventions such as improve communication skills, educational sessions on stress management, or mindfulness. Promoting ICU healthcare professionals’ wellbeing through evidence-based strategies will not only increase their personal resilience but might contribute to a safer and more efficient patient care.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 216-223"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01DOI: 10.1016/j.medin.2024.06.015
Iratxe Iriondo Irigoras, María Ángeles Rodríguez Esteban
{"title":"Cistitis enfisematosa en el postoperatorio de reemplazo de válvula aórtica","authors":"Iratxe Iriondo Irigoras, María Ángeles Rodríguez Esteban","doi":"10.1016/j.medin.2024.06.015","DOIUrl":"10.1016/j.medin.2024.06.015","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 251-252"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01DOI: 10.1016/j.medin.2024.10.007
José Luis García-Garmendia
{"title":"Shocked and moved. Movilización precoz en el shock cardiogénico","authors":"José Luis García-Garmendia","doi":"10.1016/j.medin.2024.10.007","DOIUrl":"10.1016/j.medin.2024.10.007","url":null,"abstract":"","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 191-192"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-01DOI: 10.1016/j.medin.2024.09.002
Henry Mauricio Parada-Gereda , Luis F. Pardo-Cocuy , Janneth Milena Avendaño , Daniel Molano-Franco , Joan Ramón Masclans
Objective
The aim of the study was to assess the feasibility and safety of early mobilisation in patients with shock requiring vasoactive drugs in the intensive care unit (ICU).
Design
Systematic review and meta-analysis.
Setting
Intensive care unit (ICU).
Patients or participants
Adult patients requiring vasoactive drugs who received early mobilisation in the intensive care unit.
Interventions
A systematic search was conducted using the databases PubMed, Cochrane Library, Scopus, Medline Ovid, Science Direct, and CINAHL, including observational studies involving adult patients requiring vasoactive drugs who received early mobilisation. A meta-analysis was performed on the proportion of safety events and the proportion of early mobilisation in patients with high, moderate, and low doses of vasoactive drugs.
Main variables of interest
Feasibility, safety events, and the maximum level of activity achieved during early mobilisation.
Results
The search yielded 1875 studies, of which 8 were included in the systematic review and 5 in the meta-analysis. The results showed that 64% (95% CI: 34%–95%, p < 0.05) of patients were mobilised with low doses of vasoactive drugs, 30% (95% CI: 7%–53%, p < 0.05) with moderate doses, and 7% (95% CI: 3%–16%, p 0.17) with high doses. The proportion of adverse events was low, at 2% (95% CI: 1%–4%, p < 0.05).
Conclusions
Early mobilisation in patients with shock and the need for vasoactive drugs is feasible and generally safe. However, there is an emphasis on the need for further high-quality research to confirm these findings.
{"title":"Early mobilisation in patients with shock and receiving vasoactive drugs in the intensive care unit: A systematic review and meta-analysis of observational studies","authors":"Henry Mauricio Parada-Gereda , Luis F. Pardo-Cocuy , Janneth Milena Avendaño , Daniel Molano-Franco , Joan Ramón Masclans","doi":"10.1016/j.medin.2024.09.002","DOIUrl":"10.1016/j.medin.2024.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of the study was to assess the feasibility and safety of early mobilisation in patients with shock requiring vasoactive drugs in the intensive care unit (ICU).</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Setting</h3><div>Intensive care unit (ICU).</div></div><div><h3>Patients or participants</h3><div>Adult patients requiring vasoactive drugs who received early mobilisation in the intensive care unit.</div></div><div><h3>Interventions</h3><div>A systematic search was conducted using the databases PubMed, Cochrane Library, Scopus, Medline Ovid, Science Direct, and CINAHL, including observational studies involving adult patients requiring vasoactive drugs who received early mobilisation. A meta-analysis was performed on the proportion of safety events and the proportion of early mobilisation in patients with high, moderate, and low doses of vasoactive drugs.</div></div><div><h3>Main variables of interest</h3><div>Feasibility, safety events, and the maximum level of activity achieved during early mobilisation.</div></div><div><h3>Results</h3><div>The search yielded 1875 studies, of which 8 were included in the systematic review and 5 in the meta-analysis. The results showed that 64% (95% CI: 34%–95%, p<!--> <!--><<!--> <!-->0.05) of patients were mobilised with low doses of vasoactive drugs, 30% (95% CI: 7%–53%, p<!--> <!--><<!--> <!-->0.05) with moderate doses, and 7% (95% CI: 3%–16%, p 0.17) with high doses. The proportion of adverse events was low, at 2% (95% CI: 1%–4%, p<!--> <!--><<!--> <!-->0.05).</div></div><div><h3>Conclusions</h3><div>Early mobilisation in patients with shock and the need for vasoactive drugs is feasible and generally safe. However, there is an emphasis on the need for further high-quality research to confirm these findings.</div></div>","PeriodicalId":49268,"journal":{"name":"Medicina Intensiva","volume":"49 4","pages":"Pages 193-204"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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