ABSTRACT
INTRODUCTION: The implementation of the Critical Care Outreach Teams can influence the time of admission of patients to the Intensive Care Unit (ICU). MATERIAL AND METHODS: Retrospective, descriptive, quasi-experimental "before-after" cohort study. All patients admitted to the unit urgently from Monday to Friday for two periods (between February 1, 2022 and June 30 and between February 1, 2023 and June 30, 2023) are included. The patients were divided into regular shift admissions (08-15h) and on-call (15-08h). The secondary objective was to assess whether there were differences in mortality between the two periods. RESULTS: During the first period of the study, 239 patients were admitted. 29.29% entered the ordinary shift and 70.71% on duty shift. During the second period, 211 patients were included with 43.13% of admissions in the ordinary shift. The comparison between the two periods observed a significant increase in the percentage of admissions in the morning hours in the second period (P=.0031). Mortality in the first period was 13.80% and in the second period 9.95%. The comparison between the two periods did not reveal significant differences. CONCLUSIONS: The start-up of the Critical Care Outreach Teams is associated with an increase in the proportion of ICU admissions in the morning period without any observed changes in mortality.
Subject(s)
Critical Care , Intensive Care Units , Humans , Cohort Studies , Retrospective Studies , Hospital MortalityABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Hypertension/complications , Ischemia/complications , Leg Ulcer/etiology , Ischemia/pathology , Leg Ulcer/diagnosis , Leg Ulcer/pathologyABSTRACT
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Subject(s)
Humans , Male , Middle Aged , Subcutaneous Emphysema/etiology , Subcutaneous Emphysema/therapy , Thoracic Injuries/complications , Blister/complications , Lung Diseases/diagnostic imaging , Thoracic Injuries/physiopathology , Thoracic Injuries/therapy , Lung Diseases/therapy , Oxygen Inhalation Therapy/methodsABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Pulmonary Edema/diagnostic imaging , Pulmonary Edema/therapy , Pneumothorax/diagnostic imaging , Oxygen Inhalation Therapy/methods , HemodynamicsABSTRACT
Objetivo: Conocer los cambios en la epidemiología del traumatismo craneoencefálico (TCE) en una cohorte de enfermos mayores de 65 años ingresados en UCI de un hospital de tercer nivel a lo largo de 25 años. Material y métodos: Estudio de cohortes retrospectivo realizado en una unidad de cuidados intensivos de un hospital universitario de tercer nivel español. Se recogieron variables demográficas, clínicas en el momento del ingreso, comorbilidades, mecanismos de lesión y lesiones presentadas, días de estancia en UCI y hospitalaria de los pacientes mayores de 65 años que ingresaron con el diagnóstico de TCE. Se realizó un análisis estadístico por lustros. Resultados: Se analizaron un total de 446 TCE en mayores de 65 años. En el análisis por lustros, se observó un aumento de la proporción de enfermos que presentan hematoma epidural (1,39% en el periodo 1990-1995 vs. 9,46% en 2010-2015), con tendencia lineal significativa (p=0,018). En la actualidad las caídas desde la propia altura han pasado de representar un 8,33% (1991-1995) a más de un 70% (2011-2015), p<0,001. El porcentaje de accidentes de tráfico ha descendido desde un 26,39% hasta un 3,95% en el último periodo, p<0,001. Conclusiones: En los últimos 25 años parece evidenciarse un cambio en la etiología del TCE en la población mayor de 65 años en nuestro ámbito
Objective: To identify the changes in the epidemiology of traumatic brain injury (TBI) in a cohort of patients older than 65 years old admitted in the Intensive care unit of a third-level hospital over a 25 year period. Material and methods: A retrospective cohort study conducted on patients over 65 years-old admitted with the diagnosis of TBI into an intensive care unit of a Spanish university hospital. The demographic, clinical variables were collected at the time of admission, including comorbidities, injury mechanisms, and injuries presented, and days of stay in ICU. A statistical analysis was carried out by five-year periods. Results: A total of 446 TBI in patients over 65 years were included. In the analysis, an increase was observed in the proportion of patients presenting with epidural haematoma (1.39% in the period 1990-1995 vs. 9.46% in 2010-2015), with a significant linear tendency (P=.018). Falls from own height have increased from 8.33% (1991-1995) to currently more than 70% (2011-2015), P<.001. The percentage of traffic accidents declined from 26.39% to 3.95% in the last period, P<.001. Conclusions: In the last 25 years there seems to be evidence of a change in the origins of TBI in the elderly in our field
Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Craniocerebral Trauma/epidemiology , Critical Illness/epidemiology , Intensive Care Units/statistics & numerical data , Retrospective Studies , Tertiary Healthcare/statistics & numerical data , ComorbidityABSTRACT
OBJECTIVE: To identify the changes in the epidemiology of traumatic brain injury (TBI) in a cohort of patients older than 65 years old admitted in the Intensive care unit of a third-level hospital over a 25 year period. MATERIAL AND METHODS: A retrospective cohort study conducted on patients over 65 years-old admitted with the diagnosis of TBI into an intensive care unit of a Spanish university hospital. The demographic, clinical variables were collected at the time of admission, including comorbidities, injury mechanisms, and injuries presented, and days of stay in ICU. A statistical analysis was carried out by five-year periods. RESULTS: A total of 446 TBI in patients over 65 years were included. In the analysis, an increase was observed in the proportion of patients presenting with epidural haematoma (1.39% in the period 1990-1995 vs. 9.46% in 2010-2015), with a significant linear tendency (P=.018). Falls from own height have increased from 8.33% (1991-1995) to currently more than 70% (2011-2015), P<.001. The percentage of traffic accidents declined from 26.39% to 3.95% in the last period, P<.001. CONCLUSIONS: In the last 25 years there seems to be evidence of a change in the origins of TBI in the elderly in our field.
