지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 1,024 - 1,030 (7page)
이용수
초록· 키워드
오류제보하기
Limited data are available on improved outcomes after initiation of neurointensivist co-management in neurosurgical intensive care units (NSICUs) in Korea. We evaluated the impact of a newly appointed neurointensivist on the outcomes of neurosurgical patients admitted to an intensive care unit (ICU). This retrospective observational study involved neurosurgical patients admitted to the NSICU at Samsung Medical Center between March 2013 and May 2016. Neurointensivist co-management was initiated in October 1 2014. We compared the outcomes of neurosurgical patients before and after neurointensivist co-management. The primary outcome was ICU mortality. A total of 571 patients were admitted to the NSICU during the study period, 291 prior to the initiation of neurointensivist co-management and 280 thereafter. Intracranial hemorrhage (29.6%) and traumatic brain injury (TBI) (26.6%) were the most frequent reasons for ICU admission. TBI was the most common cause of death (39.0%). There were no significant differences in mortality rates and length of ICU stay before and after co-management. However, the rates of ICU and 30-day mortality among the TBI patients were significantly lower after compared to before initiation of neurointensivist co-management (8.5% vs. 22.9%; P = 0.014 and 11.0% vs. 27.1%; P = 0.010, respectively). Although overall outcomes were not different after neurointensivist co-management, initiation of a strategy of routine involvement of a neurointensivist significantly reduced the ICU and 30-day mortality rates of TBI patients.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
박지민 / 2014 / Impact of a surgical intensivist on the clinical outcomes of patients admitted to a surgical intensive care unit / 대한외과학회지 86(6):319~324
Josephson SA / 2010 / Improvement in intensive care unit outcomes in patients with subarachnoid hemorrhage after initiation of neurointensivist co-management / J Neurosurg 112:626~630
Varelas PN / 2006 / Impact of a neurointensivist on outcomes in patients with head trauma treated in a neurosciences intensive care unit / J Neurosurg 104:713~719
Suarez JI / 2004 / Length of stay and mortality in neurocritically ill patients : impact of a specialized neurocritical care team / Crit Care Med 32:2311~2317
Morrow DA / 2012 / Evolution of critical care cardiology : transformation of the cardiovascular intensive care unit and the emerging need for new medical staffing and training models : a scientific statement from the American Heart Association / Circulation 126:1408~1428
Josephson SA / 2010 / Improvement in intensive care unit outcomes in patients with subarachnoid hemorrhage after initiation of neurointensivist co-management / J Neurosurg 112:626~630
Varelas PN / 2006 / Impact of a neurointensivist on outcomes in patients with head trauma treated in a neurosciences intensive care unit / J Neurosurg 104:713~719
Suarez JI / 2004 / Length of stay and mortality in neurocritically ill patients : impact of a specialized neurocritical care team / Crit Care Med 32:2311~2317
Morrow DA / 2012 / Evolution of critical care cardiology : transformation of the cardiovascular intensive care unit and the emerging need for new medical staffing and training models : a scientific statement from the American Heart Association / Circulation 126:1408~1428
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Demographic Changes in Intensive Care Units in Korea over the Last Decade and Outcomes of Elderly Patients: A Single-Center Retrospective Study
Acute and Critical Care
2017 .01
-
Impact of institutional case volume on intensive care unit mortality
Acute and Critical Care
2023 .05
-
Characteristics and Outcomes of Potentially Inappropriate Admissions to the Intensive Care Unit
Acute and Critical Care
2019 .01
-
Impact of Intensivist and Nursing Staff on Critically Ill Patient Mortality: A Retrospective Analysis of the Korean NHIS Cohort Data, 2011?2015
Yonsei Medical Journal
2021 .01
-
중환자의 혈당 조절: 최신 업데이트
Journal of Neurocritical Care
2018 .01
-
The impact of age on mortality in the intensive care unit: a retrospective cohort study in Malaysia
Acute and Critical Care
2024 .08
-
Discrepancy between the Demand and Supply of Intensive Care Unit Beds in South Korea from 2011 to 2019: A Cross-Sectional Analysis
Yonsei Medical Journal
2021 .12
-
Clinical Outcome and Prognosis of Patients Admitted to the Surgical ICU after Abdomen Surgery
Acute and Critical Care
2015 .01
-
Intensivists' Direct Management without Residents May Improve the Survival Rate Compared to High-Intensity Intensivist Staffing in Academic Intensive Care Units: Retrospective and Crossover Study Design
Journal of Korean Medical Science
2020 .01
-
Outcomes of critically ill patients according to the perception of intensivists on the appropriateness of intensive care unit admission
Acute and Critical Care
2021 .11
-
Trends in the Use of Intensive Care by Very Elderly Patients and Their Clinical Course in a Single Tertiary Hospital in Korea
Acute and Critical Care
2016 .01
-
Impact of Socioeconomic Status on 30-Day and 1-Year Mortalities after Intensive Care Unit Admission in South Korea: A Retrospective Cohort Study
Acute and Critical Care
2018 .01
-
Improved Survival of Cancer Patients Admitted to the Intensive Care Unit between 2002 and 2011 at a U.S. Teaching Hospital
Cancer Research and Treatment
2019 .01
-
중환자실 조기 재입실 관련 위험요인
중환자간호학회지
2019 .01
-
Prior Lifestyle and Survival Outcomes After Intensive Care Unit Admission
Journal of Korean Medical Science
2023 .04
-
Early bronchoscopy in severe pneumonia patients in intensive care unit: insights from the Medical Information Mart for Intensive Care-IV database analysis
Acute and Critical Care
2024 .02
-
Clinical characteristics and outcomes of critically Ill patients with COVID-19 in Northeast Ohio: low mortality and length of stay
Acute and Critical Care
2020 .01
-
Who Dies after ICU Discharge? Retrospective Analysis of Prognostic Factors for In-Hospital Mortality of ICU Survivors
Journal of Korean Medical Science
2017 .01
-
Increased red cell distribution width predicts mortality in COVID-19 patients admitted to a Dutch intensive care unit
Acute and Critical Care
2024 .08
이 논문의 저자 정보
최근 본 자료
댓글(0)
0