A5053018078- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Anesthesia and Sedative Agents
- Anesthesia and Neurotoxicity Research
- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Healthcare Decision-Making and Restraints
- Frailty in Older Adults
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Family Caregiving in Mental Illness
- Infant Development and Preterm Care
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Health Sciences Research and Education
- Pediatric Pain Management Techniques
- Long-Term Effects of COVID-19
- Sleep and Work-Related Fatigue
- Patient Satisfaction in Healthcare
- Primary Care and Health Outcomes
- Disaster Response and Management
- Older Adults Driving Studies
- Dementia and Cognitive Impairment Research
- Health Policy Implementation Science
- Telemedicine and Telehealth Implementation
Vanderbilt University Medical Center
2012-2025
Vanderbilt University
2014-2025
Vanderbilt Health
2011-2025
VA Tennessee Valley Healthcare System
2013-2024
Geriatric Research Education and Clinical Center
2013-2024
Valley Health System
2024
Prevention Institute
2024
University School of Nashville
2023
Park Terrace Care Center
2023
RELX Group (United States)
2023
There are conflicting data on the effects of antipsychotic medications delirium in patients intensive care unit (ICU).
Delirium, an acute organ dysfunction, is common among critically ill patients leading to significant morbidity and mortality; its epidemiology in a mixed cardiology cardiac surgery ICU not well established. We sought determine the prevalence risk factors for delirium patients.Prospective observational study.Twenty-seven-bed medical-surgical ICU.Two hundred consecutive with expected length of stay >24 hrs.None.Baseline demographic data daily assessments using validated reliable Confusion...
Imagine working in an environment where all patients undergoing mechanical ventilation are alert, calm, and delirium free. Envision practicing nonvocal can effectively express their need for better pain control, repositioning, or emotional reassurance. Picture intensive care unit a nurse-led, interprofessional team practices evidence-based, patient-centered focused on preserving and/or restoring clients’ physical, functional, neurocognitive abilities. A recently proposed bundle of the could...
Objectives: Data are lacking regarding implementation of novel strategies such as follow-up clinics and peer support groups, to reduce the burden postintensive care syndrome. We sought discover enablers that helped hospital-based clinicians establish post-ICU programs, identify barriers challenged them. Design: Qualitative inquiry. The Consolidated Framework for Implementation Research was used organize analyze data. Setting: Two learning collaboratives (ICU groups), representing 21 sites,...
Patients and caregivers can experience a range of physical, psychologic, cognitive problems following critical care discharge. The use peer support has been proposed as an innovative mechanism.We sought to identify technical, safety, procedural aspects existing operational models support, among the Society Critical Care Medicine Thrive Peer Support Collaborative. We also categorize key distinctions between these elucidate barriers facilitators implementation.Seventeen sites from United...
To identify the key mechanisms that clinicians perceive improve care in intensive unit (ICU), as a result of their involvement post-ICU programs.Qualitative inquiry via focus groups and interviews with members Society Critical Care Medicine's THRIVE collaborative sites (follow-up clinics peer support). Framework analysis was used to synthesize interpret data.Five were identified drivers improvement back into ICU: (1) identifying otherwise unseen targets for ICU quality or education...
To understand from the perspective of patients who did, and did not attend ICU recovery programs, what were most important components successful programs how should they be organized.International, qualitative study.Fourteen hospitals in United States, Kingdom, Australia.We conducted 66 semi-structured interviews with a diverse group patients, 52 whom had used an program 14 not.None.Using content analysis, prevalent themes documented to improved their outcomes. Contrasting quotes received...
The multifaceted long-term impairments resulting from critical illness and COVID-19 require interdisciplinary management approaches in the recovery phase of illness. Operational insights into structure process clinics (RCs) heterogeneous health systems are needed. This study describes characteristics existing newly implemented ICU-RCs COVID-RCs a subset large United States.Cross-sectional survey.Thirty-nine RCs, representing combined 156 hospitals within 29 participated.None.None.RC...
To describe the reliability and sustainability of delirium sedation measurements bedside intensive care unit (ICU) nurses.Prospective cohort study.A tertiary academic medical center.Five hundred ten ICU patients from 2007 to 2010; 627 nurses.Bedside nurses well-trained reference-rater research independently measured levels in routine care. Bedside were instructed use Confusion Assessment Method for Intensive Care Unit (CAM-ICU) every 12 hours measure Richmond Agitation-Sedation Scale (RASS)...
In the coming years, number of survivors critical illness is expected to increase. These frequently develop newly acquired physical and cognitive impairments. Long-term impairment common following has dramatic effects on patients' abilities function autonomously. Neuromuscular weakness affects similar proportions patients leads equally profound life alterations. As knowledge these short-term long-term consequences come light, interventions prevent rehabilitate devastating have been sought....
Investigate the challenges experienced by survivors of critical illness and their caregivers across transitions care from intensive to community, potential problem-solving strategies used navigate these challenges.Qualitative design-data generation via interviews data analysis framework method.Patients three continents, identified through Society Critical Care Medicine's THRIVE international collaborative sites (follow-up clinics peer support groups).Patients following illness.Nil.From 86...
Background Use of the interprofessional Awakening and Breathing Coordination, Delirium Monitoring Management, Early Mobility (ABCDE) bundle is recommended practice in intensive care, but its adoption remains limited.Objective To examine relationship between care unit provider attitudes regarding ABCDE adherence.Methods A 1-time survey 268 providers 10 units across country who had worked at least 4 shifts per month to their toward workload burden, difficulty carrying out bundle, perceived...
To understand the unmet needs of caregivers ICU survivors, how they accessed support post ICU, and key components beneficial recovery systems as identified from a caregiver perspective.International, qualitative study.We conducted 20 semistructured interviews with diverse group in United States, Kingdom, Australia, 11 whom had interacted an program.Seven hospitals Australia.None.Content analysis was used to explore prevalent themes related needs, well perceived strategies improve outcomes....
After critical illness, patients are often left with impairments in physical, social, emotional, and cognitive functioning. Peer support interventions have been implemented internationally to ameliorate these issues.To explore what believed be the key mechanisms of effectiveness peer programs during care recovery.In a secondary analysis an international qualitative data set, 66 telephone interviews were undertaken across 14 sites Australia, United Kingdom, States understand effect recovery...
The prognostic importance of subsyndromal delirium is unknown.
Estimates from the coronavirus disease 2019 (COVID-19) pandemic suggest that about 20% of adults with COVID-19 are hospitalized, and in approximately those, severe acute respiratory failure develops requires life-support treatments such as invasive mechanical ventilation.1,2 Results research before most these critical illness will survive to hospital discharge.3,4 Survival, for many, come a legacy new or worsening deficits physical,5 mental,6,7 cognitive health months years after...