Mary Beth Happ1, Jennifer B Seaman2, Marci L Nilsen2, Andrea Sciulli2, Judith A Tate3, Melissa Saul4, Amber E Barnato5. 1. Center of Excellence in Critical and Complex Care, The Ohio State University College of Nursing, 378 Newton Hall, 1585 Neil Ave., Columbus, OH 43210, USA; University of Pittsburgh School of Nursing, USA. Electronic address: happ.3@osu.edu. 2. University of Pittsburgh School of Nursing, USA. 3. Center of Excellence in Critical and Complex Care, The Ohio State University College of Nursing, 378 Newton Hall, 1585 Neil Ave., Columbus, OH 43210, USA. 4. Department of Biomedical Informatics, University of Pittsburgh, USA. 5. University of Pittsburgh School of Medicine, USA.
Abstract
OBJECTIVES: (1) Estimate the proportion of mechanically ventilated (MV) intensive care unit (ICU) patients meeting basic communication criteria who could potentially be served by assistive communication tools and speech-language consultation. (2) Compare characteristics of patients who met communication criteria with those who did not. DESIGN: Observational cohort study in which computerized billing and medical records were screened over a 2-year period. SETTING: Six specialty ICUs across two hospitals in an academic health system. PARTICIPANTS: Eligible patients were awake, alert, and responsive to verbal communication from clinicians for at least one 12-h nursing shift while receiving MV ≥ 2 consecutive days. MAIN RESULTS: Of the 2671 MV patients screened, 1440 (53.9%) met basic communication criteria. The Neurological ICU had the lowest proportion of MV patients meeting communication criteria (40.82%); Trauma ICU had the highest proportion (69.97%). MV patients who did not meet basic communication criteria (n = 1231) were younger, had shorter lengths of stay and lower costs, and were more likely to die during the hospitalization. CONCLUSIONS: We estimate that half of MV patients in the ICU could potentially be served by assistive communication tools and speech-language consultation.
OBJECTIVES: (1) Estimate the proportion of mechanically ventilated (MV) intensive care unit (ICU) patients meeting basic communication criteria who could potentially be served by assistive communication tools and speech-language consultation. (2) Compare characteristics of patients who met communication criteria with those who did not. DESIGN: Observational cohort study in which computerized billing and medical records were screened over a 2-year period. SETTING: Six specialty ICUs across two hospitals in an academic health system. PARTICIPANTS: Eligible patients were awake, alert, and responsive to verbal communication from clinicians for at least one 12-h nursing shift while receiving MV ≥ 2 consecutive days. MAIN RESULTS: Of the 2671 MV patients screened, 1440 (53.9%) met basic communication criteria. The Neurological ICU had the lowest proportion of MV patients meeting communication criteria (40.82%); Trauma ICU had the highest proportion (69.97%). MV patients who did not meet basic communication criteria (n = 1231) were younger, had shorter lengths of stay and lower costs, and were more likely to die during the hospitalization. CONCLUSIONS: We estimate that half of MV patients in the ICU could potentially be served by assistive communication tools and speech-language consultation.
Authors: Mary Beth Happ; Brooke M Baumann; Jennifer Sawicki; Judith A Tate; Elisabeth L George; Amber E Barnato Journal: Geriatr Nurs Date: 2010-05-10 Impact factor: 2.361
Authors: Eduard E Vasilevskis; E Wesley Ely; Theodore Speroff; Brenda T Pun; Leanne Boehm; Robert S Dittus Journal: Chest Date: 2010-11 Impact factor: 9.410
Authors: Joel N Berning; Armeen D Poor; Sarah M Buckley; Komal R Patel; David J Lederer; Nathan E Goldstein; Daniel Brodie; Matthew R Baldwin Journal: Ann Am Thorac Soc Date: 2016-08
Authors: Erin I Duffy; Jonah Garry; Lillian Talbot; David Pasternak; Ashley Flinn; Casey Minardi; Michele Dookram; Kathleen Grant; Debbie Fitzgerald; Jerry Rubano; James Vosswinkel; Randeep S Jawa Journal: Trauma Surg Acute Care Open Date: 2018-09-19