Literature DB >> 9434928

Organization of intensive care units in Europe: lessons from the EPIC study.

J L Vincent1, P Suter, D Bihari, H Bruining.   

Abstract

OBJECTIVE: To study differences related to intensive care unit (ICU) structure and patient demography between the various countries of Western Europe.
DESIGN: Application of data collected by the European Prevalence of Infection in Intensive Care (EPIC) study, a one-day prevalence study.
SETTING: Voluntary participation of all Western European ICUs. A total of 1417 ICUs responded. PATIENTS: All patients, older than 10 years of age, occupying a bed in the participating ICUs over a 24-h period. 10,038 patient case reports were submitted.
RESULTS: The study revealed important differences. In particular, there seems to be a north/south divide with fewer ICU beds and more severely ill patients in the south. The United Kingdom seemed more similar to southern European countries than to the north.
CONCLUSION: While there are similarities between European countries, large differences still remain and are important to identify to enable us to work together to create a more uniform system of intensive care, which will in turn give more effective and efficient patient care.

Entities:  

Mesh:

Year:  1997        PMID: 9434928     DOI: 10.1007/s001340050479

Source DB:  PubMed          Journal:  Intensive Care Med        ISSN: 0342-4642            Impact factor:   17.440


  5 in total

1.  Guidelines for the utilisation of intensive care units. European Society of Intensive Care Medicine.

Authors: 
Journal:  Intensive Care Med       Date:  1994       Impact factor: 17.440

2.  Guidelines for training in intensive care medicine. European Society of Intensive Care Medicine.

Authors: 
Journal:  Intensive Care Med       Date:  1994       Impact factor: 17.440

3.  International standards for safety in the intensive care unit. Developed by the International Task Force on Safety in the Intensive Care Unit.

Authors:  A R Aitkenhead; L H Booij; J F Dhainaut; K Geiger; H Haljamäe; P D Lumb; W B Runciman; P M Suter; J L Vincent
Journal:  Intensive Care Med       Date:  1993       Impact factor: 17.440

4.  European attitudes towards ethical problems in intensive care medicine: results of an ethical questionnaire.

Authors:  J L Vincent
Journal:  Intensive Care Med       Date:  1990       Impact factor: 17.440

5.  The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee.

Authors:  J L Vincent; D J Bihari; P M Suter; H A Bruining; J White; M H Nicolas-Chanoin; M Wolff; R C Spencer; M Hemmer
Journal:  JAMA       Date:  1995 Aug 23-30       Impact factor: 56.272

  5 in total
  15 in total

1.  A profile of European ICU nursing.

Authors:  B Depasse; D Pauwels; Y Somers; J L Vincent
Journal:  Intensive Care Med       Date:  1998-09       Impact factor: 17.440

2.  Understanding the ICU business in Europe.

Authors:  W J Sibbald; L M Chen; C M Martin
Journal:  Intensive Care Med       Date:  1997-11       Impact factor: 17.440

3.  Nighttime physician staffing improves patient outcomes: we are not sure.

Authors:  Bertrand Guidet; Marcio Soares; Kathryn Rowan
Journal:  Intensive Care Med       Date:  2016-06-27       Impact factor: 17.440

4.  Evidence supports the superiority of closed ICUs for patients and families: No.

Authors:  Gary E Weissman; Scott D Halpern
Journal:  Intensive Care Med       Date:  2016-09-01       Impact factor: 17.440

5.  Reduction in mortality after inappropriate early discharge from intensive care unit: logistic regression triage model.

Authors:  K Daly; R Beale; R W Chang
Journal:  BMJ       Date:  2001-05-26

6.  Variability of structures in German intensive care units--a representative, nationwide analysis.

Authors:  Jürgen Graf; Andrea Reinhold; Frank M Brunkhorst; Max Ragaller; Konrad Reinhart; Markus Loeffler; Christoph Engel
Journal:  Wien Klin Wochenschr       Date:  2010-09-27       Impact factor: 1.704

Review 7.  Predicting clinical outcomes using artificial intelligence and machine learning in neonatal intensive care units: a systematic review.

Authors:  Ryan M McAdams; Ravneet Kaur; Yao Sun; Harlieen Bindra; Su Jin Cho; Harpreet Singh
Journal:  J Perinatol       Date:  2022-05-13       Impact factor: 2.521

8.  A continuous quality-improvement program reduces nosocomial infection rates in the ICU.

Authors:  Benoit Misset; Jean-François Timsit; Marie-Françoise Dumay; Maité Garrouste; Annie Chalfine; Isabelle Flouriot; Fred Goldstein; Jean Carlet
Journal:  Intensive Care Med       Date:  2003-12-12       Impact factor: 17.440

9.  A randomized trial of nighttime physician staffing in an intensive care unit.

Authors:  Meeta Prasad Kerlin; Dylan S Small; Elizabeth Cooney; Barry D Fuchs; Lisa M Bellini; Mark E Mikkelsen; William D Schweickert; Rita N Bakhru; Nicole B Gabler; Michael O Harhay; John Hansen-Flaschen; Scott D Halpern
Journal:  N Engl J Med       Date:  2013-05-20       Impact factor: 91.245

10.  Screening for resistant gram-negative microorganisms to guide empiric therapy of subsequent infection.

Authors:  Evangelos Papadomichelakis; Flora Kontopidou; Anastasia Antoniadou; Garifalia Poulakou; Evangelos Koratzanis; Petros Kopterides; Irini Mavrou; Apostolos Armaganidis; Helen Giamarellou
Journal:  Intensive Care Med       Date:  2008-08-19       Impact factor: 17.440

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