SCCM Resource Library-July Journal Club: Critical Care Medicine (2020)

Video Transcription

Video Summary

The Journal Club Critical Care Medicine webcast featured two articles. The first article focused on a multicenter cohort study that examined adverse events after the transition from ICU to hospital ward. The study found that about 19% of patients experienced adverse events within seven days of ICU discharge, with the most common type being supportive care failure, such as falls and pressure ulcers. Adverse events increased the risk of ICU readmission, longer hospital stays, and higher mortality rates. The study also identified factors associated with adverse events, including comorbidities and ICU bed capacity. The second article focused on the management of mechanically ventilated patients with fibrotic interstitial lung disease and acute respiratory failure. The study found several predictors of in-hospital mortality, including early targeted plateau pressures, P to F ratios, and initial FIO2. The study also highlighted the need to further investigate the use of driving pressure as a predictor of mortality. The findings suggest that improving the management of critically ill patients during transitions of care and implementing evidence-based strategies for ventilation could help reduce adverse events and improve outcomes.

Asset Subtitle

Quality and Patient Safety, Pulmonary, 2020

Asset Caption

"The Journal Club: Critical Care Medicine webcast series focuses on articles of interest from Critical Care Medicine.

This series is held on the fourth Thursday of each month and features in-depth presentations and lively discussion by the authors.

Follow the conversation at #CritCareMed."

Meta Tag

Content Type Webcast

Knowledge Area Quality and Patient Safety

Knowledge Area Pulmonary

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Mortality

Tag Respiratory Failure

Year 2020

Keywords

adverse events

ICU discharge

supportive care failure

ICU readmission

hospital stays

mortality rates

comorbidities

mechanically ventilated patients

in-hospital mortality

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