Impact of antimicrobial stewardship in organisms causing nosocomial infection among COVID-19 critically ill adults.

Objective: To evaluate the implementation of an antibiotic stewardship program in critically ill COVID-19 patients and to establish risk factors for coinfection. Secondary objective was to analyze the evolution of the etiology of respiratory nosocomial infections.

Methods: Single-center observational cohort study of consecutive patients admitted to ICU due to COVID-19 pneumonia from March 2020 to October 2022.

ADENI-UCI study: Analysis of non-income decisions in ICU as a measure of limitation of life support treatments.

Objective: To analyze the variables associated with ICU refusal decisions as a life support treatment limitation measure.

Design: Prospective, multicentrico.

Scope: 62 ICU from Spain between February 2018 and March 2019.

[Decisiones de no ingreso en las Unidades de Cuidados Intensivos como medida de limitación de los tratamientos de soporte vital: variabilidad geográfica en España].

From a post hoc analysis of the ADENI-UCI study (multicenter, observational, cohort, prospective study, with a follow-up period of 13 months, in 62 Intensive Medicine Services in Spain. geographical differences in the reason for denial of income in UCI as a LTSV measure are analyzed. A total of 2284 with an average age of 75.

Limiting ICU admission from emergency services and wards.

Introduction: Decisions not to admit a patient to intensive care units (ICU) as a way of limiting life support treatment (LLST) is a practice that can affect the operation of the emergency services and the way in which patients die.

Methods: Post hoc analysis of the ADENI-UCI study. The main variable analysed was the reason for refusal of admission to the ICU as a measure of LLST.

ADENI-UCI Study: Analysis of non-income decisions in ICU as a measure of limitation of life support treatments.

Objective: To analyze the variables associated with ICU refusal decisions as a life support treatment limitation measure.

Design: Prospective, multicentrico SCOPE: 62 ICU from Spain between February 2018 and March 2019.

Patients: Over 18 years of age who were denied entry into ICU as a life support treatment limitation measure.

[Intensive care during the 2019-coronavirus epidemic].

On 31 December 2019, the Health Commission of Hubei Province of China first unveiled a group of unexplained cases of pneumonia, which WHO subsequently defined as the new coronavirus of 2019 (SARS-CoV-2). SARS-CoV-2 has presented rapid person-to-person transmission and is currently a global pandemic. In the largest number of cases described to date of hospitalized patients with SARS-CoV-2 disease (2019-nCoViD), 26% required care in an intensive care unit (ICU).

Intensive care during the 2019-coronavirus epidemic.

On 31 December 2019, the Health Commission of Hubei Province of China first unveiled a group of unexplained cases of pneumonia, which WHO subsequently defined as the new coronavirus of 2019 (SARS-CoV-2). SARS-CoV-2 has presented rapid person-to-person transmission and is currently a global pandemic. In the largest number of cases described to date of hospitalized patients with SARS-CoV-2 disease (2019-nCoViD), 26% required care in an intensive care unit (ICU).

Fluid balance and chloride load in the first 24h of ICU admission and its relation with renal replacement therapies through a multicentre, retrospective, case-control study paired by APACHE-II.

Objective: To analyse the association between water balance during the first 24h of admission to ICU and the variables related to chloride levels (chloride loading, type of fluid administered, hyperchloraemia), with the development of acute kidney injury renal replacement therapy (AKI-RRT) during patients' admission to ICU.

Patients And Methods: Multicentre case-control study. Hospital-based, national, carried out in 6 ICUs.

Effects of antibiotic administration delay and inadequacy upon the survival of septic shock patients.

Objective: To assess how antibiotic administration delay and inadequacy influence survival in septic shock patients.

Design: A prospective, observational cohort study was carried out between September 2005 and September 2010.

Scope: Patients admitted to the ICU of a third level hospital.