Publications by authors named "R Umberger"

Article Synopsis
  • Recurrent infections after sepsis hospitalization are common, and preexisting immune-suppressive conditions (PISCs) like HIV, organ transplants, or cancer may influence the risk of readmission related to infections.
  • A study analyzed data from over 649,000 sepsis admissions and found that 29.2% of patients had PISCs, and those with such conditions had a higher rate of infection-related readmissions (26.1%) compared to those without PISCs (20.8%).
  • The research indicated that PISCs increased the risk of readmissions by 5.3%, while other chronic diseases like diabetes and chronic kidney disease also contributed to higher risks, highlighting the significant role of existing health conditions
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Background: Although family caregivers experienced negative psychological symptoms associated with witnessing intensive care unit delirium in their loved ones, there is a lack of clear understanding of how delirium is associated with family caregiver psychological distress. Uncertainty could be a factor contributed to this association.

Objectives: The aim of this study was to examine the relationship between uncertainty and psychological distress among family caregivers of patients with delirium in intensive care units.

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Purpose: Severe community-acquired pneumonia (CAP) requiring intensive care unit admission is associated with significant acute and long-term morbidity and mortality. We hypothesized that downregulation of systemic and pulmonary inflammation with prolonged low-dose methylprednisolone treatment would accelerate pneumonia resolution and improve clinical outcomes.

Methods: This double-blind, randomized, placebo-controlled clinical trial recruited adult patients within 72-96 h of hospital presentation.

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Background: Delirium as a sudden cognitive and behavioral change can be traumatic for family caregivers. An understanding of family caregivers' experiences with delirium in their loved one in an intensive care unit (ICU) will help clinicians provide family-centered care.

Objective: To explore the impact of delirium on, and the needs of, family caregivers of ICU patients with delirium.

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Aim: To analyze and examine the concept of uncertainty of the patient's illness among family caregivers.

Background: Promoting family caregivers' health is significant in nursing. Family caregivers may experience uncertainty related to their loved ones' illness.

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