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Improving outcomes for very preterm babies in England: does place of birth matter? Findings from OPTI-PREM, a national cohort study.
Arch Dis Child Fetal Neonatal Ed
December 2024
Nuffield Department of Population Health, University of Oxford National Perinatal Epidemiology Unit, Oxford, UK.
Objective: Babies born between 27 and 31 weeks of gestation contribute substantially towards infant mortality and morbidity. In England, their care is delivered in maternity services colocated with highly specialised neonatal intensive care units (NICU) or less specialised local neonatal units (LNU). We investigated whether birth setting offered survival and/or morbidity advantages to inform National Health Service delivery.
View Article and Find Full Text PDFPromoting early goals of care conversations in the CICU with a surprise question-based EHR workflow.
BMC Palliat Care
December 2024
Icahn School of Medicine at Mount Sinai, 50 E 98th St, Apt 10J-3, 10029, New York, NY, USA.
Background: The Surprise Question (SQ) - Would you be surprised if this patient died within the next 6 months? - is a validated tool for mortality prediction. The Mount Sinai Cardiac Intensive Care Unit (CICU) incorporated the SQ into a novel EHR workflow to identify patients who would benefit from early initiation of Palliative Care (PC).
Methods: Implementation of the SQ proceeded in two steps.
Monitoring Guideline Adherence in Severe Traumatic Brain Injury.
Stud Health Technol Inform
November 2024
CHU Rennes, INSERM, LTSI-UMR 1099, Univ Rennes, 35000 Rennes, France.
Traumatic brain injuries (TBI) significantly impact global health, often resulting in death or long-term disability. We developed a quality dashboard to monitor adherence to severe TBI guidelines, leveraging data from Rennes University Hospital's clinical data warehouse collected between January 2020 and December 2023. We included 193 patients from the surgical ICU who were over 18 years old and excluded those without adequate intracranial pressure (ICP) monitoring data.
View Article and Find Full Text PDFe-Prescribing, Charting, and Documentation for Continuous Renal Replacement Therapy: A Green Intensive Care Unit and Nephrology Initiative.
Blood Purif
January 2025
EMR Services Department, Austin Health, Melbourne, Victoria, Australia.
Background: Patient care informatics are becoming more advanced with digital capacity and server functionality. The intensive care unit (ICU) is becoming paperless for prescribing, charting, and monitoring care. A further challenge is to include all life sustaining therapies in this digital space.
View Article and Find Full Text PDFA Common Longitudinal Intensive Care Unit data Format (CLIF) to enable multi-institutional federated critical illness research.
medRxiv
September 2024
Section of Pulmonary and Critical Care, Department of Medicine, University of Chicago, Chicago, IL.
Background: Critical illness, or acute organ failure requiring life support, threatens over five million American lives annually. Electronic health record (EHR) data are a source of granular information that could generate crucial insights into the nature and optimal treatment of critical illness. However, data management, security, and standardization are barriers to large-scale critical illness EHR studies.
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