Kimball organ 375 professional#

While patterns of practice varied considerably between centers, a substantial, low-risk population was identified. Notably, patients admitted solely for postprocedural observation or frequent monitoring had a mortality rate of 0.2% to 0.4%.Д¬onclusions and Relevance In a contemporary network of tertiary care CICUs, respiratory failure and shock predominated indications for admission and carried a poor prognosis.

The CICU indications that were associated with the highest mortality rates were cardiac arrest (101 ), cardiogenic shock (140 ), and the need for renal replacement therapy (51 ). Advanced CICU therapies or monitoring were required for 1776 patients (58.2%), including intravenous vasoactive medications (1105 ), invasive hemodynamic monitoring (938 ), and mechanical ventilation (652 ). The primary indications for CICU care included respiratory insufficiency (814 ), shock (643 ), unstable arrhythmia (521 ), and cardiac arrest (265 ). The top 2 CICU admission diagnoses were acute coronary syndrome (969 ) and heart failure (567 ) however, the proportion of acute coronary syndrome was highly variable across centers (15%-57%). When restricted to the initial 2 months of medical CICU admissions for each site, the primary analysis population included 3049 admissions with a high burden of noncardiovascular comorbidities. Between September 2017 and September 2018, 3310 admissions were included, among which 2557 (77.3%) were for primary cardiac problems, 337 (10.2%) for postprocedural care, 253 (7.7%) for mixed general and cardiac problems, and 163 (4.9%) for overflow from general medical ICUs. Results Of 3049 participants, 1132 (37.1%) were women, 797 (31.4%) were individuals of color, and the median age was 65 years (25th and 75th percentiles, 55-75 years). Main Outcomes and Measures Demographics, diagnoses, management, and outcomes. The data were collected and analyzed between September 20. For 2 months in each CICU, data for consecutive admissions were submitted to the central data coordinating center (TIMI Study Group). Objective To characterize patients admitted to contemporary, advanced CICUs.Дesign, Setting, and Participants This study established the Critical Care Cardiology Trials Network (CCCTN), an investigator-initiated multicenter network of 16 advanced, tertiary CICUs in the United States and Canada.

Kimball organ 375 professional#

Professional societies have recommended research to guide evidence-based CICU redesigns.

Importance Single-center and claims-based studies have described substantial changes in the landscape of care in the cardiac intensive care unit (CICU).

Shared Decision Making and Communication.

Scientific Discovery and the Future of Medicine.

Health Care Economics, Insurance, Payment.

Clinical Implications of Basic Neuroscience.

Challenges in Clinical Electrocardiography.