Early Protocolized Versus Usual Care Rehabilitation for Pediatric Neurocritical Care Patients
نویسندگان
چکیده
منابع مشابه
Protocolized sedation vs usual care in pediatric patients mechanically ventilated for acute respiratory failure: a randomized clinical trial.
IMPORTANCE Protocolized sedation improves clinical outcomes in critically ill adults, but its effect in children is unknown. OBJECTIVE To determine whether critically ill children managed with a nurse-implemented, goal-directed sedation protocol experience fewer days of mechanical ventilation than patients receiving usual care. DESIGN, SETTING, AND PARTICIPANTS Cluster randomized trial cond...
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Objectives: To compare the cost-effectiveness of two diabetes management models with usual care for type 2 diabetes patients from the societal perspective. Methods: An economic evaluation was performed alongside a clinical trial. In two distinct regions of the Netherlands, two diabetes management models were implemented: managed and protocolized care, with different levels of centralized organi...
متن کاملCritical care rehabilitation trials: the importance of ‘usual care’
Denehy and colleagues conducted a novel randomized controlled trial evaluating a rehabilitation intervention starting in the ICU and continuing through the outpatient setting, with 1 year longitudinal follow-up. While the intervention did not demonstrate improved patient outcomes, this study illustrates important issues regarding 'usual care' control groups in clinical trials.
متن کاملEpileptiform activity in neurocritical care patients.
BACKGROUND Non-convulsive seizures have been reported to be common in neurocritical care patients. Many jurisdictions do not have sufficient resources to enable routine continuous electroencephalography (cEEG) and instead use primarily intermittent EEG, for which the diagnostic yield remains uncertain. Determining risk factors for epileptiform activity and seizures could help identify patients ...
متن کاملTreatment algorithms and protocolized care.
PURPOSE OF REVIEW Excess information in complex ICU environments exceeds human decision-making limits and likely contributes to unnecessary variation in clinical care, increasing the likelihood of clinical errors. I reviewed recent critical care clinical trials searching for information about the impact of protocol use on clinically pertinent outcomes. RECENT FINDINGS Several recently publish...
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ژورنال
عنوان ژورنال: Pediatric Critical Care Medicine
سال: 2019
ISSN: 1529-7535
DOI: 10.1097/pcc.0000000000001881