A Systematic Review and International Web-Based Survey of Randomized Controlled Trials in the Perioperative and Critical Care Setting: Interventions Reducing Mortality

Sartini, Chiara; Ломиворотов, В. Н.; Pisano, Antonio; Říha, Hynek; Redaelli, Martina Baiardo; López-Delgado, Juan Carlos; Pieri, Marina; Hajjar, Ludhmila Abrahão; Fominskiy, Evgeny; Лихванцев, В. В.; Cabrini, Luca; Bradić, Nikola; Avancini, Daniele; Wang, Chew Yin; Lembo, Rosalba; Novikov, Maxim; Paternoster, Gianluca; Gazivoda, Gordana; Alvaro, Gabriele; Roasio, Agostino; Wang, Chengbin; Severi, Luca; Pasin, Laura; Mura, Paolo; Musu, Mario; Silvetti, Simona; Votta, Carmine Domenico; Belletti, Alessandro; Corradi, Francesco; Brusasco, Claudia; Tamà, Simona; Ruggeri, Laura; Yong, Chow-Yen; Pasero, Daniela; Mancino, G.; Spadaro, Savino; Conte, Massimiliano; Lobreglio, Rosetta; Fraja, Diana Di; Saporito, Emanuela; D'Amico, A; Sardo, Salvatore; Ortalda, Alessandro; Yavorovskiy, Andrey; Riefolo, Claudio; Monaco, Fabrizio; Bellomo, Rinaldo; Zangrillo, Alberto; Landoni, Giovanni

doi:10.1053/j.jvca.2018.11.026

Cited by 17 publications

(12 citation statements)

References 90 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bedridden patients tend to be critically ill and the space around the head is limited due to treatment devices for respiration, biological monitors, or many lines for infusion etc. (Eigsti, 2011;Sartini et al, 2018). Neck joint flexibility is also restricted due to stiffness.…”

Section: Discussionmentioning

confidence: 99%

“…Hair washing is associated with mind-body-spirit connection for healing, because distress could affect health, both psychological and physical (John & Gross, 2004;Roberts, Levenson, & Gross, 2008;Schlatter & Cameron, 2010). Consequently, washing hair in bed is an essential aspect of care (Sartini et al, 2018). Fundamental care in critical care settings is recognized as a complex activity crucial for patients' safety, recovery, and wellbeing (Feo & Kitson, 2016).…”

Section: Background Of Hair Washing In Bedmentioning

confidence: 99%

See 1 more Smart Citation

Developing Disposable Hair Washing Pad for Bedridden Patients Using Mixed Methods Research

Makabe¹,

Maeda²,

Izumori³

et al. 2019

GJHS

View full text Add to dashboard Cite

In Japan, diapers are often used to wash bedridden patients’ hair by placing the diaper under the patient’s head for ease of use and efficiency. However, using diapers for the head is an ethical problem as diapers are originally used for elimination care. Developing better equipment to wash hair is necessary to comfort patients and reduce nurses’ workload. Our industry-academia-clinical collaboration team developed a disposable absorbent pad particularly for washing patients’ hair in bed. This study aimed to evaluate this pad developed for bedridden patients. The trial was conducted in five departments at a university hospital between May and August 2016. The post-trial cross-sectional survey for nurses contained demographic data, evaluation of the pad with rating score as quantitative data, free comments as qualitative data, and comparison with diaper used experience. As this study involved development of an equipment and thus to facilitate data triangulation, mixed methods were used. The results revealed that 36 nurses participated (90% response rate). Most were in their 20s (69%). The overall evaluation was “good” (91%). Good water absorption, no water leakage, and easy usage were reported. In a comparison with diapers using experience, the majority preferred the developed pad (81%). Better structure, usage, and resolution of ethical issues were also confirmed in a comparison with diapers. The developed disposable hair washing pad is an efficient tool for nurses to wash bedridden patients’ hair. As it is disposable, infections are also controlled well. Further manufacturing aspects need to be considered for mega production.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Background Of Hair Washing In Bedmentioning

confidence: 99%

Developing Disposable Hair Washing Pad for Bedridden Patients Using Mixed Methods Research

Makabe¹,

Maeda²,

Izumori³

et al. 2019

GJHS

View full text Add to dashboard Cite

show abstract

“…There was no time limit, and the date of last update was August 31, 2021. The full MEDLINE/PubMed search strategy was already published [ 8 , 9 ] and is available in the Additional files (Additional file 1 ). We followed the Preferred Reporting Items for Systematic Reviews and Metaanalyses (PRISMA) guidelines and PRISMA checklist is included in Additional file 1 (Additional Table 1).…”

Section: Methodsmentioning

confidence: 99%

“…Survival is easy and reliable to be collected, and it has been traditionally considered as the most important outcome to be improved in ICU, both by clinicians and by researchers [ 7 ]; accordingly, the identification and implementation of the interventions improving survival in ICU is a crucial task investigated in many randomized control trials (RCTs) and systematic reviews [ 8 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Effects on health-related quality of life of interventions affecting survival in critically ill patients: a systematic review

et al. 2022

Self Cite

View full text Add to dashboard Cite

Survival has been considered the cornerstone for clinical outcome evaluation in critically ill patients admitted to intensive care unit (ICU). There is evidence that ICU survivors commonly show impairments in long-term outcomes such as quality of life (QoL) considering them as the most relevant ones. In the last years, the concept of patient-important outcomes has been introduced and increasingly reported in peer-reviewed publications. In the present systematic review, we evaluated how many randomized controlled trials (RCTs) were conducted on critically ill patients and reporting a benefit on survival reported also data on QoL. All RCTs investigating nonsurgical interventions that significantly reduced mortality in critically ill patients were searched on MEDLINE/PubMed, Scopus and Embase from inception until August 2021. In a second stage, for all the included studies, the outcome QoL was investigated. The primary outcome was to evaluate how many RCTs analyzing interventions reducing mortality reported also data on QoL. The secondary endpoint was to investigate if QoL resulted improved, worsened or not modified. Data on QoL were reported as evaluated outcome in 7 of the 239 studies (2.9%). The tools to evaluate QoL and QoL time points were heterogeneous. Four interventions showed a significant impact on QoL: Two interventions improved survival and QoL (pravastatin in subarachnoid hemorrhage, dexmedetomidine in elderly patients after noncardiac surgery), while two interventions reduced mortality but negatively influenced QoL (caloric restriction in patients with refeeding syndrome and systematic ICU admission in elderly patients). In conclusion, only a minority of RCTs in which an intervention demonstrated to affect mortality in critically ill patients reported also data on QoL. Future research in critical care should include patient-important outcomes like QoL besides mortality. Data on this topic should be collected in conformity with PROs statement and core outcome sets to guarantee quality and comparability of results.

show abstract

“…The relationship between mechanical ventilation and lung injury has long been known, 150 and the favorable effect on clinically relevant outcomes, including mortality, of lung-protective ventilation strategies involving the use of low tidal volume (V T ) and moderate-to-high levels of positive end-expiratory pressure (PEEP), with or without recruitment maneuvers, is well-documented in the ICU setting, particularly in patients with ARDS. 100 More recently, data are accumulating in support of intraoperative lung-protective ventilation strategies to reduce the risk of pulmonary complications after both cardiac and noncardiac surgery. 151,152 Despite the lack of clear evidence in this regard in the specific setting of cardiac surgery, intraoperative lung-protective ventilation strategies are widely adopted during cardiac procedures.…”

Section: Intraoperative Mechanical Ventilationmentioning

confidence: 99%

The Impact of Anesthetic Regimen on Outcomes in Adult Cardiac Surgery: A Narrative Review

Pisano

Torella

Yavorovskiy

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

Self Cite

View full text Add to dashboard Cite

A Systematic Review and International Web-Based Survey of Randomized Controlled Trials in the Perioperative and Critical Care Setting: Interventions Reducing Mortality

Cited by 17 publications

References 90 publications

Developing Disposable Hair Washing Pad for Bedridden Patients Using Mixed Methods Research

Developing Disposable Hair Washing Pad for Bedridden Patients Using Mixed Methods Research

Effects on health-related quality of life of interventions affecting survival in critically ill patients: a systematic review

The Impact of Anesthetic Regimen on Outcomes in Adult Cardiac Surgery: A Narrative Review

Contact Info

Product

Resources

About