Intensive care requirements for an ageing population – a microcosm of problems facing the NHS?

Sparkes, David; Smith, Gary B.; Prytherch, David

doi:10.7861/clinmedicine.4-3-263

Cited by 12 publications

(8 citation statements)

References 15 publications

(13 reference statements)

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“…Indeed, the opposite appears to be the case. 25 One of the important consequences of an EWS' sensitivity and specificity is the workload that it creates for an organisation. The presentation of the efficiency curve for NEWS and the combined outcome ( Figure 3) provides a measure of the number of "triggers" that would be generated at different values of NEWS, thereby permitting hospitals to estimate the impact of choosing any particular NEWS value as the trigger for specific clinical intervention.…”

Section: Discussionmentioning

confidence: 99%

The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death

et al. 2013

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Introduction: Early warning scores (EWS) are recommended as part of the early recognition and response to patient deterioration. The Royal College of Physicians recommends the use of a National Early Warning Score (NEWS) for the routine clinical assessment of all adult patients. Methods:We tested the ability of NEWS to discriminate patients at risk of cardiac arrest, unanticipated intensive care unit (ICU) admission or death within 24 hours of a NEWS value and compared its performance to that of 33 other EWSs currently in use, using the area under the receiver-operating characteristics (AUROC) curve and a large vital signs database (n=198,755 observation sets) collected from 35,585 consecutive, completed acute medical admissions.

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Section: Discussionmentioning

confidence: 99%

The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death

et al. 2013

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“…Contrary to the synopsis described on the movie website, this was not a 'psychological thriller about a common occurrence called anaesthesia awareness'; it was a predictable murder mystery with a pointless subplot about the hero being awake whilst having a heart transplant [2]. Along practically identical lines, a short film called 'Anesthesia' won best Student Film at the San Fernando Valley International Film Festival in 2006 [3]. A woman who is wheeled into a surgery room for heart surgery is supposedly given anaesthesia, but although she is paralysed she remains awake and able to feel everything.…”

Section: Editorialmentioning

confidence: 99%

“…At the same time the population continued to expand and expectations about the delivery of health care increased [3]. Compared to other first world countries the United Kingdom (UK) has historically spent less per capita on health technology and advanced medical procedures [4] and the percentage of hospital beds given over to critical care has been low [5].…”

mentioning

confidence: 99%

Are we operating as well as we can? Critical care to minimise postoperative mortality and morbidity

Goldhill¹,

Down²

2008

Anaesthesia

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“…Many factors contribute to increase the work and cognitive load of doctors and nurses working in intensive care units (ICUs). ICU personnel have to look after a progressively more ill and aging population [1]. They use sophisticated monitoring devices generating an evergrowing flow of information [2].…”

Section: Introductionmentioning

confidence: 99%

Towards Clinically Available Closed-loop Systems for Mechanical Ventilation in the Intensive Care Unit

Tschopp

Lovis²

2009

Yearb Med Inform

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Summary Objective To provide an overview of the state-of-the-art of closedloop systems in the field of mechanical ventilation. Methods This survey is reviewing the literature and proposes an overview of existing closed-loop systems, in different areas of mechanical ventilation. It discusses the key points that guided their development and addresses specific issues such as their performance and penetration at the bedside. Results Much research has been undertaken in the hope of improving patient-ventilator interaction and shortening the weaning process. This led to the development of new modes of ventilation and expert weaning systems that are starting to achieve a wider clinical audience. Conclusion Intensive care unit personnel are facing increasing work load during care for patients with severe, multi-system illness, using sophisticated equipments that generate high information flows requiring quick processing. Mechanical ventilation is a good example of a process that requires skilful and timely management of multiple parameters that could be delegated to closed-loop systems. Availability of commercial offerings, validated by randomized controlled trials in a well-defined set of clinical situations, is starting to fulfill the promise of intelligent systems skillfully assisting caregivers at the bedside.

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Intensive care requirements for an ageing population – a microcosm of problems facing the NHS?

Cited by 12 publications

References 15 publications

The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death

The ability of the National Early Warning Score (NEWS) to discriminate patients at risk of early cardiac arrest, unanticipated intensive care unit admission, and death

Are we operating as well as we can? Critical care to minimise postoperative mortality and morbidity

Towards Clinically Available Closed-loop Systems for Mechanical Ventilation in the Intensive Care Unit

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