This cohort study assessed the association of the use of mechanical ventilation in nursing home residents with advanced dementia and the increasing number of intensive care unit beds among claimants in the Medicare Minimum Data Set.
This study examines whether hospitals have consistent patterns of ICU utilization across 4 common medical conditions and the association between higher use of the ICU and hospital costs, use of invasive procedures, and mortality.
This cohort study describes the frequency of overnight extubations and assesses the association between overnight extubations and clinical outcomes among adult patients in US intensive care units in the Project IMPACT database.
This qualitative study uses audio recordings of conversations between patients’ surrogate decision makers and health care professionals in the intensive care unit to characterize the frequency of and professional responses to religious or spiritual statements.
The earliest safe withdrawal of sedation and mechanical ventilation leads to reduced risk of complications, reduced ICU and hospital stay, as well as reduced costs and utilization of resources.
This cohort study reports that intensive care units vary dramatically in how they manage care for patients admitted with treatment limitations.
This randomized clinical trial finds that increased hospital-based rehabilitation and information among patients discharged from the intensive care unit resulted in greater satisfaction with their recovery. See the Invited Commentary by Cox and Hough.
This interrupted time-series analysis show that among patients admitted to adult intensive care units in the United States, there was a slow steady adoption of tight glycemic control following publication of a clinical trial that suggested benefit, with little to no deadoption following a subsequent trial that demonstrated harm. See also the Invited Commentary by Davidoff.
Among older persons with critical illness, this prospective cohort study finds that more than half died within 1 month or experienced significant functional decline over the following year. See the Editor’s Note by Covinsky.
This survey study found that whereas physicians in Asian intensive care units often withheld but seldom withdrew life-sustaining treatments at the end of life, attitudes and practice varied widely across countries and regions.