当前位置： SCI文献检索 > INTENSIVE CARE MEDICINE期刊下所有文献 > Automatic calculation of the nine equivalents of nursing manpower use score (NEMS) using a patient data management system.

Automatic calculation of the nine equivalents of nursing manpower use score (NEMS) using a patient data management system.

Abstract：

OBJECTIVE:The most recent approach to estimate nursing resources consumption has led to the generation of the Nine Equivalents of Nursing Manpower use Score (NEMS). The objective of this prospective study was to establish a completely automatically generated calculation of the NEMS using a patient data management system (PDMS) database and to validate this approach by comparing the results with those of the conventional manual method. DESIGN:Prospective study. SETTING:Operative intensive care unit of a university hospital. PATIENTS:Patients admitted to the ICU between 24 July 2002 and 22 August 2002. Patients under the age of 16 years, and patients undergoing cardiovascular surgery or with burn injuries were excluded. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:The NEMS of all patients was calculated automatically with a PDMS and manually by a physician in parallel. The results of the two methods were compared using the Bland and Altman approach, the interclass correlation coefficient (ICC), and the kappa-statistic. On 20 consecutive working days, the NEMS was calculated in 204 cases. The Bland Altman analysis did not show significant differences in NEMS scoring between the two methods. The ICC (95% confidence intervals) 0.87 (0.84-0.90) revealed a high inter-rater agreement between the PDMS and the physician. The kappa-statistic showed good results (kappa>0.55) for all NEMS items apart from the item "supplementary ventilatory care". CONCLUSION:This study demonstrates that automatical calculation of the NEMS is possible with high accuracy by means of a PDMS. This may lead to a decrease in consumption of nursing resources.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Junger A,Brenck F,Hartmann B,Klasen J,Quinzio L,Benson M,Michel A,Röhrig R,Hempelmann G

doi

10.1007/s00134-004-2239-z

keywords:

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

1487-90

issue

7

eissn

0342-4642

issn

1432-1238

journal_volume

30

pub_type

杂志文章

相关文献

INTENSIVE CARE MEDICINE文献大全
  • Decontamination of the digestive tract and oropharynx: hospital acquired infections after discharge from the intensive care unit.

    abstract：OBJECTIVE:To determine the incidence rates of hospital acquired infections (HAI) during the first 14 days after ICU discharge after treatment during ICU-stay with Selective Decontamination of the Digestive tract (SDD), Selective Oropharyngeal Decontamination (SOD) or Standard Care (SC). DESIGN:Prospective observationa...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-009-1554-9

    authors： de Smet AM,Hopmans TE,Minderhoud AL,Blok HE,Gossink-Franssen A,Bernards AT,Bonten MJ

    更新日期：2009-09-01 00:00:00

  • Differential ventilation in unilateral lung disease: effects on respiratory mechanics and gas exchange.

    abstract：:Conventional PEEP ventilation has been recently reported to be deleterious in some cases of ARF with unilateral pneumonia. In such respect, two cases of unilateral bacterial pneumonia were intubated with a Carlens tracheal tube. Measurement of tidal volume, static compliance, and functional residual capacity of each l...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01683935

    authors： Rivara D,Bourgain JL,Rieuf P,Harf A,Lemaire F

    更新日期：1979-11-01 00:00:00

  • Elevation of creatine kinase is associated with worse outcomes in 2009 pH1N1 influenza A infection.

    abstract：BACKGROUND:Current medical knowledge lacks specific information regarding creatine kinase (CK) elevation in influenza A pH1N1 (2009) infection. OBJECTIVES:Primary endpoints were correlation between CK at intensive care unit (ICU) admission and ICU mortality. Secondary endpoints were ICU length of stay (LOS), mechanica...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-012-2565-5

    authors： Borgatta B,Pérez M,Rello J,Vidaur L,Lorente L,Socías L,Pozo JC,Pozo J,Garnacho-Montero J,Rello J,pH1N1 GTEI\/SEMICYUC.

    更新日期：2012-07-01 00:00:00

  • Clonidine as a sedative adjunct in intensive care.

    abstract：:A 63-year-old man underwent distal oesophagectomy and proximal gastrectomy. Postoperatively, controlled ventilation was necessary for 53 days because of anastomotic leakage. Multiple sedative regimens proved to be inadequate. By contrast, a fentanyl-midazolam combination with continuous supplementation of clonidine 0....

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01705163

    authors： Böhrer H,Bach A,Layer M,Werning P

    更新日期：1990-01-01 00:00:00

  • The diagnostic accuracy of clinical examination for estimating cardiac index in critically ill patients: the Simple Intensive Care Studies-I.

    abstract：PURPOSE:Clinical examination is often the first step to diagnose shock and estimate cardiac index. In the Simple Intensive Care Studies-I, we assessed the association and diagnostic performance of clinical signs for estimation of cardiac index in critically ill patients. METHODS:In this prospective, single-centre coho...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-019-05527-y

    authors： Hiemstra B,Koster G,Wiersema R,Hummel YM,van der Harst P,Snieder H,Eck RJ,Kaufmann T,Scheeren TWL,Perner A,Wetterslev J,de Smet AMGA,Keus F,van der Horst ICC,SICS Study Group.

    更新日期：2019-02-01 00:00:00

  • Regional tidal ventilation and compliance during a stepwise vital capacity manoeuvre.

    abstract：PURPOSE:To determine whether, during mechanical ventilation, an optimal positive end-expiratory pressure (PEEP) can be identified by measurement of regional tidal volume and compliance [V (T(reg)), C (RS(reg))]. METHODS:Sixteen anaesthetized intubated neonatal piglets underwent a stepwise vital capacity manoeuvre perf...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-010-1995-1

    authors： Dargaville PA,Rimensberger PC,Frerichs I

    更新日期：2010-11-01 00:00:00

  • Posterior reversible encephalopathy syndrome in intensive care medicine.

    abstract：BACKGROUND:Posterior reversible encephalopathy syndrome (PRES) is a well-recognized clinico-neuroradiological transient condition. Early recognition is of paramount importance for prompt control of blood pressure or removal of precipitating factors and treatment of epileptic seizures or status epilepticus. Delay in the...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s00134-006-0459-0

    authors： Servillo G,Bifulco F,De Robertis E,Piazza O,Striano P,Tortora F,Striano S,Tufano R

    更新日期：2007-02-01 00:00:00

  • Acute respiratory distress syndrome among trauma patients: trends in ICU mortality, risk factors, complications and resource utilization.

    abstract：OBJECTIVE:To evaluate trends in mortality and related factors among trauma patients who developed acute respiratory distress syndrome (ARDS). STUDY:Observational study based on data prospectively gathered in computerized trauma registry. SETTING:Trauma intensive care unit (ICU) of 48 beds in level I trauma center. P...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340100955

    authors： Navarrete-Navarro P,Rodriguez A,Reynolds N,West R,Habashi N,Rivera R,Chiu WC,Scalea T

    更新日期：2001-07-01 00:00:00

  • Automating the weaning process with advanced closed-loop systems.

    abstract：BACKGROUND:Limiting the duration of invasive ventilation is an important goal in caring for critically ill patients. Several clinical trials have shown that compared to traditional care, protocols can reduce the total duration of mechanical ventilation. Computerized or automated weaning has the potential to improve wea...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s00134-008-1154-0

    authors： Burns KE,Lellouche F,Lessard MR

    更新日期：2008-10-01 00:00:00

  • Effects of reducing beta-lactam antibiotic pressure on intestinal colonization of antibiotic-resistant gram-negative bacteria.

    abstract：BACKGROUND:We determined the effects of two antibiotic policies (predominance of either beta-lactam antibiotics or fluroquinolones) on acquisition with third-generation cephalosporin-resistant Enterobacteriaceae (CRE) and fluoroquinolone-resistant CRE (FCRE) in two ICUs, with monitoring of other variables that may infl...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1007/s00134-009-1714-y

    authors： Nijssen S,Fluit A,van de Vijver D,Top J,Willems R,Bonten MJ

    更新日期：2010-03-01 00:00:00

  • Definitions and methods of cost assessment: an intensivist's guide. ESICM section on health research and outcome working group on cost effectiveness.

    abstract：OBJECTIVE:To define the different types of costs incurred in the care of critically ill patients and to describe some of the most commonly used methods for measuring and allocating these costs. DESIGN:Literature review. Definitions for opportunity, direct and indirect, fixed, variable, marginal, and total costs are de...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s00134-002-1279-5

    authors： Jegers M,Edbrooke DL,Hibbert CL,Chalfin DB,Burchardi H

    更新日期：2002-06-01 00:00:00

  • Ficoll-separated mononuclear cells from sepsis patients are contaminated with granulocytes.

    abstract：OBJECTIVE:To determine the cell content and purity of Ficoll-separated peripheral blood mononuclear cells and granulocyte isolates in sepsis patients compared to healthy controls. DESIGN AND SETTING:Prospective study in the adult and pediatric intensive care departments of the Erasmus University Medical Center in the ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-007-0989-0

    authors： van den Akker EL,Baan CC,van den Berg B,Russcher H,Joosten K,Hokken-Koelega AC,Lamberts SW,Koper JW

    更新日期：2008-05-01 00:00:00

  • Candida sp. isolated from bronchoalveolar lavage: clinical significance in critically ill trauma patients.

    abstract：OBJECTIVE:Based on limited data, Candida sp. isolates from bronchoalveolar lavage (BAL) cultures in immunocompetent patients are thought to be contaminants rather than pathogens. The objective of this study was to determine the clinical significance of Candida sp. isolated from BAL cultures in critically ill trauma pat...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-005-0065-6

    authors： Wood GC,Mueller EW,Croce MA,Boucher BA,Fabian TC

    更新日期：2006-04-01 00:00:00

  • Bolus remifentanil for chest drain removal in ICU: a randomized double-blind comparison of three modes of analgesia in post-cardiac surgical patients.

    abstract：PURPOSE:We compared 1 versus 0.5 microg/kg bolus remifentanil versus placebo in alleviating pain due to chest drain removal. Effects on sedation, respiratory rate (RR), oxygen saturation, heart rate (HR) and blood pressure were also evaluated. METHODS:Sixty patients following cardiac surgery were enrolled in this pros...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00134-010-1836-2

    authors： Casey E,Lane A,Kuriakose D,McGeary S,Hayes N,Phelan D,Buggy D

    更新日期：2010-08-01 00:00:00

  • Mechanism of injury influences quality of life in survivors of acute respiratory distress syndrome.

    abstract：OBJECTIVE:Growing evidence suggests that acute respiratory distress syndrome (ARDS) occurring as a consequence of primary (direct) lung injury differs from that resulting from secondary (indirect) lung injury in terms of radiographic appearance, response to interventions, and outcomes. We examined whether there are dif...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s00134-006-0344-x

    authors： Parker CM,Heyland DK,Groll D,Caeser M

    更新日期：2006-11-01 00:00:00

  • Procalcitonin and C-reactive protein as markers of systemic inflammatory response syndrome severity in critically ill children.

    abstract：OBJECTIVES:To analyse the clinical value of procalcitonin (PCT), C-reactive protein (CRP) and leucocyte count in the diagnosis of paediatric sepsis and in the stratification of patients according to severity. DESIGN:Prospective, observational study. SETTING:Paediatric intensive care unit (PICU). PATIENTS:Ninety-four...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-006-0509-7

    authors： Rey C,Los Arcos M,Concha A,Medina A,Prieto S,Martinez P,Prieto B

    更新日期：2007-03-01 00:00:00

  • Neuromuscular dysfunction acquired in critical illness: a systematic review.

    abstract：OBJECTIVE:To determine the prevalence, risk factors, and outcomes of critical illness neuromuscular abnormalities (CINMA). DESIGN:Systematic review. DATA SOURCES AND STUDY SELECTION:MEDLINE, EMBASE, CINAHL, and the Cochrane Library were searched for reports on adult ICU patients who were evaluated for CINMA clinicall...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s00134-007-0772-2

    authors： Stevens RD,Dowdy DW,Michaels RK,Mendez-Tellez PA,Pronovost PJ,Needham DM

    更新日期：2007-11-01 00:00:00

  • Hemodynamic and gas exchange responses to inhalation of nitric oxide in patients with the acute respiratory distress syndrome and in hypoxemic patients with chronic obstructive pulmonary disease.

    abstract：OBJECTIVE:Inhalation of nitric oxide (NO) can improve oxygenation and decrease mean pulmonary artery pressure (MPAP) in patients with the acute respiratory distress syndrome (ARDS). It is not known whether inhaled NO exerts a similar effect in hypoxemic patients with chronic obstructive pulmonary disease (COPD). DESIG...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340050290

    authors： Blanch L,Joseph D,Fernández R,Mas A,Martinez M,Vallés J,Diaz E,Baigorri F,Artigas A

    更新日期：1997-01-01 00:00:00

  • Albumin bolus administration versus continuous infusion in critically ill hypoalbuminemic pediatric patients.

    abstract：OBJECTIVE:To test the hypothesis that the rate of degradation of exogenously administered albumin is faster with bolus administration than with continuous infusion and thus that a bolus administration is less efficacious in restoring blood albumin concentration (BAC) in the hypoalbuminemic critically ill pediatric pati...

    journal_title：Intensive care medicine

    pub_type： 临床试验,杂志文章

    doi：10.1007/BF01712175

    authors： Greissman A,Silver P,Nimkoff L,Sagy M

    更新日期：1996-05-01 00:00:00

  • Transcardiac conductance for continuous measurement of left ventricular volume: validation vs. angiography in patients.

    abstract：OBJECTIVE:To test the feasibility of the transcardiac conductance (TCC) method for continuous, on-line measurement of absolute left ventricular (LV) volume and to validate the method by comparison with biplane angiography. DESIGN AND SETTING:Prospective clinical feasibility and validation study in a cardiac catheteriz...

    journal_title：Intensive care medicine

    pub_type： 临床试验,杂志文章

    doi：10.1007/s00134-004-2300-y

    authors： Staal EM,Baan J,Jukema JW,van der Wall EE,Steendijk P

    更新日期：2004-07-01 00:00:00

  • Psychological burnout and critical care medicine: big threat, big opportunity.

    abstract：: ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-018-5063-6

    authors： Hawryluck L,Brindley PG

    更新日期：2018-12-01 00:00:00

  • Experts' opinion on management of hemodynamics in ARDS patients: focus on the effects of mechanical ventilation.

    abstract：RATIONALE:Acute respiratory distress syndrome (ARDS) is frequently associated with hemodynamic instability which appears as the main factor associated with mortality. Shock is driven by pulmonary hypertension, deleterious effects of mechanical ventilation (MV) on right ventricular (RV) function, and associated-sepsis. ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s00134-016-4326-3

    authors： Vieillard-Baron A,Matthay M,Teboul JL,Bein T,Schultz M,Magder S,Marini JJ

    更新日期：2016-05-01 00:00:00

  • Anticoagulation strategies in continuous renal replacement therapy: can the choice be evidence based?

    abstract：OBJECTIVES:Critical illness increases the tendency to both coagulation and bleeding, complicating anticoagulation for continuous renal replacement therapy (CRRT). We analyzed strategies for anticoagulation in CRRT concerning implementation, efficacy and safety to provide evidence-based recommendations for clinical prac...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,meta分析,评审

    doi：10.1007/s00134-005-0044-y

    authors： Oudemans-van Straaten HM,Wester JPJ,de Pont ACJM,Schetz MRC

    更新日期：2006-02-01 00:00:00

  • Effects of alveolar recruitment maneuvers on clinical outcomes in patients with acute respiratory distress syndrome: a systematic review and meta-analysis.

    abstract：PURPOSE:To assess the effects of alveolar recruitment maneuvers (ARMs) on clinical outcomes in patients with acute respiratory distress syndrome (ARDS). METHODS:We conducted a search of the MEDLINE, EMBASE, LILACS, CINAHL, CENTRAL, Scopus, and Web of Science (from inception to July 2014) databases for all (i.e. no lan...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,meta分析,评审

    doi：10.1007/s00134-014-3413-6

    authors： Suzumura EA,Figueiró M,Normilio-Silva K,Laranjeira L,Oliveira C,Buehler AM,Bugano D,Passos Amato MB,Ribeiro Carvalho CR,Berwanger O,Cavalcanti AB

    更新日期：2014-09-01 00:00:00

  • Left ventricular systolic dysfunction during septic shock: the role of loading conditions.

    abstract：PURPOSE:The clinical significance of septic myocardial dysfunction is controversial, a fact that may be explained by the influence of loading conditions. Many indices may be useful to characterize cardiac function during septic shock, but their feasibility and physiological coherence in the clinical setting are unknown...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-017-4698-z

    authors： Boissier F,Razazi K,Seemann A,Bedet A,Thille AW,de Prost N,Lim P,Brun-Buisson C,Mekontso Dessap A

    更新日期：2017-05-01 00:00:00

  • Very high volume hemofiltration with the Cascade system in septic shock patients.

    abstract：PURPOSE:We compared hemodynamic and biological effects of the Cascade system, which uses very high volume hemofiltration (HVHF) (120 mL kg(-1) h(-1)), with those of usual care in patients with septic shock. METHODS:Multicenter, prospective, randomized, open-label trial in three intensive care units (ICU). Adults with ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1007/s00134-015-4056-y

    authors： Quenot JP,Binquet C,Vinsonneau C,Barbar SD,Vinault S,Deckert V,Lemaire S,Hassain AA,Bruyère R,Souweine B,Lagrost L,Adrie C

    更新日期：2015-12-01 00:00:00

  • Tigecycline use in critically ill patients: a multicentre prospective observational study in the intensive care setting.

    abstract：PURPOSE:This prospective observational study aimed at describing prescription patterns of tigecycline and patient outcomes in 26 French intensive care units (ICU). METHODS:Data of consecutive cases of adult patients treated with tigecycline were collected from the initiation until 7 days after the end of treatment. Re...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s00134-014-3323-7

    authors： Montravers P,Dupont H,Bedos JP,Bret P,Tigecycline Group.

    更新日期：2014-07-01 00:00:00

  • Intra-thoracic placement of central venous catheter despite ultrasound guidance.

    abstract：: ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-018-5278-6

    authors： De Cassai A,Dal Cin S,Bertini D

    更新日期：2018-12-01 00:00:00

  • Regional distribution of gas and tissue in acute respiratory distress syndrome. II. Physiological correlations and definition of an ARDS Severity Score. CT Scan ARDS Study Group.

    abstract：OBJECTIVES:(a) To assess whether differences in lung morphology observed in patients with adult respiratory distress syndrome (ARDS) are associated with differences in cardiorespiratory parameters, lung mechanics, and outcome. (b) To propose a new ARDS Severity Score to identify patients with a high mortality risk. DE...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340051317

    authors： Rouby JJ,Puybasset L,Cluzel P,Richecoeur J,Lu Q,Grenier P

    更新日期：2000-08-01 00:00:00

  • Effects of early treatment with immunoglobulin on critical illness polyneuropathy following multiple organ failure and gram-negative sepsis.

    abstract：OBJECTIVE:The evaluation of incidences and relating factors of severe persisting critical illness polyneuropathy (CIP) in survivors of multiple organ failure (MOF). DESIGN:Prospective study with an entry period of 24 months. Electrophysiological studies for the diagnosis of CIP were performed 1 or 2 days before the pa...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340050471

    authors： Mohr M,Englisch L,Roth A,Burchardi H,Zielmann S

    更新日期：1997-11-01 00:00:00