[Cost of quality in Intensive Medicine. Guidelines for clinical management].


OBJECTIVE:This article reviews the utility and applicability of available systems in order to calculate general and quality costs in clinical services settings. METHODS:Review of techniques to calculate costs in Intensive Care Units (ICUs) according to analytical accounting approaches. RESULTS:The methodological development is complemented with the results of its application in the ICU of the Miracle's Hospital showing the structure of costs and the results obtained with this methodology when analyzing the costs of activities related to quality improvement. CONCLUSIONS:The effort to implement systems focused to analyze general and quality costs will result in a benefit of those participating in the healthcare system: citizens, professionals, managers, and "financials" since that which is only a legitimate demand today will be a inexcuseable commitment of the healthcare professionals from the society tomorrow.


Med Intensiva


Medicina intensiva


Carrasco G,Pallarés A,Cabré L




Has Abstract


2006-05-01 00:00:00














  • [Latin American survey on delirium in critical patients].

    abstract:OBJECTIVES:This study has aimed to establish the intensivist physician's concepts and practices in this region regarding the diagnosis, management and prevention of delirium in intensive care units (ICU). DESIGN:A survey was distributed among the FEPIMCTI member societies for distribution among its medical members. R...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Ceraso DH,Dueñas-Castel C,Raimondi N,Celis E,Carrillo R,Ugarte Ubiergo S,Rodriguez F

    更新日期:2010-11-01 00:00:00

  • [Early non-invasive diagnosis of posttraumatic carotid-cavernous fistula diagnosed by transcranial color-coded duplex sonography: analysis of 4 patients].

    abstract::Posttraumatic carotid-cavernous fistula (PtCCF) is an uncommon complication after cranioencephalic trauma. It is usually diagnosed with a cerebral arteriography when the clinical symptoms have already appeared. The transcranial color-coded duplex sonography (TCDS) is a non-invasive technique at the patient's bedside t...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Llompart-Pou JA,Abadal JM,Pérez-Bárcena J,Homar J,Rodríguez A,Ibáñez J

    更新日期:2007-01-01 00:00:00

  • Enteral nutrition in the hemodynamically unstable critically ill patient.

    abstract::The benefit of enteral nutrition in critically ill patients has been demonstrated by several studies, especially when it is started early, in the first 24-48h of stay in the Intensive Care Unit, and this practice is currently advised by the main clinical guidelines. The start of enteral nutrition is controversial in p...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Flordelís Lasierra JL,Pérez-Vela JL,Montejo González JC

    更新日期:2015-01-01 00:00:00

  • Role of circulating soluble chemokines in septic shock.

    abstract:PURPOSE:Chemokines are a large superfamily of small proteins that function not only in leukocyte trafficking, but are also necessary for linkage between innate and adaptive immunity. Little is known about their role in septic shock. We hypothesized that serum levels of the most important chemokines are related to organ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: de Pablo R,Monserrat J,Prieto A,Alvarez-Mon M

    更新日期:2013-11-01 00:00:00

  • [Does decompressive craniectomy improve other parameters besides ICP? Effects of the decompressive craniectomy on tissular pressure?].

    abstract::Second level therapeutic maneuvres for controlling intracranial hypertension (ICH) proposed by the European Brain Injury Consortium and the American Association of Neurological Surgeons include barbiturates, moderate hypothermia and more recently the decompressive craniectomy (DC).In most patients, ICP can be maintain...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Lubillo S,Blanco J,López P,Domínguez J,Ruiz C,Molina I,Morera J

    更新日期:2011-04-01 00:00:00

  • [The recommendations regarding non-ST segment elevation acute coronary syndrome have been reviewed. SEMICYUC. Spanish Society for Intensive Medicine, Critical Care and Coronary Units].

    abstract::These recommendations are designed to be of assistance to doctors in ICUs when making first evaluations of these patients. They are mainly intended to assist with early diagnosis, risk stratification and initial treatment. The need for individualised treatment is at present one of the main objectives in the management...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引,评审


    authors: Civeira Murillo E,Del Nogal Saez F,Alvarez Ruiz AP,Ferrero Zorita J,Alcantara AG,Aguado GH,López Messa JB,Montón Rodríguez JA,Grupo de Trabajo de Cuidados Intensivos Cardiológicos y RCP.

    更新日期:2010-01-01 00:00:00

  • Physician staffing needs in critical care departments.

    abstract::Departments of Critical Care Medicine are characterized by high medical assistance costs and great complexity. Published recommendations on determining the needs of medical staff in the DCCM are based on low levels of evidence and attribute excessive significance to the structural/welfare approach (physician-to-beds r...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Gómez Tello V,Ruiz Moreno J,Weiss M,González Marín E,Merino de Cos P,Franco Garrobo N,Alonso Ovies A,Montejo González JC,Iber T,Marx G,Córcoles González V,Gordo Vidal F,Palencia Herrejón E,Roca Guiseris J,en nombre de la Soci

    更新日期:2018-01-01 00:00:00

  • Management of accidental hypothermia: A narrative review.

    abstract::A narrative review is presented on the diagnosis, treatment and management of accidental hypothermia. Although all these processes form a continuum, for descriptive purposes in this manuscript the recommendations are organized into the prehospital and in-hospital settings. At prehospital level, it is advised to: a) pe...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Avellanas Chavala ML,Ayala Gallardo M,Soteras Martínez Í,Subirats Bayego E

    更新日期:2019-12-01 00:00:00

  • The American-European Consensus Conference definition of the acute respiratory distress syndrome is dead, long live positive end-expiratory pressure!

    abstract::In 1994, an American-European Consensus Conference (AECC) formalized the criteria for the diagnosis of the acute respiratory distress syndrome (ARDS). Although that definition is simple to apply in the clinical setting, it has been challenged over the years in several studies since the assessment of the oxygenation de...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章


    authors: Villar J,Kacmarek RM

    更新日期:2012-11-01 00:00:00

  • Perioperative management in thoracic surgery.

    abstract::Thoracic surgery has undergone significant advances in recent years related to anesthetic and surgical techniques and the prevention and management of complications related to the procedure. This has allowed improvements in patient clinical outcomes in surgeries of this kind. Despite the above, thoracic surgery, espec...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Muñoz de Cabo C,Hermoso Alarza F,Cossio Rodriguez AM,Martín Delgado MC

    更新日期:2020-04-01 00:00:00

  • [Location of the central venous catheter tip in the right atrium: description in 2348 critical patients].

    abstract:OBJECTIVE:to document possible complications related to the location of central venous catheter (CVC) tip in the right atrium (RA) in two medical-surgical intensive care units (ICU). DESIGN:An observational, retrospective study of critically ill patients. SETTING:two medical-surgical ICUs. PATIENTS:adult patients in...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Torres-Millán J,Torres-López M,Benjumea-Serna M

    更新日期:2010-12-01 00:00:00

  • Intensive care in cancer patients in the age of immunotherapy and molecular therapies: Commitment of the SEOM-SEMICYUC.

    abstract::Cancer patients are a vulnerable group exposed to numerous and serious risks beyond cancer itself. In recent years, the prognosis of these individuals has improved substantially thanks to several advances such as immunotherapy, targeted molecular therapies, surgical techniques, or developments in support treatment. Th...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,实务指引


    authors: Carmona-Bayonas A,Gordo F,Beato C,Castaño Pérez J,Jiménez-Fonseca P,Virizuela Echaburu J,Garnacho-Montero J

    更新日期:2018-01-01 00:00:00

  • [Acute renal function deterioration in a Coronary Unit in Spain].

    abstract:OBJECTIVE:To assess the incidence and prognostic value of acute renal function deterioration (ARFD) in patients with acute heart disease. SETTING:Coronary Care Unit in a tertiary university hospital. DESIGN:Retrospective study. PARTICIPANTS:One hundred consecutive patients admitted during 2004. INTERVENTIONS:No ran...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Martí D,Escobar C,Dedieu N,Liaño F,Jiménez Mena M,Asín E

    更新日期:2008-05-01 00:00:00

  • [Prolonged mechanical ventilation probability model].

    abstract:OBJECTIVE:To design a probability model for prolonged mechanical ventilation (PMV) using variables obtained during the first 24 hours of the start of MV. DESIGN:An observational, prospective, multicenter cohort study. SCOPE:Thirteen Spanish medical-surgical intensive care units. PATIENTS:Adult patients requiring mec...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究


    authors: Añón JM,Gómez-Tello V,González-Higueras E,Oñoro JJ,Córcoles V,Quintana M,López-Martínez J,Marina L,Choperena G,García-Fernández AM,Martín-Delgado C,Gordo F,Díaz-Alersi R,Montejo JC,Lorenzo AG,Pérez-Arriaga M,Madero R

    更新日期:2012-10-01 00:00:00

  • [A prospective, observational severe sepsis/septic shock registry in a tertiary hospital in the province of Guipuzcoa (Spain)].

    abstract:OBJECTIVE:To determine the epidemiological and clinical characteristics of the patients with severe sepsis/septic shock admitted to the ICU of Donostia Hospital (Guipuzcoa, Spain), analyzing the prognostic factors and comparing them with the existing data at national level. DESIGN:A prospective observational study was...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Azkárate I,Sebastián R,Cabarcos E,Choperena G,Pascal M,Salas E

    更新日期:2012-05-01 00:00:00

  • [Treatment alternatives in massive hemorrhage].

    abstract::Massive hemorrhage is the main cause of mortality and morbidity in trauma patients, and is one of the most important causes in any patient following major surgery. Conventional treatment consists of volume replacement, including the transfusion of blood products, so that tissue perfusion and oxygenation may be maintai...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Fernández-Hinojosa E,Murillo-Cabezas F,Puppo-Moreno A,Leal-Noval SR

    更新日期:2012-10-01 00:00:00

  • Weaning from mechanical ventilation: why are we still looking for alternative methods?

    abstract::Most patients who require mechanical ventilation for longer than 24 hours, and who improve the condition leading to the indication of ventilatory support, can be weaned after passing a first spontaneous breathing test. The challenge is to improve the weaning of patients who fail that first test. We have methods that c...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Frutos-Vivar F,Esteban A

    更新日期:2013-12-01 00:00:00

  • [Changes in health-related quality of life after ICU according to diagnostic category. Comparison of two measurement instruments].

    abstract:OBJECTIVE:Assessment of health related quality of life (HRQOL) before and 12 months after discharge from a mixed intensive care unit (ICU) according to diagnostic category and the relationship between both instruments. DESIGN:Prospective observational study. SETTING:The combined medical/surgical ICU in a secondary un...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Badia Castelló M,Trujillano Cabello J,Serviá Goixart L,March Llanes J,Rodríguez-Pozo A

    更新日期:2008-06-01 00:00:00

  • [MARS (Molecular Absorbent Recirculating System) as hepatic extracorporeal care in serious acute liver failure of alcoholic etiology].

    abstract::Acute liver failure with criteria of seriousness and alcoholic etiology is a picture of worldwide distribution, with an elevated mortality, of approximately 50%, that requires admission to the ICU. Acute serious alcoholic hepatitis is defined by a Maddrey score value > 32 and/or spontaneous encephalopathy. Together wi...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Mora JM,Olmedo R,Curiel E,Muñoz J,Herrera M,Séller G

    更新日期:2006-11-01 00:00:00

  • [MELAS: diagnostic keys and treatment in the Intensive Care Unit].

    abstract::Cerebrovascular accident in young adults is not rare and the most common causes are: cardiac embolism, arterial dissection and migraine. The unknown etiology, in spite of extensive studies, is described in the literature in about one third of patients under 45 years of age. The mitochondrial encephalomyopathy, lactic ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Gómez Seijo A,Castro Orjales MJ,Pastor Benavent JA

    更新日期:2008-04-01 00:00:00

  • [Changes observed in three quality indicators after the implementation of improvement strategies in the respiratory intensive care unit].

    abstract:OBJECTIVE:To compare the results of quality monitoring after the implementation of improvement strategies in the respiratory intensive care unit (RICU). DESIGN:A prospective, comparative, longitudinal and interventional study was carried out. SETTING:The RICU of Hospital General de México (Mexico). PATIENTS:All pati...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Álvarez Maldonado P,Cueto Robledo G,Cicero Sabido R

    更新日期:2015-04-01 00:00:00

  • Compatibility of drugs administered as Y-site infusion in intensive care units: A systematic review.

    abstract:OBJECTIVES:To gather all published information about the stability of drugs commonly used in Intensive Care Units (ICU); evaluate the methodology of published data; and generate a compatibility table. DESIGN:i) A systematic review was conducted searching the following databases: Medline, Stabilis, Handbook of Injectab...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Castells Lao G,Rodríguez Reyes M,Roura Turet J,Prat Dot M,Soy Muner D,López Cabezas C

    更新日期:2020-03-01 00:00:00

  • Advances in immunosuppression after lung transplantation.

    abstract::Immunosuppression in transplantation has experienced changes in recent years as a result of the introduction of new drugs that act upon the different pathways of the host immune response with the purpose of securing more individualized immune suppression, with fewer side effects. Although following in the steps of oth...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Borro JM

    更新日期:2013-01-01 00:00:00

  • Effect upon mortality of the extension to holidays and weekends of the "ICU without walls" project. A before-after study.

    abstract:OBJECTIVE:To determine whether extension to holidays and weekends of the protocol for the early proactive detection of severity in hospital ("ICU without walls" project) results in decreased mortality among patients admitted to the ICU during those days. DESIGN:A quasi-experimental before-after study was carried out. ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Abella A,Enciso V,Torrejón I,Hermosa C,Mozo T,Molina R,Janeiro D,Díaz M,Homez M,Gordo F,Salinas I

    更新日期:2016-06-01 00:00:00

  • [Hormone modulation of organ donor. Utility of the steroids].

    abstract::Recently, the work group made up of the National Transplant Organization (Organización Nacional de Trasplantes, ONT), Spanish Society of Intensive, Critical Medicine and Coronary Units (Sociedad Española de Medicina Intensiva, Crítica y de Unidades Coronarias, SEMICYUC) and other Scientific Societies have recommended ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Michelena JC,Chamorro C,Falcón JA,Garcés S

    更新日期:2009-06-01 00:00:00

  • Oxidative stress in immunocompetent patients with severe community-acquired pneumonia. A pilot study.

    abstract:OBJECTIVE:A comparison was made of the oxidative stress (OS) levels of patients with either viral or bacterial severe community-acquired pneumonia (sCAP) and of patients without infection (healthy volunteers (HV) and patients with acute myocardial infarction (AMI)). DESIGN:A prospective observational study was made. ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Trefler S,Rodríguez A,Martín-Loeches I,Sanchez V,Marín J,Llauradó M,Romeu M,Díaz E,Nogués R,Giralt M

    更新日期:2014-03-01 00:00:00

  • [Intermittent versus continuous renal replacement techniques: pro intermittent].

    abstract::After an introduction that summarizes the new definitions and risk classification of acute kidney injury, along with the consequences on its epidemiology, available evidence in the literature is reviewed in order to compare intermittent and continuous renal replacement therapy in terms of survival, renal function reco...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审


    authors: Barrio V

    更新日期:2009-03-01 00:00:00

  • TLR2-TLR4/CD14 polymorphisms and predisposition to severe invasive infections by Neisseria meningitidis and Streptococcus pneumoniae.

    abstract:PURPOSE:Streptococcus pneumoniae and Neisseria meningitidis are major causes of severe invasive bacterial infections in some individuals. Apparently the genetic is a major susceptibility determinant to these infectious diseases. We study if the functional polymorphisms within genes of the innate immune system (TLR2-TLR...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Tellería-Orriols JJ,García-Salido A,Varillas D,Serrano-González A,Casado-Flores J

    更新日期:2014-08-01 00:00:00

  • Hemodynamic resuscitation with fluids bolus and norepinephrine increases severity of lung damage in an experimental model of septic shock.

    abstract:OBJECTIVE:Hemodynamic resuscitation is considered a cornerstone of the initial treatment of septic shock. However, there is growing concern about its side effects. Our objective was to assess the relationship between fluid administration and norepinephrine infusion and the development of lung injury. DESIGN:Randomized...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Guijo Gonzalez P,Gracia Romero MA,Gil Cano A,Garcia Rojo M,Cecconi M,Monge Garcia IM

    更新日期:2020-07-24 00:00:00

  • [Evacuation plan of an intensive care unit: a new quality indicator?].

    abstract::The intensive care units must be prepared for a possible disaster, whether internal or external, in case it becomes necessary to evacuate the in-patients. They must have an Emergency and Self-protection Plan that includes the patient evacuation criteria and this must be known by all the personnel who work in the servi...

    journal_title:Medicina intensiva

    pub_type: 杂志文章


    authors: Sánchez-Palacios M,Lorenzo Torrent R,Santana-Cabrera L,Martín García JA,Campos SG,Carrasco de Miguel V,Grupo de Trabajo del Plan de Autoprotección para el Servicio de Medicina Intensiva.

    更新日期:2010-04-01 00:00:00