2015, Number 2
<< Back Next >>
Rev Cub Med Int Emerg 2015; 14 (2)
Admission approaches in the progressive care units. 'Gustavo Aldereguia Lima' Hospital
Quintero MY, Espinosa BA, Nela FM, Santos PM, de Pazos CJL
Language: Spanish
References: 18
Page: 33-48
PDF size: 155.18 Kb.
ABSTRACT
Introduction: The adequate use of the intensive and intermediate care units keeping in mind the benefits that they have reported for the serious patients has been thoroughly demonstrated.
Objective: To date the approaches of admission of the patient in intensive and intermediate care units.
Method: A qualitative investigation (action investigation) was carried out; it was developed in three stages.
Results: At "Gustavo Aldereguia" Hospital, taking into account some observations, a systematic revision is necessary in order to join approaches on whose would be
more benefited with these services. Initially by means of a technical group the bases for elaboration the approaches were defined. In a second stage by means of
the technique of nominal groups, the approaches of entrance were defined, conforming a document validated by approach of experts (third stage) using the
Delphi technique for which it was necessary three beats in order to achieve more than a 90% of agreement.
Conclusions: Starting from the carried out design a document was obtained where the approaches of admission in the serious attention units at "Gustavo Aldereguia
Lima" Hospital in Cienfuegos were actualized, endowing to the center with a useful tool in the organization of the intensive medicine services. It also offers a series of
recommendations or bases that should be keep in mind in the moment of defining the admission of a patient in a serious attention unit.
REFERENCES
Caballero López A. Historia de los Cuidados Intensivos. En: Terapia Intensiva. La Habana: Editorial de Ciencias Médicas; 2006. p.4-6
Quijano Pitman F, Quijano Orvañanos F. Historia de las unidades de cuidados intensivos: dos antecedentes mexicanos. Cir Gen. 1995;17(4):313-6.
Navarro Machado VR, Falcón Hernández A, Girau Rodríguez D. Apuntes para la historia de los Cuidados Intensivos en Cienfuegos. Rev Cub Med Intens Emerg. [serie en Internet] 2009 [citado 9 Sep 2012]; 8(2): [aprox. 8 p.]. Disponible en: http://bvs.sld.cu/revistas/mie/vol8_2_09/mie02209.htm
Society of Critical Care Medicine. Guidelines for UCI Admission discharge and triage. Critical Care Med. 1999 Mar;27(3):633-8.
Talmor D, Shapiro N, Greenberg D, Shone P, Neumann J. When is critical care medicine cost-effective? A systematic review of the cost-effectiveness literature. Crit Care Med. 2006;34:2738-47.
Gómez Tello V. Cuando es el tratamiento coste efectivo en Cuidados Intensivos. Una revisión de la literatura. REMI [serie en internet]. 2006 [citado 11 Sep 2012] ;6(12): [aprox. 10 p.]. Disponible en: http://remi.uninet.edu/2006/12/REMIA060.htm
Society of Critical Care Medicine. Guidelines for Admission and discharge for Adult Intermediate Care Units. Critical Care Med 1998 Mar; 26(3):607-10.
Castillo F, López JM, Marco R, González JA, Puppo AM, Murillo F. Gradación asistencial en Medicina Intensiva: Unidades de Cuidados Intermedios. Med Intensiva. 2007;31(1).
Esteban A, Anzueto A, Frutos-Vivar F, Alia I, Ely EW, Brochard L, et al. Outcome of older patients receiving mechanical ventilation. Intensive Care Med. 2004;30:639-46.
Boumendil A, Maury E, Reinhard I, Luquel L, Offenstadt G, Guidet B. Prognosis of patients aged 80 years and over admitted in medical intensive care unit. Intensive Care Med. 2004;30:647-54.
Prieto M, López-Messa J, de San Luis LC, Pascual R, Sison M. Características de pacientes críticos, sometidos a cuidados potencialmente ineficientes. Med Intensiva. 2003;25(Suppl 1):283.
López-Messa JB. Envejecimiento y Medicina Intensiva. Med Intensiva. 2005;29(09):469-74.
Garrouste-Orgeas M, Boumendil A, Pateron D, Aergerter P, Somme D, Simon T, Guidet B. Selection of intensive care unit admission criteria for patients aged 80 years and over and compliance of emergency and intensive care unit physicians with the selected criteria: An observational, multicenter, prospective study. Crit Care Med. 2009;37(11):2919-28.
European Society of Intensive Care Medicine. Guidelines for the utilisation of intensive care units. Intensive Care Med. 1994;20:163-4.
Élie Azoulay, Nancy Kentish-Barnes and Frédéric Pochard. Health-Related Quality of Life: An Outcome variable in Critical Care Survivors. Chest. 2008;133:339-41.
Vincent JL, Suter P, Bihari D, Bruining H. Organization of intensive care units in Europe: lessons from the EPIC study. Intensive Care Med. 1997;23:1181-4.
Truog RD, Campbell ML, Curtis JR, Curtis E, John M, Gordon D, Hylton Rushton C, Kaufman D. Recommendations for end-of-life care in the intensive care unit: A consensus statement by the American College of Critical Care Medicine. Crit Care Med. 2008;36(3):953-63.
Sánchez Miranda JM. Gutiérrez CA. Aspectos éticos acerca de los cuidados en etapas terminales de la vida en unidades de cuidados intensivos. Rev Cub Med Int Emerg 2004;3(1):97-110.