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Caring for Critically Ill Patients with the ABCDEF Bundle: Results of the ICU Liberation Collaborative in Over 15,000 Adults
Critical Care Medicine · 2018 · Vol. 47(1) · pp. 3–14
Brenda T. Pun✉Michele C. Balas(The Ohio State University Wexner Medical Center)Mary Ann Barnes‐Daly(Sutter Health)Jennifer L. Thompson(Vanderbilt University Medical Center)Janet Aldrich(University of California, San Francisco)Juliana Barr(Stanford University)Diane ByrumShannon S. Carson(University of North Carolina at Chapel Hill)John W. DevlinHeidi J. Engel(University of California, San Francisco)Cheryl L. Esbrook(University of Chicago)Ken Hargett(Methodist Hospital)Lori Harmon(Society of Critical Care Medicine)Christina Hielsberg(Society of Critical Care Medicine)James C. JacksonTamra Kelly(Sutter Health)Vishakha K. Kumar(Society of Critical Care Medicine)Lawson MillnerAlexandra Morse(Sutter Health)Christiane Perme(Methodist Hospital)Patricia J. Posa(Trinity Health Michigan)Kathleen Puntillo(University of California, San Francisco)William D. Schweickert(University of Pennsylvania)Joanna L. Stollings(Vanderbilt University Medical Center)Alai Tan(The Ohio State University)Lucy D’Agostino McGowanE. Wesley Ely
Abstract
ABCDEF bundle performance showed significant and clinically meaningful improvements in outcomes including survival, mechanical ventilation use, coma, delirium, restraint-free care, ICU readmissions, and post-ICU discharge disposition.
Intensive Care Unit Cognitive DisordersFamily and Patient Care in Intensive Care UnitsHealthcare Decision-Making and RestraintsMedicineDeliriumMechanical ventilationOdds ratioSedationEmergency medicineHazard ratioProspective cohort studyComa (optics)Spontaneous breathing trial
MeSH terms
AdolescentAdultAgedAged, 80 and overComaDeliriumFemaleHumansIntensive Care UnitsMaleMiddle AgedPainPatient DischargePatient ReadmissionRespiration, Artificial
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