Details

Autor(en) / Beteiligte

• Salluh, Jorge I F
• Lisboa, Thiago
• Bozza, Fernando A

Titel

Challenges for the care delivery for critically ill COVID-19 patients in developing countries: the Brazilian perspective

Ist Teil von

• Critical care (London, England), 2020-09, Vol.24 (1), p.593-593, Article 593

Ort / Verlag

England: BioMed Central Ltd

Erscheinungsjahr

2020

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• The inequity of access to an ICU bed, heterogeneous triage policies, a low staff/patient ratio and suboptimal adherence to evidence-based practices contribute to disproportionally high mortality of sepsis and acute respiratory distress syndrome in these countries [2,3,4,5]. Despite its high absolute number of ICU beds [7], even in comparison with western European countries, the heterogeneous regional distribution and payor-based access are major barriers for a more equitable delivery of critical care. Brazilian data shows that interventions such as early sepsis triage and treatment [5], the use of protocols for the prevention of ICU-acquired complications, and organizational changes (i.e., promoting autonomy for ICU nurses or adding a pharmacist to the staff) [11, 12] are associated with lower hospital mortality and lengths of stay. Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients: a randomized clinical trial.