Subjects -> HEALTH AND SAFETY (Total: 1464 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (686 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (358 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (112 journals)
    - PHYSICAL FITNESS AND HYGIENE (117 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (686 journals)

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Southern African Journal of Critical Care
Journal Prestige (SJR): 0.159
Number of Followers: 4  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1562-8264 - ISSN (Online) 2078-676X
Published by African Journals Online Homepage  [260 journals]
  • Deep medicine … Navigating the intersection of technology, cognition and
           ethics in the digital age of medicine

    • Authors: P.D. Gopalan, M. Pienaar, S.I. Brokensha
      Pages: 58 - 60
      Abstract: The digital expansion in medicine and healthcare has been immense and extremely valuable. The biggest concern in the face of this inevitable growth is how we manage to keep contact with our patients and preserve the human touch so essential in healing. Digital  healthcare should not be about technology replacing clinicians. Instead, it should be about augmenting and supplementing healthcare  providers to improve the ways in which we deliver personalised healthcare. It is vital that we focus on how we can revitalise the patient- clinician relationship in this digital age.
      PubDate: 2024-02-02
      Issue No: Vol. 39, No. 3 (2024)
       
  • Groote Schuur Hospital neurosurgical intensive care unit: A 2-year review
           of admission characteristics

    • Authors: S. Rashid, I. Joubert, P. Semple
      Pages: 62 - 66
      Abstract: Background: At Groote Schuur Hospital (GSH), the neurosurgical intensive care unit (NsICU) is a 6-bed unit headed by a specialist neurosurgeon with extensive experience in neurocritical care, working in close collaboration with intensivists from the Division of Critical Care. There is currently no detailed analysis of the demographics, diagnosis and management of patients admitted to the NsICU at GSH. Objectives: To provide a detailed descriptive analysis of the demographics, diagnosis and management of patients admitted to the  NsICU at GSH from 1 January 2020 to 31 December 2021. Methods: A retrospective descriptive analysis was done of patients who received treatment in the NsICU from 1 January 2020 to 31  December 2021. Results: A total of 685 patients were admitted to the unit over a 2-year period, with a male preponderance (68.2%). The average age was  42.5 (standard deviation (SD) 17.2) years. The most common neurosurgical diagnoses were traumatic brain injuries (39.6%), brain  tumours (22.6%) and aneurysmal subarachnoid haemorrhages (9.9%). Emergency admissions comprised 76.6% of the total and 86.7% of  patients were admitted postoperatively. Three hundred and seventy-two patients (54.3%) required mechanical ventilation, 132 (19.3%)  required both an intracranial pressure (ICP) monitor and brain tissue oxygenation monitor, 86 (12.5%) needed placement of an external  ventricular drain, 50 (7.3%) needed placement of a tracheostomy tube and 16 (2.3%) needed placement of an ICP monitor only. The  average duration of stay was 5.5 (1.3) days and NsICU mortality over 2 years was 11.1%. Conclusion: The NsICU at GSH manages  predominantly male trauma patients and a significant number of admitted patients require specialised invasive intracranial monitoring. 
      PubDate: 2024-02-02
      Issue No: Vol. 39, No. 3 (2024)
       
  • Core competencies in critical care for general medical practitioners in
           South Africa: A Delphi study

    • Authors: S.D. Maasdorp, F. Paruk, K. de Vasconcellos, C. Grion, I. Joubert, G.M. Joynt, N. Kalafatis, S.E. Lapinsky, J. Lipman, M.L.N.G. Malbrain, B. Mrara, G.A. Richards, M.G.L. Spruyt, E. van der Merwe, J.L. Vincent, L.J. van der Merwe
      Pages: 67 - 74
      Abstract: Background: Despite a high burden of disease that requires critical care services, there are a limited number of intensivists in South  Africa (SA). Medical practitioners at district and regional public sector hospitals frequently manage critically ill patients in the absence of  intensivists, despite these medical practitioners having had minimal exposure to critical care during their undergraduate training. Objectives: To identify core competencies in critical care for medical practitioners who provide critical care services at public sector  hospitals in SA where intensivists are not available to direct patient management. Methods: A preliminary list of core competencies in critical care was compiled. Thereafter, 13 national and international experts were  requested to achieve consensus on a final list of core competencies that are required for critical care by medical practitioners, using a  modified Delphi process. Results: A final list of 153 core competencies in critical care was identified. Conclusion: The core competencies  identified by this study could assist in developing training programmes for medical practitioners to improve the quality of critical care  services provided at district and regional hospitals in SA. 
      PubDate: 2024-02-02
      Issue No: Vol. 39, No. 3 (2024)
       
  • Patient perceptions of ICU physiotherapy: ‘Your body needs to go
           somewhere to be recharged … ’

    • Authors: F. Karachi, M.B. van Nes, R. Gosselink, S. Hanekom
      Pages: 75 - 83
      Abstract: Background: Patient satisfaction is an essential concept to consider for the improvement of quality care in healthcare centres and  hospitals and has been linked to increased patient compliance with treatment plans, better patient safety and improved clinical  outcomes.
      Objective: As part of a before-and-after clinical trial aimed to investigate the implementation of an evidence-based and -validated  physiotherapy protocol within a surgical intensive care unit (ICU), we decided to include the patient perception of physiotherapy received  in the intervention unit.
      Method: A nested, exploratory, descriptive, qualitative study design was adopted. Purposively selected adult patients discharged from  ICU during the implementation phase of the trial were interviewed.
      Results: Eighteen patients (10 male) with a median age of 44 years and median ICU length of stay (LOS) of six days were included. Three themes and nine categories emerged: (i) linking therapy to clinical outcome (patient expectations and understanding; physiotherapy  activities and the implication of mobilisation; physiotherapy benefits and progression); (ii) the importance of developing a trusting  relationship (physiotherapy value; safety; continuity of care); and (iii) communication (satisfaction; interactions and patient perception  and experience of physiotherapy).
      Conclusion: While confirming barriers to early mobility, patients perceived participation in mobility activities as a marked jolt in their  journey to recovery following a critical incident. Effective communication and preservation of trust between physiotherapist and patient  are essential for understanding expectations and can facilitate improved outcomes. Clinicians can use the information when managing  critically ill patients. Including patient-reported outcomes to measure physiotherapy interventions used in the ICU is feasible and can  inform the development of such outcomes.
      PubDate: 2024-02-02
      Issue No: Vol. 39, No. 3 (2024)
       
  • Outcomes of traumatic brain injury patients in an adult intensive care
           unit of a South African regional hospital, without on-site neurosurgical
           service: A retrospective quantitative study on the neurological
           improvement at discharge

    • Authors: A. Sallie, R. Wise
      Pages: 84 - 89
      Abstract: Background: Traumatic brain injury (TBI) is a major cause of mortality and disability. The South African (SA) province of Kwazulu-Natal faces challenges in providing appropriate care for TBI patients owing to limited resources and delayed access to healthcare services. We  aimed to assess the outcomes of patients with TBI who were treated at a hospital without a neurosurgical unit (NSU). Objectives: The primary objective was to compare the Glasgow Coma Scale (GCS) scores at admission and discharge from the intensive care unit (ICU) for patients with TBI receiving neuroprotection. Secondary objectives included analysing demographics and identifying  predictive factors associated with GCS score improvement. Methods: This retrospective study analysed data from the already established ICU Integrated Critical Care Electronic Database. Data on  patient demographics, mechanisms of injury and GCS scores were collected and analysed. Results: The analysis included 95 TBI patients, most of whom were young males. Interpersonal violence and transport-related trauma were the main causes of injury among patients. Approximately 63% of patients had a GCS score improvement >1 upon discharge from  the ICU. Patients who received >12 hours of neuroprotection in the emergency department had significantly lower rates of improvement. Conclusion: Sixty-three percent of TBI patients had improved GCS scores by >1 on discharge from the ICU, but outcomes varied. Delayed
      ICU admission from the emergency department of >12 hours might contribute to worse outcomes. Timely neuroprotection, improved  access to neurosurgical care and better understanding of the factors affecting outcomes are needed.
      PubDate: 2024-02-02
      Issue No: Vol. 39, No. 3 (2024)
       
  • The utility of brain natriuretic peptide as a prognosticating marker in
           critical care patients

    • Authors: A. Naidoo, K. de Vasconcellos
      Pages: 90 - 95
      Abstract: Background: Brain natriuretic peptide (BNP) is an established biomarker of morbidity and mortality in cardiac failure. Data also suggest potential prognostic utility in non-heart failure cohorts. The utility of BNP in predicting intensive care unit (ICU) outcomes has not been  well evaluated in a mixed critical care population in the South African (SA) context. Objective: To evaluate the ability of BNP to predict ICU mortality in a heterogeneous critical care population in SA. Methods: This was a retrospective observational study of 100 patients admitted to a multidisciplinary, closed, intensivist-run ICU in a tertiary academic hospital serving KwaZulu-Natal Province (1 January 2020 - 31 July 2022). Initial BNP was evaluated as a predictor of ICU  mortality using univariate and multivariable analyses. Results: There was a statistically significant difference in BNP between survivors and non-survivors in the cohort of patients without  heart failure. The median initial BNP in the non-heart failure cohort was 411 (interquartile range (IQR) 116 - 848) ng/L in non-survivors,  and 150 (44 - 356) ng/L in survivors (p=0.028). The optimal cut-off for BNP was determined as 366 ng/L. A BNP ≥366 ng/L was an  independent predictor of ICU outcome. Conclusion: This study highlights the potential utility of BNP as a predictor of ICU mortality in a heterogeneous ICU population, with the  greatest utility in patients without heart failure. Further studies are required to confirm this finding. 
      PubDate: 2024-02-02
      Issue No: Vol. 39, No. 3 (2024)
       
 
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  Subjects -> HEALTH AND SAFETY (Total: 1464 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (686 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (358 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (112 journals)
    - PHYSICAL FITNESS AND HYGIENE (117 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (686 journals)

We no longer collect new content from this publisher because the publisher has forbidden systematic access to its RSS feeds.
Similar Journals
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School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
 


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