Source:http://linkedlifedata.com/resource/pubmed/id/11265020
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
3
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| pubmed:dateCreated |
2001-3-26
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| pubmed:abstractText |
Variability and logistic complexity of mechanical ventilatory support of acute respiratory distress syndrome, and need to standardize care among all clinicians and patients, led University of Utah/LDS Hospital physicians, nurses, and engineers to develop a comprehensive computerized protocol. This bedside decision support system was the basis of a multicenter clinical trial (1993-1998) that showed ability to export a computerized protocol to other sites and improved efficacy with computer- versus physician-directed ventilatory support. The Memorial Hermann Hospital Shock Trauma intensive care unit (ICU) (Houston, TX; a Level I trauma center and teaching affiliate of The University of Texas Houston Medical School) served as one of the 10 trial sites and recruited two thirds of the trauma patients. Results from the trauma patient subgroup at this site are reported to answer three questions: Can a computerized protocol be successfully exported to a trauma ICU? Was ventilator management different between study groups? Was patient outcome affected?
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| pubmed:grant | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Mar
|
| pubmed:issn |
0022-5282
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| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
50
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| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
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| pubmed:pagination |
415-24; discussion 425
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| pubmed:dateRevised |
2007-11-15
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| pubmed:meshHeading |
pubmed-meshheading:11265020-Adult,
pubmed-meshheading:11265020-Blood Gas Analysis,
pubmed-meshheading:11265020-Clinical Protocols,
pubmed-meshheading:11265020-Decision Support Techniques,
pubmed-meshheading:11265020-Female,
pubmed-meshheading:11265020-Humans,
pubmed-meshheading:11265020-Injury Severity Score,
pubmed-meshheading:11265020-Intensive Care,
pubmed-meshheading:11265020-Length of Stay,
pubmed-meshheading:11265020-Male,
pubmed-meshheading:11265020-Morbidity,
pubmed-meshheading:11265020-Multiple Trauma,
pubmed-meshheading:11265020-Outcome Assessment (Health Care),
pubmed-meshheading:11265020-Point-of-Care Systems,
pubmed-meshheading:11265020-Positive-Pressure Respiration,
pubmed-meshheading:11265020-Practice Guidelines as Topic,
pubmed-meshheading:11265020-Respiratory Distress Syndrome, Adult,
pubmed-meshheading:11265020-Survival Analysis,
pubmed-meshheading:11265020-Trauma Centers
|
| pubmed:year |
2001
|
| pubmed:articleTitle |
Computerized decision support for mechanical ventilation of trauma induced ARDS: results of a randomized clinical trial.
|
| pubmed:affiliation |
Department of Anesthesiology, University of Texas-Houston Medical School, Houston, Texas 77030, USA. Bruce.A.McKinley@uth.tmc.edu
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| pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial,
Multicenter Study
|