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Weight and height documentation: Does ICU measure up?
McFall, Alan; Peake, Sandra L; Williams, Patrica J.
Afiliação
  • McFall A; The Queen Elizabeth Hospital, Department of Intensive Care Medicine, 28 Woodville Road, Woodville South, 5011, South Australia, Australia. Electronic address: alan.mcfall@sa.gov.au.
  • Peake SL; The Queen Elizabeth Hospital, Department of Intensive Care Medicine, 28 Woodville Road, Woodville South, 5011, South Australia, Australia; School of Medicine, University of Adelaide, North Terrace, Adelaide, 5000, South Australia, Australia; School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, 3004, Victoria, Australia. Electronic address: Sandra.peake@sa.gov.au.
  • Williams PJ; The Queen Elizabeth Hospital, Department of Intensive Care Medicine, 28 Woodville Road, Woodville South, 5011, South Australia, Australia; School of Medicine, University of Adelaide, North Terrace, Adelaide, 5000, South Australia, Australia; School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, 3004, Victoria, Australia. Electronic address: Tricia.williams@sa.gov.au.
Aust Crit Care ; 32(4): 314-318, 2019 07.
Article em En | MEDLINE | ID: mdl-30005937
BACKGROUND: Reliable assessment and documentation of weight and height are essential for the accurate delivery of many critical care interventions. METHODS: We conducted a 3-month retrospective, cross-sectional, single-centre audit to determine the prevalence of weight and height documentation in the clinical records of patients admitted to the intensive care unit (ICU) for the period from 3 months prior to hospital admission up to hospital discharge. RESULTS: One hundred forty-one index ICU admissions were identified from October-December 2015 with 138 medical records available for analysis. Median (interquartile range) age was 64.5 (50.8-75.3) years, the majority were male (60.9%, 84/138), and the ICU admission Acute Physiology and Chronic Health Evaluation II score was 19.0 (14.0-25.0). Overall, weight and height were recorded in 90 (65.2%) and 63 (45.6%) patients, respectively. For elective postoperative admissions (n = 20), weight and height were recorded in 20 (100%) and 19 (95%) patients. For emergency medical and surgical admissions, 70 (59.3%) and 44 (37.2%) patients had weight and height recorded in both the 3-month period prior to hospital admission and the in-hospital period. A moderate, positive correlation was shown, r = 0.55, P < 0.001, with a longer hospital length of stay being associated with a greater number of weight and height records for each patient. In the emergency patient cohort, 81.7% (n = 215/263) of weight- and/or height-based interventions occurred before or during the ICU admission, of which 69.9% (n = 184/263) required consideration of ideal body weight. CONCLUSION: Measurement and medical record documentation of weight and height is infrequently performed in ICU patients. Given the clinical requirement for accurate measurement and documentation, further research to understand the barriers to perform and document this important process of care is necessary.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estatura / Peso Corporal / Documentação / Unidades de Terapia Intensiva Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estatura / Peso Corporal / Documentação / Unidades de Terapia Intensiva Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2019 Tipo de documento: Article