Evolution of the Complexity of Patient Care Activity in a Cardiac Intensive Care Unit
Background and Aim: The Cardiac Intensive Care Unit (CICU) is characterized by a high level of complexity of patient care activity, which implies particular responsibilities, skills and demands for professionals in these wards. To face these challenges, effective communication is needed within the m...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca
2023-09-01
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| Series: | Applied Medical Informatics |
| Subjects: | |
| Online Access: | https://ami.info.umfcluj.ro/index.php/AMI/article/view/983 |
| _version_ | 1827802846369677312 |
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| author | Liliana BUCUR Viorica NEDELCU Daniela MINCULEASA Mihaela PODĂRĂSCU Ştefania CĂLIN Mihaela BRATANOF Ioana MARINICĂ Daniela FILIPESCU |
| author_facet | Liliana BUCUR Viorica NEDELCU Daniela MINCULEASA Mihaela PODĂRĂSCU Ştefania CĂLIN Mihaela BRATANOF Ioana MARINICĂ Daniela FILIPESCU |
| author_sort | Liliana BUCUR |
| collection | DOAJ |
| description | Background and Aim: The Cardiac Intensive Care Unit (CICU) is characterized by a high level of complexity of patient care activity, which implies particular responsibilities, skills and demands for professionals in these wards. To face these challenges, effective communication is needed within the multiprofessional medical team. Materials and Methods: We carried out a retrospective study for a period of 8 years (2015-2022), and we evaluated the number of patients cared for, the reason and type of admission, the presence of complex monitoring and life support devices, the activity score for the ICU (OMEGA-RO), and the length of stay in CICU. Results: The evolution of patients from 2015-2019 showed a constant upward trend: patients cared for - from 750 to 960; surgical patients - from 346 to 595; emergencies - from 300 to 508. Also, the number of patients with complex monitoring and assistance increased constantly, from 263 to 485. A constant increase was also observed for OMEGA-RO - from 149 to 170.2 and the average length of stay - from 2.8 to 4.5 days. The impact of the COVID-19 pandemic led to a reduction in patients' access to medical services, as evidenced by the decrease in the number of patients during 2020-2021. However, the data analyzed for 2022 prove the return to the trend of increasing the number of patients and the complexity of their care. Conclusions: The high complexity of the patient care process in CICU argues for the need to ensure an optimal level of human and material resources to facilitate the provision of safe and quality care. There is also a need for the periodic participation of the staff in training programs and continuous medical education, which ensures the maintenance and development of the specific skills of the professionals in these departments. |
| first_indexed | 2024-03-11T20:45:53Z |
| format | Article |
| id | doaj.art-ea250eb858b04f3993fec3f7761bbee4 |
| institution | Directory Open Access Journal |
| issn | 2067-7855 |
| language | English |
| last_indexed | 2024-03-11T20:45:53Z |
| publishDate | 2023-09-01 |
| publisher | Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca |
| record_format | Article |
| series | Applied Medical Informatics |
| spelling | doaj.art-ea250eb858b04f3993fec3f7761bbee42023-10-01T11:36:36ZengIuliu Hatieganu University of Medicine and Pharmacy, Cluj-NapocaApplied Medical Informatics2067-78552023-09-0145Suppl. S1S43S431090Evolution of the Complexity of Patient Care Activity in a Cardiac Intensive Care UnitLiliana BUCUR0Viorica NEDELCU1Daniela MINCULEASA2Mihaela PODĂRĂSCU3Ştefania CĂLIN4Mihaela BRATANOF5Ioana MARINICĂ6Daniela FILIPESCU7The Emergency Institute for Cardiovascular Diseases „Prof. Dr. C. C. Iliescu ”, Anesthesia and Intensive Care Unit II, Fundeni Road, no. 258, 022322 Bucharest, RomaniaThe Order of Nurses, Midwives and Medical Assistants in Romania - Bucharest Branch, Avrig Street, no. 12, 021575 Bucharest, RomaniaThe Emergency Institute for Cardiovascular Diseases „Prof. Dr. C. C. Iliescu ”, Anesthesia and Intensive Care Unit II, Fundeni Road, no. 258, 022322 Bucharest, RomaniaThe Emergency Institute for Cardiovascular Diseases „Prof. Dr. C. C. Iliescu ”, Anesthesia and Intensive Care Unit II, Fundeni Road, no. 258, 022322 Bucharest, RomaniaThe Emergency Institute for Cardiovascular Diseases „Prof. Dr. C. C. Iliescu ”, Anesthesia and Intensive Care Unit II, Fundeni Road, no. 258, 022322 Bucharest, RomaniaThe Emergency Institute for Cardiovascular Diseases „Prof. Dr. C. C. Iliescu ”, Anesthesia and Intensive Care Unit II, Fundeni Road, no. 258, 022322 Bucharest, RomaniaThe Emergency Institute for Cardiovascular Diseases „Prof. Dr. C. C. Iliescu ”, Anesthesia and Intensive Care Unit II, Fundeni Road, no. 258, 022322 Bucharest, RomaniaThe Emergency Institute for Cardiovascular Diseases „Prof. Dr. C. C. Iliescu ”, Anesthesia and Intensive Care Unit II, Fundeni Road, no. 258, 022322 Bucharest, RomaniaBackground and Aim: The Cardiac Intensive Care Unit (CICU) is characterized by a high level of complexity of patient care activity, which implies particular responsibilities, skills and demands for professionals in these wards. To face these challenges, effective communication is needed within the multiprofessional medical team. Materials and Methods: We carried out a retrospective study for a period of 8 years (2015-2022), and we evaluated the number of patients cared for, the reason and type of admission, the presence of complex monitoring and life support devices, the activity score for the ICU (OMEGA-RO), and the length of stay in CICU. Results: The evolution of patients from 2015-2019 showed a constant upward trend: patients cared for - from 750 to 960; surgical patients - from 346 to 595; emergencies - from 300 to 508. Also, the number of patients with complex monitoring and assistance increased constantly, from 263 to 485. A constant increase was also observed for OMEGA-RO - from 149 to 170.2 and the average length of stay - from 2.8 to 4.5 days. The impact of the COVID-19 pandemic led to a reduction in patients' access to medical services, as evidenced by the decrease in the number of patients during 2020-2021. However, the data analyzed for 2022 prove the return to the trend of increasing the number of patients and the complexity of their care. Conclusions: The high complexity of the patient care process in CICU argues for the need to ensure an optimal level of human and material resources to facilitate the provision of safe and quality care. There is also a need for the periodic participation of the staff in training programs and continuous medical education, which ensures the maintenance and development of the specific skills of the professionals in these departments.https://ami.info.umfcluj.ro/index.php/AMI/article/view/983patient carecomplexitycardiac intensive care unit |
| spellingShingle | Liliana BUCUR Viorica NEDELCU Daniela MINCULEASA Mihaela PODĂRĂSCU Ştefania CĂLIN Mihaela BRATANOF Ioana MARINICĂ Daniela FILIPESCU Evolution of the Complexity of Patient Care Activity in a Cardiac Intensive Care Unit Applied Medical Informatics patient care complexity cardiac intensive care unit |
| title | Evolution of the Complexity of Patient Care Activity in a Cardiac Intensive Care Unit |
| title_full | Evolution of the Complexity of Patient Care Activity in a Cardiac Intensive Care Unit |
| title_fullStr | Evolution of the Complexity of Patient Care Activity in a Cardiac Intensive Care Unit |
| title_full_unstemmed | Evolution of the Complexity of Patient Care Activity in a Cardiac Intensive Care Unit |
| title_short | Evolution of the Complexity of Patient Care Activity in a Cardiac Intensive Care Unit |
| title_sort | evolution of the complexity of patient care activity in a cardiac intensive care unit |
| topic | patient care complexity cardiac intensive care unit |
| url | https://ami.info.umfcluj.ro/index.php/AMI/article/view/983 |
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