Caring for Critically Ill Patients with the ABCDEF Bundle: Results of the ICU Liberation Collaborative in Over 15,000 Adults.

ABSTRACT:

Objective

Decades-old, common ICU practices including deep sedation, immobilization, and limited family access are being challenged. We endeavoured to evaluate the relationship between ABCDEF bundle performance and patient-centered outcomes in critical care.

Design

Prospective, multicenter, cohort study from a national quality improvement collaborative.

Setting

68 academic, community, and federal ICUs collected data during a 20-month period.

Patients

15,226 adults with at least one ICU day.

Interventions

We defined ABCDEF bundle performance (our main exposure) in two ways: 1) complete performance (patient received every eligible bundle element on any given day) and 2) proportional performance (percentage of eligible bundle elements performed on any given

SUBMITTER: Pun BT 

PROVIDER: S-EPMC6298815 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature