Abstract
Goals and benefits for subspecialty neuroscience critical care unit (NCCU). Focused specialty care for unique ICU populationSpecial expertise required by professionals in NCCU – neuroscience background, Greater case efficiency of neurosurgical and neurointerventional cases. Efficient ICU management. Hub of clinical neuroscience communication. Academic clinical neuroscience concentration. Hospital hub for stroke, acute brain, and spinal cord injury centers. Neurocritical-trained nursing. Cohesive and comprehensive rounds. Neurologic monitoring – capable and savvy. Sensitive neurologic evaluations. Precisely match therapeutics to neurologic pathophysiology. Shorter lengths of stay (LOS) for patient in both the ICU and hospital. Improved patient outcomes. Increased regional referral network. Enhanced marketing strategy
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Angus DC, Shorr AF, White A et al. (2006) Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS).Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med 34:1016–1024
Diringer MN, Edwards DF, Aiyagari V, Hollingsworth H (2001) Factors associated with withdrawal of mechanical ventilation in a neurology/neurosurgery intensive care unit. Crit Care Med 29:1792–1797
Mirski MA, Chang CW, Cowan R (2001) Impact of a neuroscience intensive care unit on neurosurgical patient outcomes and cost of care: evidence-based support for an intensivist-directed specialty ICU model of care. J Neurosurg Anesthesiol 13:83–92
Pronovost PJ, Angus DC, Dorman T et al. (2002) Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA 288:2151–2162
Pronovost PJ, Needham DM, Waters H et al. (2006) Intensive care unit physician staffing: financial modeling of the Leapfrog standard. Crit Care Med 34:S18–S24
Suarez JI, Zaidat OO, Suri MF et al. (2004) Length of stay and mortality in neurocritically ill patients: impact of a specialized neurocritical care team. Crit Care Med 32:2311–2317
Varelas PN, Spanaki MV, Hacein-Bey L (2005) Documentation in medical records improves after a neurointensivist’s appointment. Neurocrit Care 3:234–236
Varelas PN, Schultz L, Conti M et al. (2008) The impact of a neuro-intensivist on patients with stroke admitted to a neurosciences intensive care unit. Neurocrit Care 9:293-299
Young MP, Birkmeyer JD (2000) Potential reduction in mortality rates using an intensivist model to manage intensive care units. Eff Clin Pract 3:284–289
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Mirski, M.A. (2010). Establishing and Organizing a Neuroscience Critical Care Unit. In: Bhardwaj, A., Mirski, M. (eds) Handbook of Neurocritical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6842-5_1
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DOI: https://doi.org/10.1007/978-1-4419-6842-5_1
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