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The impact of daylight and window views on length of stay among patients with heart disease:A retrospective study in a cardiac intensive care unit

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Journal of intensive Medicine 2023年第2期3卷 155-164页

作者： Roxana Jafarifiroozabadi Anjali Joseph William Bridges Andrea Franks College of Architecture and Design Lawrence Technological UniversitySouthfieldMI 48075USA Spartanburg Regional Healthcare System Endowed Chair in Architecture+Health Design Clemson UniversityClemsonSC 29634USA Center for Health Facilities Design and Testing Clemson UniversityClemsonSC 29634USA School of Architecture Clemson UniversityClemsonSC 29634USA Industrial Engineering Clemson UniversityClemsonSC 29634USA School of Mathematical and Statistical Sciences Clemson UniversityClemsonSC 29634USA Clinical and Nursing Research AnMed HealthAndersonSC 29621USA

Background:Heart disease is the leading cause of death in the united States.The length of stay(LOS)is a well-established parameter used to evaluate health outcomes among critically ill patients with heart disease in cardiac intensive care units(CICUs).While evidence suggests that the presence of daylight and window views can positively influence patients’LOS,no studies to date have differentiated the impact of daylight from window views on heart disease patients.Also,existing research studies on the impact of daylight and window views have failed to account for key clinical and demographic variables that can impact the benefit of such interventions in CICUs.Methods:This retrospective study investigated the impact of access to daylight vs.window views on CICU patients'LOS.The study CICU is located in a hospital in the southeast united States and has rooms of the same size with different types of access to daylight and window views,including rooms with daylight and window views(with the patient bed located parallel to full-height,south-facing windows),rooms with daylight and no window views(with the patient bed located perpendicular to the windows),and windowless rooms.Data from electronic health records(EHRs)for the time-period September 2015 to September 2019(n=2936)were analyzed to investigate the impact of room type on patients’CICU LOS.Linear regression models were developed for the outcome of interest,controlling for potential confounding variables.Results:Ultimately,2319 patients were finally included in the study analysis.Findings indicated that patients receiving mechanical ventilation in rooms with access to daylight and window views had shorter LOS durations(16.8 h)than those in windowless rooms.Sensitivity analysis for a subset of patients with LOS≤3 days revealed that parallel bed placement to the windows and providing access to both daylight and window views significantly reduced their LOS compared to windowless rooms in the unit(P=0.007).Also,parallel bed placement to the window significantly reduced

关键词： Heart disease Daylight Window views Length of stay cardiac intensive care unit

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A case report of chylous ascites after cardiac surgery

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Emergency and Critical care Medicine 2024年第1期4卷 42-45页

作者： Shuaishuai Yuan Pailing Xie Xiantao Liu Peijun Li The University of Hong Kong-Shenzhen Hospital Cardiovascular Medicine Center cardiac intensive care unit ShenzhenGuangdongChina.

Background:Chylous ascites(CA),an emulsion rich in triglycerides,is a rare type of ascites,especially after cardiac surgery.Also,there are few reports of the occurrence of CA after mitral valve replacement,aortic valve replacement,tricuspid valvuloplasty,and coronary artery bypass grafting.Case presentation:We report the case of a 53-year-old man who underwent surgery for a diagnosis of mitral incompetence,aortic incompetence,tricuspid incompetence,and coronary atherosclerotic heart disease.Fifteen days after surgery,3000 mL of milky-yellow ascites appeared in the abdominal cavity,diagnosed as CA by laboratory examination.The ascites gradually disappeared after being drained,and the patients improved.The curative was objective,but the exact cause is not clear.Conclusion:Although CA is rare,it may occur during the surgical intervention in cardiac surgery.

关键词： cardiac intensive care unit cardiac valve replacement Case report Chylous ascites Coronary artery bypass graft Department of cardiac surgery

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