WICS collaborative studies:
The Impact of Alcohol on ICU in Wales
Alcohol contributes to 15% of all Critical Care admissions in Wales and to a higher proportion of unplanned admissions. Alcohol-related admissions tend to be younger and more likely to die in Critical Care than other admissions. A national strategy to address the impact of alcohol is greatly needed.
- Presented at WICS Summer Scientific Meeting 2016
- Published, Journal of the Intensive Care Society 2017
Defining sepsis on the wards: results of a multi-centre point-prevalence study comparing two sepsis definitions
- One-day prevalence study conducted across all acute sites in Wales in October 2016
- Currently in preparation for submission
WICS and WHAIP:
VAP prevention in Wales: a survey of practices and beliefs
Welsh units have all developed practices since the widespread introduction of a core ventilator bundle in 2006. However, this has led to substantial variation between centres, in particular with relation to use of sub-glottis endotracheal suction tubes, frequency of ventilator circuit changes, stress ulcer prophylaxis and oral chlorhexidine decontamination. A re-evaluation of ventilator bundles is recommended together with the adoption of a more uniform approach.
- Poster presentation, ISICEM Brussels, March 2017
VAP surveillance in Wales… is HELICS the best way?
Current (HELICS/ ECDC) VAP surveillance definitions identify less than one-third of cases of suspected ventilator-associated RTI. Lack of chest radiography precludes nearly 50% cases from meeting the surveillance definition of VAP, and as a consequence we are very likely to be underestimating the incidence of VAP in Wales.
- Published in Frontiers in Microbiology 2016
Projects supported by WICS:
The size of sepsis in Wales: a nationwide point-prevalence study (2015)
Sepsis is more prevalent in the general ward and ED than previously suspected. Furthermore, screening and effective treatment for sepsis is imperfectly established in this environment – leading to high 90 day mortality.
Developing a digital data collection platform to measure prevalence of sepsis in Wales