title: [Evaluation of nurse workload in patients undergoing therapeutic hypothermia].
abstract: OBJECTIVE
  Therapeutic hypothermia (TH) is recommended to minimize neurological damage in patients surviving sudden cardiac arrest (SCA). There is scarcity of data evaluating the nursing workload in these patients. The objective of the study is to assess the workload of nurses whilst treating patients undergoing TH after SCA.
  
  
  METHODS
  A 43-month prospective-retrospective comparative cohort study was designed. Patients admitted to intensive care unit, for recovered SCA and persistent coma, were included. A comparison was made using the baseline characteristics, medical management, in-hospital mortality, and nursing workload during the first 96hours using the Therapeutic Intervention Scoring System-28 (TISS-28); Nursing Activities Score (NAS); and Nine Equivalents of Nursing Manpower Use Score (NEMS) scales among patients who received TH and those who did not.
  
  
  RESULTS
  A total 46 patients were included: 26 in the TH group and 20 in the Non-TH group. Regarding baseline characteristics and management, the TH group presented higher prevalence of smoking habit (69 vs. 25%, p=0.012), out-of-hospital SCA (96 vs. 55%, p<0.001), and the performance of coronary angiography (96 vs. 65%, p=0.014) compared with the non-TH group. No differences were observed in the nursing workload, assessed by TISS 28, NAS or NEMS scales, or in-hospital mortality.
  
  
  CONCLUSIONS
  In this study performance of TH in SCA survivors is not associated with an increase in nursing workload. The installation of a TH program does not require the use of more nursing resources in terms of workload.
authors.affiliation: Servicio de Cardiología, Hospital Clínic, Barcelona, España.
authors.forename: Ana
authors.initials: A
authors.lastname: Argibay-Lago
authors.affiliation: Servicio de Cardiología, Hospital Clínic, Barcelona, España. Electronic address: dfernan2@clinic.ub.es.
authors.forename: Diego
authors.initials: D
authors.lastname: Fernández-Rodríguez
authors.affiliation: Servicio de Cardiología, Hospital Clínic, Barcelona, España.
authors.forename: Nuria
authors.initials: N
authors.lastname: Ferrer-Sala
authors.affiliation: Servicio de Cardiología, Hospital Clínic, Barcelona, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Prieto-Robles
authors.affiliation: Servicio de Cardiología, Hospital Clínic, Barcelona, España.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Hernanz-del Río
authors.affiliation: Área de Vigilancia Intensiva, Hospital Clínic, Barcelona, España.
authors.forename: Pedro
authors.initials: P
authors.lastname: Castro-Rebollo
mesh_terms: D000368:Aged; D015331:Cohort Studies; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007036:Hypothermia, Induced / Q000451:nursing*; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D011446:Prospective Studies; D012189:Retrospective Studies; D016526:Workload / Q000706:statistics & numerical data*
keywords: Carga de trabajo; Enfermeras; Hipotermia inducida; Induced hypothermia; Muerte súbita cardiaca; Nurses; Sudden cardiac arrest; Workload