JAMA : the journal of the American Medical Association
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Editorial Comment
Identifying Dilated Cardiomyopathy Through Family-Based Screening.
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Historical Article Classical Article
The Adaptation of Infant Welfare Work to Private Practice.
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Randomized Controlled Trial Multicenter Study
Effect of Moderate Hypothermia vs Normothermia on 30-Day Mortality in Patients With Cardiogenic Shock Receiving Venoarterial Extracorporeal Membrane Oxygenation: A Randomized Clinical Trial.
The optimal approach to the use of venoarterial extracorporeal membrane oxygenation (ECMO) during cardiogenic shock is uncertain. ⋯ In this randomized clinical trial involving patients with refractory cardiogenic shock treated with venoarterial ECMO, early application of moderate hypothermia for 24 hours did not significantly increase survival compared with normothermia. However, because the 95% CI was wide and included a potentially important effect size, these findings should be considered inconclusive.