Intensive care medicine
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Intensive care medicine · Mar 2014
Access to urban acute care services in high- vs. middle-income countries: an analysis of seven cities.
Cities are expanding rapidly in middle-income countries, but their supply of acute care services is unknown. We measured acute care services supply in seven cities of diverse economic background. ⋯ Urban acute care services vary substantially across economic regions, only partially due to differences in GDP. Cities were poor sources of information, which may hinder their future planning.
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Intensive care medicine · Mar 2014
Multicenter Study Observational StudyRecalibration of the delirium prediction model for ICU patients (PRE-DELIRIC): a multinational observational study.
Recalibration and determining discriminative power, internationally, of the existing delirium prediction model (PRE-DELIRIC) for intensive care patients. ⋯ In this multinational study, we recalibrated the PRE-DELIRIC model. Despite differences in the incidence of predictors between the centers in the different countries, the performance of the PRE-DELIRIC-model remained good. Following validation of the PRE-DELIRIC model, it may facilitate implementation of strategies to prevent delirium and aid improvements in delirium management of ICU patients.
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Intensive care medicine · Mar 2014
Multicenter StudyOne-year mortality and predictors of death among hospital survivors of acute respiratory distress syndrome.
Advances in supportive care and ventilator management for acute respiratory distress syndrome (ARDS) have resulted in declines in short-term mortality, but risks of death after survival to hospital discharge have not been well described. Our objective was to quantify the difference between short-term and long-term mortality in ARDS and to identify risk factors for death and causes of death at 1 year among hospital survivors. ⋯ Despite improvements in short-term ARDS outcomes, 1-year mortality is high, mostly because of the large burden of comorbidities, which are prevalent in patients with ARDS.