Intensive care medicine
-
Intensive care medicine · Dec 2018
Development of an ICU discharge instrument predicting psychological morbidity: a multinational study.
To develop an instrument for use at ICU discharge for prediction of psychological problems in ICU survivors. ⋯ We developed an instrument to predict individual patients' risk for psychological problems 3 months post-ICU, http://www.imm.ki.se/biostatistics/calculators/psychmorb/ . The instrument can be used for triage of patients for psychological ICU follow-up.
-
Ultrasound can be used to non-invasively and rapidly examine airway conditions, but vocal cord visualization with the traditional approaches is poor. Our aim was to compare the accuracies of front-side transverse-axis ultrasound (FTU), lateral-side longitudinal-axis ultrasound (LLU), and the combination of both approaches for vocal cord movement disorder diagnoses (e.g., vocal cord paralysis or arytenoid cartilage dislocation). ⋯ LLU can be used to evaluate arytenoid cartilage activity in ICUs, and the results are highly correlated with the diagnosis of nasal fiber-optic endoscopy. The combination of FTU and LLU shows promise as a rapid primary screening method for vocal cord injury.
-
Intensive care medicine · Dec 2018
Increase in chloride from baseline is independently associated with mortality in critically ill children.
To determine if there is an association between mortality and admission chloride levels and/or increases in the chloride level in critically ill children. ⋯ An increase in serum chloride level in the first day of admission is common and an independent risk factor for mortality in critically ill children. Further studies are warranted to identify how chloride disturbances contribute to mortality risk in critically ill children.
-
Intensive care medicine · Dec 2018
Relationship between height and outcomes among critically ill adults: a cohort study.
Many diagnostic and therapeutic interventions for critically ill adult patients are not performed according to patient size, but are standardized for an idealized 174-cm man (ideal body weight 70 kg). This study aims to determine whether critically ill patients with heights significantly different from a standardized patient have higher hospital mortality or greater resource utilization. ⋯ Short stature may be a risk factor for mortality in critically ill patients. Further work is needed to determine which unmeasured patient characteristics and processes of care may contribute to the increased risk observed.
-
Intensive care medicine · Dec 2018
Correction to: Industry-funded versus non-profit-funded critical care research: a meta-epidemiological overview.
The original article can be found online.