Intensive care medicine
-
Intensive care medicine · Apr 2019
Review Meta AnalysisAcute kidney injury in trauma patients admitted to the ICU: a systematic review and meta-analysis.
To perform a systematic review and meta-analysis of acute kidney injury (AKI) in trauma patients admitted to the intensive care unit (ICU). ⋯ AKI occurred in 24% of trauma patients admitted to the ICU, with an RRT use among these of 10%. Presence of AKI was associated with increased LOS and mortality, but renal recovery in AKI survivors was good.
-
Intensive care medicine · Apr 2019
Meta AnalysisFever control in critically ill adults. An individual patient data meta-analysis of randomised controlled trials.
One potential way to protect patients from the physiological demands that are a consequence of fever is to aim to prevent fever and to treat it assiduously when it occurs. Our primary hypothesis was that more active fever management would increase survival among patient subgroups with limited physiological reserves such as older patients, patients with higher illness acuity, and those requiring organ support. ⋯ Our findings do not support the hypothesis that more active fever management increases survival compared with less active fever management overall or in patients with limited physiological reserves.