Intensive care medicine
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Intensive care medicine · Dec 2002
Invasive group A streptococcal disease and intensive care unit admissions.
To determine the clinical epidemiology of invasive group A streptococcal disease (IGASD) and identify predictors of admissions into an intensive care unit (ICU). ⋯ In this analysis of patients hospitalized for IGASD, the presence of necrotizing fasciitis was the strongest factor associated with admissions into an ICU.
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Intensive care medicine · Dec 2002
Usefulness of venous oxygen saturation in the jugular bulb for the diagnosis of brain death: report of 118 patients.
To assess the usefulness of venous oxygen saturation in the jugular bulb (SjO(2)) as a complementary test for the diagnosis of brain death. ⋯ Central venous-jugular bulb oxygen saturation rate below 1 together with accepted clinical criteria (unresponsive coma with brainstem areflexia) provides non-invasive assessment of cerebral circulatory arrest that can help to suspect brain death.
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Intensive care medicine · Dec 2002
Effect of deprivation and gender on the incidence and management of acute brain disorders.
To determine the impact of deprivation and gender on the incidence and emergency management of acute brain disorders. ⋯ We have demonstrated deprivation- and gender- differences in the incidence and emergency management of four acute brain disorders. The identification of the source(s) of these differences is an important subject for further research.
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Intensive care medicine · Dec 2002
Impact of neutropenia duration on short-term mortality in neutropenic critically ill cancer patients.
To identify predictors of 30-day mortality and to assess the impact of neutropenia recovery (NR) on 30-day mortality in critically ill cancer patients (CICPs). ⋯ Organ failure but not disease progression or neutropenia duration affect 30-day mortality in neutropenic CICPs. ICU-acquired events might be modeled as time-dependent variables in a Cox model, rather than standard covariates in logistic regression models.
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Intensive care medicine · Dec 2002
Extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumoniae bloodstream infection: risk factors and clinical outcome.
To study the risk factor for nosocomial bacteremia caused by Escherichia coli or Klebsiella pneumoniae producing extended-spectrum beta-lactamase (ESBL) and the influence on patient outcome. ⋯ More judicious use of cephalosporins, especially 3rd-generation cephalosporins, may decrease ESBL-producing E. coli or K. pneumoniae bacteremia, and also improve patient outcome.