Journal of critical care
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Journal of critical care · Oct 2015
Comparative Study Observational StudyComparison of point-of-care hemostatic assays, routine coagulation tests, and outcome scores in critically ill patients.
The purposes of the study are to compare point-of-care (POC) hemostatic devices in critically ill patients with routine laboratory tests and intensive care unit (ICU) outcome scoring assessments and to describe the time course of these variables in relation to mortality rate. ⋯ All POC and routine laboratory tests showed a hypocoagulative response in nonsurvivors compared to survivors. ReoRox was better than ROTEM and Multiplate at detecting differences between surviving and nonsurviving ICU patients. However, Simplified Acute Physiology Score 3 showed the best association to mortality outcome.
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Journal of critical care · Oct 2015
Factors associated with interhospital transfer of children with respiratory failure from level II to level I pediatric intensive care units.
Of all sources of admission to level I pediatric intensive care units (PICUs), interhospital transfer admissions from level II PICUs carry the highest mortality and resource use burden. We sought to investigate factors associated with transfer of children with respiratory failure from level II to level I PICUs. ⋯ The study identified patient-level and process-of-care factors associated with transfer from level II to level I PICUs. These findings highlight the influence of escalated care on transfer decision making for critically ill children in respiratory failure.
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Journal of critical care · Oct 2015
A retrospective cohort study of age-based differences in the care of hospitalized patients with sudden clinical deterioration.
The proportion of elderly patients is increasing, but it is unknown if there are age-based differences in care of hospitalized patients with sudden clinical deterioration. We sought to examine the relation between patient age and care for hospitalized patients experiencing sudden clinical deterioration. ⋯ Patient age is associated with care for hospitalized patients with sudden clinical deterioration, suggesting that strategies to guide care of elderly patients during MET activation may be beneficial.
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Journal of critical care · Oct 2015
Multicenter StudyPostintubation hypotension in intensive care unit patients: A multicenter cohort study.
To determine the incidence of postintubation hypotension (PIH) and associated outcomes in critically ill patients requiring endotracheal intubation. ⋯ The development of PIH is common in ICU patients requiring emergency airway control and is associated with poor patient outcomes.
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Journal of critical care · Oct 2015
Multicenter Study Observational StudySepsis may not be a risk factor for mortality in patients with acute kidney injury treated with continuous renal replacement therapy.
We aimed to study the clinical characteristics, courses, and outcomes of critically ill patients with septic acute kidney injury (AKI) treated with continuous renal replacement therapy (CRRT) in comparison with nonseptic AKI treated with CRRT. ⋯ Sepsis may not be a risk factor for mortality in patients with AKI whose condition has become severe enough to require CRRT.