Journal of critical care
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Journal of critical care · Oct 2018
Multicenter StudyDiagnosis, management, and prognosis of patients with acute kidney injury in Japanese intensive care units: The JAKID study.
To determine the proportion of diagnosis and outcomes of critically ill patients with acute kidney injury (AKI), and its association with mortality using the complete Kidney Disease Improving Global Outcomes (KDIGO) classification and Sepsis-3 definition. ⋯ AKI accounted for >40% of ICU patients with the KDIGO classification and was associated with increased risk of hospital mortality. Septic AKI was diagnosed in three-fourths of patients with sepsis, while the impact of AKI on hospital mortality among sepsis was not observed.
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Journal of critical care · Oct 2018
Quantitative peripheral muscle ultrasound in sepsis: Muscle area superior to thickness.
The objective of this study is to describe the relationship between two quantitative muscle ultrasound measures, the rectus femoris cross-sectional area (RF-CSA) and quadriceps muscle thickness, with volitional measures of strength and function in critically ill patients with sepsis. ⋯ Muscle atrophy as detected by the rate of change in RF-CSA moderately correlated with strength one week after sepsis admission.
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Journal of critical care · Oct 2018
Early mobility in frail and non-frail older adults admitted to the cardiovascular intensive care unit.
Little is known about the effects of early mobilization in older adults in the Cardiovascular Intensive Care Unit (CICU). ⋯ EM is feasible in older adults admitted to the CICU. Functional status improved in both frail and non-frail older adults during CICU admission. Prospective studies are needed to determine whether frail older adults may benefit from EM.
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Journal of critical care · Oct 2018
Observational StudyChanges in limitations of life-sustaining treatments over time in a French intensive care unit: A prospective observational study.
Variability exists between ICUs in the limitations of therapy. Moreover practices may evolve over time. This single-center observational study aimed to compare withholding or withdrawing practices between 2012 and 2016. ⋯ A timely inclination to forego hopeless treatments resulted in a lower rate of failed resuscitations before death without change in global mortality.
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Journal of critical care · Oct 2018
Early enteral nutrition is associated with reduced in-hospital mortality from sepsis in patients with sarcopenia.
To determine whether the association of early enteral nutrition (EEN) with mortality from sepsis differs between patients with and without sarcopenia. ⋯ EEN may be more beneficial in sarcopenic patients.