Journal of critical care
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Journal of critical care · Feb 2018
Comparative StudyThe comparative effectiveness of noninvasive and invasive ventilation in patients with pneumonia.
To compare the outcomes of patients hospitalized with pneumonia treated with noninvasive ventilation (NIV) and invasive mechanical ventilation (IMV). ⋯ Initial NIV was associated with better survival among the subgroup of patients hospitalized with pneumonia who had COPD or heart failure. Patients who failed NIV had high in-hospital mortality, emphasizing the importance of careful patient selection monitoring when managing severe pneumonia with NIV.
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Journal of critical care · Feb 2018
Observational StudyThe ability of intensive care unit physicians to estimate long-term prognosis in survivors of critical illness.
To assess the reliability of physicians' prognoses for intensive care unit (ICU) survivors with respect to long-term survival and health related quality of life (HRQoL). ⋯ Prognoses estimated by physicians incorrectly predicted long-term survival and HRQoL in one-third of ICU survivors. Moreover, inaccurate prognoses were generally the result of overoptimistic expectations of outcome.
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Journal of critical care · Feb 2018
Is Magnet® recognition associated with improved outcomes among critically ill children treated at freestanding children's hospitals?
With increasing emphasis on high-quality care, we designed this study to evaluate the relationship between Magnet® recognition and patient outcomes in pediatric critical care. ⋯ This large observational study calls into question the utility of the Magnet Recognition Program among children with critical illness, at least among the freestanding children's hospitals.
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Journal of critical care · Feb 2018
Observational StudyNational Early Warning Score (NEWS) at ICU discharge can predict early clinical deterioration after ICU transfer.
This study aims to determine the ability of the National Early Warning Score at ICU discharge (NEWSdc) to predict the development of clinical deterioration within 24h. ⋯ Among critically ill patients who were discharged from ICU, a NEWSdc>7 showed the best sensitivity and specificity to detect early clinical deterioration 24h after ICU discharge.
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Journal of critical care · Feb 2018
Observational StudySepsis mortality score for the prediction of mortality in septic patients.
To derive a prediction equation for 30-day mortality in sepsis using a multi-marker approach and compare its performance to the Sequential Organ Failure Assessment (SOFA) score. ⋯ A sepsis mortality score using baseline leukocytes count, PCT, IL-6 and ARE was derived, which predicted 30-day mortality with very good performance and added significant prognostic information to SOFA score.