Journal of critical care
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Journal of critical care · Apr 2018
Pragmatic studies for acute kidney injury: Consensus report of the Acute Disease Quality Initiative (ADQI) 19 Workgroup.
Acute kidney injury (AKI) has become a major medical and financial burden in China along with the rest of the world. There have been considerable advances in the understanding of the epidemiology and pathogenesis of AKI. However, there is no consensus regarding the optimal care for patients. The Acute Disease Quality Initiative (ADQI) 19 meeting focused on identifying and designing relevant and achievable AKI-related studies in China. ⋯ Consensus was reached on a research agenda for AKI with a specific focus on pragmatic trials in China.
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Journal of critical care · Apr 2018
Coronary artery calcification predicts cardiovascular complications after sepsis.
Sepsis is a highly prevalent and fatal condition, with reported cardiovascular event rates as high as 25-30% at 1year. Risk stratification in septic patients has been extremely limited. ⋯ CAC risk stratifies septic patients for cardiovascular complications better than traditional risk factors and can be identified on body CT scans. This novel, risk stratifying framework built on CAC can help guide individualized management of septic patients.
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Journal of critical care · Apr 2018
Clinical features and outcomes of tetanus: Analysis using a National Inpatient Database in Japan.
This study was performed to elucidate the current clinical features and outcomes of tetanus using a national inpatient database in Japan. ⋯ The present study suggests that acute-care physicians should be ready to provide intensive care for patients with tetanus and cooperate with medical social workers and families for subsequent long-term nursing care.
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Journal of critical care · Apr 2018
The impact of sustained new-onset atrial fibrillation on mortality and stroke incidence in critically ill patients: A retrospective cohort study.
The purpose of the study is to evaluate the impact of sustained new-onset AF on mortality and the incidence of stroke in critically ill non-cardiac surgery patients. ⋯ Sustained new-onset AF is associated with poor outcomes.
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Journal of critical care · Apr 2018
Observational StudyAssociation between dexmedetomidine use and neurological outcomes in aneurysmal subarachnoid hemorrhage patients: A retrospective observational study.
Recent studies in animal subarachnoid hemorrhage (SAH) models have reported that dexmedetomidine (DEX) use demonstrates significantly better neurological outcomes. This study aimed to evaluate whether DEX use is associated with favorable neurological outcomes (FO) in SAH patients. ⋯ Low dosage DEX during the first 24h after admission was associated with FO in SAH patients.