Journal of critical care
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Journal of critical care · Jun 2018
Observational StudyInfluence of ward round order on critically ill patient outcomes.
To examine the effect of order in which patients are seen on an Intensive Care Unit (ICU) ward round on ICU length of stay (LOS), mortality and duration of mechanical ventilation. ⋯ The order in which patients were seen on an ICU ward did not affect ICU LOS nor related outcomes.
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Journal of critical care · Jun 2018
Cirrhotic patients admitted to the ICU for medical reasons: Analysis of 5506 patients admitted to 286 ICUs in 8years.
To describe characteristics and prognostic factors of cirrhotic patients admitted to a representative sample of Italian intensive care units (ICUs). ⋯ The outcome of critically ill cirrhotic patients is quite poor, but not to limit their admission to the ICU. When cirrhosis accompanies other acute conditions, the general level of intensive care medicine is more important than the specific liver-oriented expertise in treating these patients.
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Journal of critical care · Jun 2018
Predicting central line-associated bloodstream infections and mortality using supervised machine learning.
The purpose of this study was to compare machine learning techniques for predicting central line-associated bloodstream infection (CLABSI). ⋯ This study demonstrates models for identifying patients who will develop CLABSI. Early identification of these patients has implications for quality, cost, and outcome improvements.
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Journal of critical care · Jun 2018
Prediction of parental posttraumatic stress, anxiety and depression after a child's critical hospitalization.
To study the role of parental resilience, emotions accessed during admission and perceived stress in predicting the degree of parental posttraumatic stress disorder (PTSD), anxiety and depression symptoms after a child's treatment in intensive care. ⋯ Mobilizing coping in order to maintain resilience and to decrease their perceived stress levels could improve parents' mental health outcomes following their child's intensive care treatment.
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Journal of critical care · Jun 2018
Bedside screen for oral cavity structure, salivary flow, and vocal production over the 14days following endotracheal extubation.
To describe the sequelae of oral endotracheal intubation by evaluating prevalence rates of structural injury, hyposalivation, and impaired vocal production over 14days following extubation. ⋯ After extubation, restricted mouth opening, reduced salivary flow, and dysphonia were common and prolonged in recovery. Reduced efficiency of vocal cord closure persisted at 14days postextubation. The extent and duration of these sequelae remind clinicians to screen for them up to 2weeks after extubation.