Journal of critical care
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Journal of critical care · Dec 2020
Association between plasma adiponectin levels and left ventricular systolic dysfunction in sepsis patients.
As a well-known cardioprotective factor, the relevance of adiponectin (APN) to heart function following sepsis remains largely unknown. The present study evaluated the effects of plasma APN levels on heart function and 28-day mortality in sepsis patients. ⋯ Low APN levels were associated with the incidence of LVSD and 28-day mortality in sepsis patients. Adiponectin may be a novel factor that may be useful for the diagnosis of LVSD.
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Journal of critical care · Dec 2020
Diarrhea and elevation of plasma markers of cholestasis are common and often occur concomitantly in critically ill patients.
We aimed to describe epidemiology of diarrhea and cholestasis in critically ill patients and explore associations between these two conditions. ⋯ Cholestasis is more common in patients with diarrhea and vice versa. Diarrhea and cholestasis both occur in approximately one quarter of ICU patients, with significant proportion manifesting beyond the first week in the ICU.
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Journal of critical care · Dec 2020
Observational StudyValidity of a clinical scale in predicting the failure of non-invasive ventilation in hypoxemic patients.
The HACOR scale is a clinical score that can predict early failure of NIV in hypoxemic acute respiratory failure (ARF) The aim of this study is to analyze the validity of the HACOR scale. ⋯ The HACOR scale measured at 1 h after NIV initiation accurately predicts NIV failure, especially in pneumonia and ARDS.
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Journal of critical care · Dec 2020
A national survey of critical care services in hospitals accredited for training in a lower-middle income country: Pakistan.
To describe the extent and variation of critical care services in Pakistan. ⋯ Pakistan, a lower middle-income country, has an established network of critical care facilities with access to basic equipment, but inequalities in its distribution. Investment in critical care training for doctors and nurses is needed.
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Journal of critical care · Dec 2020
Observational StudyCore-to-skin temperature gradient measured by thermography predicts day-8 mortality in septic shock: A prospective observational study.
Septic shock is associated with altered peripheral perfusion. Core-to-skin temperature gradient depends on skin perfusion and microcirculatory function. We hypothesized that a high core-to-skin temperature gradient is correlated with mortality in septic shock. ⋯ Core-to-index finger temperature gradient higher than 7 °C predicts day-8 mortality in septic shock and is correlated with other tissue perfusion markers.