Journal of critical care
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Journal of critical care · Feb 2020
Multicenter StudyChanges in frailty among ICU survivors and associated factors: Results of a one-year prospective cohort study using the Dutch Clinical Frailty Scale.
Frailty is an important predictor for the prognosis of intensive care unit (ICU) patients. This study examined changes in frailty in the year after ICU admission, and its associated factors. ⋯ ClinicalTrials.gov database (NCT03246334).
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Journal of critical care · Feb 2020
Multicenter StudyTHAI-ICU score as a simplified severity score for critically ill patients in a resource limited setting: Result from SEA-AKI study group.
To create a simplified ICU scoring system to predict mortality in critically ill patients that can be feasibly applied in resource limited setting with good performance of predicting hospital mortality. ⋯ The THAI-ICU score is a new simplified severity score for predicting hospital mortality. The simplicity of the score will increase the possibility to apply in resource limited settings.
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Journal of critical care · Feb 2020
Multicenter StudyFamily ratings of ICU care. Is there concordance within families?
To examine heterogeneity of quality-of-care ratings within families and to examine possible predictors of concordance. ⋯ The finding that variance is higher within than between families suggests the value of including multiple participants within a family in order to capture varying points of view.
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Journal of critical care · Feb 2020
Frailty as a predictor of short- and long-term mortality in critically ill older medical patients.
Frailty is a common condition among critically ill patients. Usually evaluated in a mixed population of medical, cardiac and surgical patients, we aimed to assess the impact of frailty on short- and long-term mortality exclusively in critically ill older medical patients. ⋯ Frailty (CFS ≥ 5) was independently associated with short- and long-term mortality in older patients admitted to ICU exclusively due to a medical reason.
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Journal of critical care · Feb 2020
Association of negative fluid balance during the de-escalation phase of sepsis management with mortality: A cohort study.
We aimed to evaluate the impact of negative fluid balance during the fluid de-escalation phase of sepsis management. ⋯ There is not only a significant association between outcomes of patients who were resuscitated for sepsis and achieving negative fluid balance, but also the amount of daily or cumulative negative fluid balance is associated with lower mortality of these patients. Prospective clinical trials are needed to validate this finding.