Journal of critical care
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Journal of critical care · Feb 2021
Early alterations in heart rate are associated with poor outcome in patients with intracerebral hemorrhage.
Cardiac complications are common after spontaneous intracerebral hemorrhage (ICH). In this study we intended to investigate factors associated with higher alterations in heart rate and their impact on outcome. ⋯ The study suggests that a higher variation in heart rate in the early phase after ICH may discriminate patients with poor outcome.
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Journal of critical care · Feb 2021
Simulation-based uptraining improves provider comfort in the management of critically ill patients with COVID-19.
The COVID-19 surge required the deployment of large numbers of non-intensive care providers to assist in the management of the critically ill. Institutions took a variety of approaches to "uptraining" such providers though studies describing methods and effectiveness are lacking. ⋯ Simulation-based training improved provider comfort in the management of critically ill patients with COVID-19.
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Journal of critical care · Feb 2021
A simplified critical illness severity scoring system (CISSS): Development and internal validation.
To create a simplified critical illness severity scoring system with high prediction accuracy for 30-day mortality using only commonly available variables. ⋯ CISSS has very good performance and requires only commonly used variables that can be easily extracted by electronic health records.
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Journal of critical care · Feb 2021
Predictors of dysrhythmias with norepinephrine use in septic shock.
Norepinephrine (NE) is recommended first-line for treatment of septic shock, partly due to its intrinsically low effect on heart rate. While dysrhythmias secondary to NE are still reported, factors associated with development of this adverse effect have not been described. Our study sought to investigate factors associated with dysrhythmias in patients receiving NE for septic shock. ⋯ Development of dysrhythmia is associated with increased mortality and is independently associated with longer duration of NE infusion and higher NE doses.
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Journal of critical care · Feb 2021
Tuberculous ARDS is associated with worse outcome when compared with non-tuberculous infectious ARDS.
Patients with tuberculosis (TB) developing acute respiratory distress syndrome (ARDS) may have a higher mortality when compared with ARDS of other infectious etiology. ⋯ Patients with TB-ARDS presented sicker and had higher mortality when compared with ARDS due to non-TB infectious etiology.