Journal of critical care
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Journal of critical care · Aug 2021
Multicenter StudyPhosphate abnormalities and outcomes among admissions to the intensive care unit: A retrospective multicentre cohort study.
We investigated the effect of serum phosphate abnormalities at intensive care unit (ICU) admission on risk of death and length of stay in critically ill patients. ⋯ Hypophosphatemia and hyperphosphatemia were both independently associated with an increased case fatality rate and ICU length of stay in a large multicentre ICU cohort.
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Journal of critical care · Aug 2021
ReviewCognitive biases, environmental, patient and personal factors associated with critical care decision making: A scoping review.
Cognitive biases and factors affecting decision making in critical care can potentially lead to life-threatening errors. We aimed to examine the existing evidence on the influence of cognitive biases and factors on decision making in critical care. ⋯ The current evidence on cognitive biases and factors is heterogenous, but shows they influence clinical decision. Future studies should investigate the prevalence of cognitive biases and factors in clinical practice and their impact on clinical outcomes.
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Journal of critical care · Aug 2021
Observational StudyShifting trends in modes of death in the Intensive Care Unit.
To describe the way patients die in a Spanish ICU, and how the modes of death have changed in the last 10 years. ⋯ End-of-life practices and modes of death in our ICU have steadily changed. The proportion of patients who died in ICU following limitation of life-prolonging therapies substantially increased, whereas death after maximal support occurred significantly less frequently.
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Journal of critical care · Aug 2021
Observational StudyContinuous renal replacement therapy in intensive care patients with COVID-19; survival and renal recovery.
Outcome for critically ill patients with COVID-19 treated with continuous renal replacement therapy (CRRT) is largely unknown. We describe mortality and renal outcome in this group. ⋯ Critically ill COVID-19 patients with AKI who received CRRT had a 90-day mortality of 45.1%. At follow-up, three quarters of survivors had recovered renal function. This information is important in the clinical management of COVID-19.
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Journal of critical care · Aug 2021
Multicenter StudyBacteremia in critically ill immunocompromised patients with acute hypoxic respiratory failure: A post-hoc analysis of a prospective multicenter multinational cohort.
The characteristics and impact of bacteremia have not been widely investigated in immunocompromised patients with acute respiratory failure (ARF). ⋯ We analyzed a large population of immunocompromised patients with ARF and an incidence of bacteremia of 17%. We could not demonstrate an impact of bacteremia on mortality after adjusting for baseline characteristics.