Journal of critical care
-
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.
-
Journal of critical care · Feb 2021
Case ReportsThe clinical spectrum of pulmonary thromboembolism in patients with coronavirus disease-2019 (COVID-19) pneumonia: A European case series.
To describe the clinical characteristics and outcomes of coronavirus disease-2019 (COVID-19)-associated pulmonary thromboembolism (PTE). ⋯ PTE is a potential life-threatening complication, which occurs frequently in patients with COVID-19. Intermediate therapeutic dose of anticoagulants and extend thromboprophylaxis are necessary after meticulous risk-benefit assessment.
-
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.
-
Journal of critical care · Feb 2021
Association of gender, age, and race on renal outcomes and mortality in patients with severe sepsis and septic shock.
The association of age, gender and race with renal outcomes in patients with severe sepsis and septic shock (SEP) is not completely elucidated. We aimed to shed light on these relationships. ⋯ Female gender is associated with a lower risk of poor renal outcomes and death among patients with SEP, while AA race places patients at higher risk of poor outcomes in that setting. Increasing age is generally associated with adverse outcomes.
-
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.