Journal of critical care
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Journal of critical care · Dec 2020
Observational StudyEpidemiology and outcomes of acute kidney injury in cardiac intensive care unit patients.
To describe the epidemiology and outcomes of acute kidney injury (AKI) among contemporary non-surgical cardiac intensive care unit (CICU) patients. ⋯ AKI severity is incrementally associated with higher short-term and long-term mortality in CICU patients, especially severe AKI requiring dialysis.
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Journal of critical care · Dec 2020
The wave of very old people in the intensive care unit-A challenge in decision-making.
In this paper the authors express the opinion that there is much to be learned about the 80+ year old age group as it relates to critical care and end-of-life matters. We need to learn how to better predict outcome, we need to learn our limitations and deal with uncertainties, we need to better communicate with our elderly patients and their caregivers and we need to engage with our colleagues in Geriatrics. There is a wave of very old people arriving in the intensive care unit and we have much to do to prepare for it and for the ethical, fair and appropriate care of these critically ill, but elderly, patients.
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Journal of critical care · Dec 2020
Do perceived honorary authors influence publication chance? Survey evidence from the journal of critical care.
Perceived Honorary Authors (PHAs) are defined as authors on manuscripts who did not contribute enough. The association between PHAs and publication chance in journals is unknown. As a start, our aim was to examine the prevalence of PHAs in the Journal of Critical Care (JCC). Furthermore, we investigated whether PHAs influences publication chance in the JCC. Also, we attempt to replicate factors associated with the prevalence of PHAs found in earlier studies. ⋯ The prevalence of PHAs was conform other studies 13%, and did not influence publication chance.
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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.
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Journal of critical care · Dec 2020
Case ReportsSevere arterial thromboembolism in patients with Covid-19.
The novel Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has emerged early December 2019 and was recently confirmed by the World Health Organization (WHO) to be a public health emergency of international concern. Earlier reports have shown coagulopathy in patients with severe coronavirus disease 2019 (Covid-19). ⋯ This case series suggest that even in absence of overt DIC, arterial thromboembolic complications occur in critically ill patients with Covid-19. Further studies are needed to determine which parameters are useful in monitoring coagulopathy and which dose of anti-thrombotic therapy in Covid-19 patients is adequate, even when overt DIC is not present.