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
Trends in opioid use before critical illness among elderly patients in Ontario.
To assess temporal trends in pre-existing opioid exposure prior to hospitalization among elderly intensive care unit (ICU) patients and its association with adverse outcomes. ⋯ Among elderly ICU patients, opioid exposure prior to admission is prevalent and use is associated with higher in-hospital mortality.
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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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To investigate if patient sex affects intensive care unit (ICU) admission and discharge patterns. Specifically, we investigate if the patients sex affects length of stay (LOS) and probability of ICU discharge and 30- and 90-day mortality. ⋯ In this large cohort study of critically ill patients we have shown that women and men had an equal length of stay, but women had a significantly higher probability of being discharged. There was no difference in mortality between women and men.
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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.