Journal of critical care
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Journal of critical care · Dec 2019
Multicenter StudyRapid sequence induction traceability in an ICU dedicated patient data management system: a multicentric retrospective study.
Patient data management systems (PDMS) are widely used in intensive care units (ICUs) to improve care traceability. Verbal orders are still used for prescriptions requiring immediate execution but should be subsequently recorded in the system. We assessed the rapid sequence induction (RSI) traceability for endotracheal intubation in an ICU dedicated PDMS. ⋯ PDMS are supposed to improve prescription completeness and traceability, but our study suggests an opposite result. A co-responsibility policy between physicians and nurses should be promoted to improve care traceability. PDMS ergonomic improvements and enhanced integration in clinical workflow might also result in better compliance with documentation requirements. In each centre, indicators of PDMS correct use should be defined and periodically monitored.
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Journal of critical care · Dec 2019
Multicenter Study Observational StudyAssociation between acute kidney injury and neurological outcome or death at 6 months in out-of-hospital cardiac arrest: A prospective, multicenter, observational cohort study.
This study aimed to evaluate the association between acute kidney injury (AKI) and 6 months neurological outcome after out-of-hospital cardiac arrest (OHCA). ⋯ AKI is associated with poor neurological outcome (MRS 4-6) at 6 months in OHCA patients treated with TTM.
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Journal of critical care · Dec 2019
A pilot study evaluating a simple cardiac dysfunction score to predict complications and survival among critically-ill patients with traumatic brain injury.
To describe the frequency of cardiovascular complications and cardiac dysfunction in critically-ill patients with moderate-severe traumatic brain injury (msTBI) and cardiac factors associated with in-hospital survival. ⋯ Cardiac dysfunction was common in patients with msTBI and independently associated with more severe brain injury and a reduction in hospital survival in this population. Further research is needed to validate the CDI and create more precise scoring tools.
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Journal of critical care · Dec 2019
Observational StudyHemorrhagic complications during extracorporeal membrane oxygenation - The role of anticoagulation and platelets.
Hemorrhagic complications during extracorporeal membrane oxygenation are frequent and have a negative impact on outcome. We studied the association between activated partial thromboplastin time or platelet count and the occurrence of hemorrhagic complications. The secondary objective was to determine risk factors for hemorrhagic complications. ⋯ Higher activated partial thromboplastin time is associated with the occurrence of hemorrhagic complications.
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Journal of critical care · Dec 2019
Comparative Study Observational StudyComparison of the sepsis-2 and sepsis-3 definitions in severely injured trauma patients.
To evaluate the performance of the new SOFA-based sepsis definition in trauma patients. ⋯ The sepsis-3 definition identifies much fewer patients and is more strongly associated with adverse outcomes than the sepsis-2 definition. The sepsis-3 definition seems to be useful in the post trauma setting.