Journal of critical care
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Journal of critical care · Feb 2020
The Japanese Intensive care PAtient Database (JIPAD): A national intensive care unit registry in Japan.
The Japanese Intensive care PAtient Database (JIPAD) was established to construct a high-quality Japanese intensive care unit (ICU) database. ⋯ The data revealed that the SMRs based on general severity scores in adults were low because of high proportions of elective and monitoring admission. The development of a new mortality prediction model for Japanese ICU patients is needed.
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Journal of critical care · Feb 2020
Multicenter StudyAssessment of the current capacity of intensive care units in Uganda; A descriptive study.
To describe the organizational characteristics of functional ICUs in Uganda. ⋯ This study shows limited accessibility to critical care services in Uganda. With a high variability in the ICU operational characteristics, there is a need for standardization of ICU care in the country.
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Journal of critical care · Feb 2020
Multicenter StudyMachine learning to predict 30-day quality-adjusted survival in critically ill patients with cancer.
To develop and compare the predictive performance of machine-learning algorithms to estimate the risk of quality-adjusted life year (QALY) lower than or equal to 30 days (30-day QALY). ⋯ Except for basic decision trees, predictive models derived from different machine-learning algorithms discriminated the QALY risk at 30 days well. Regarding calibration, artificial neural network model presented the best ability to estimate 30-day QALY in critically ill oncologic patients admitted to ICUs.
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Journal of critical care · Feb 2020
An international perspective on the frequency, perception of utility, and quality of interprofessional rounds practices in intensive care units.
To describe international variation in interprofessional rounds in intensive care units (ICUs). ⋯ Three-quarters of respondents perform rounds, and models of rounds are heterogeneous, creating challenges for future studies on improving rounds. Respondents reporting better outcomes also experience shorter rounds, and adopt strategies such as discussion of daily goals, and designation individuals for writing or assisting other patients during rounds.
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Journal of critical care · Feb 2020
Cost-effectiveness of second-line vasopressors for the treatment of septic shock.
To determine the cost-effectiveness of escalating doses of norepinephrine or norepinephrine plus the adjunctive use of vasopressin or angiotensin II as a second-line vasopressor for septic shock. ⋯ Vasopressin is the most cost-effective second-line vasopressor in both the short- and long-term evaluations. Vasopressor price is a minor contributor to overall cost.