Journal of critical care
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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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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.
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Journal of critical care · Feb 2020
Association of negative fluid balance during the de-escalation phase of sepsis management with mortality: A cohort study.
We aimed to evaluate the impact of negative fluid balance during the fluid de-escalation phase of sepsis management. ⋯ There is not only a significant association between outcomes of patients who were resuscitated for sepsis and achieving negative fluid balance, but also the amount of daily or cumulative negative fluid balance is associated with lower mortality of these patients. Prospective clinical trials are needed to validate this finding.
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Journal of critical care · Feb 2020
Neuropsychiatric outcome in subgroups of Intensive Care Unit survivors: Implications for after-care.
Poor neuropsychiatric outcomes are common in survivors of critical illness but it is unclear what patient groups to target for interventions to improve mental health. We compared anxiety, depression, and post-traumatic stress disorder (PTSD) symptoms and health-related quality of life (HrQoL) across different subgroups of Intensive Care Unit (ICU) survivors. ⋯ This underlines the importance of prevention and treatment for neuropsychiatric symptoms in ICU survivors in general, not only in specific patient groups.
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Journal of critical care · Feb 2020
Gas exchange, specific lung elastance and mechanical power in the early and persistent ARDS.
Aim of this study was to evaluate the effect of acute respiratory distress syndrome (ARDS) duration on gas-exchange, respiratory mechanics, specific lung elastance and mechanical power. ⋯ The persistent phase of ARDS for 7-days did not affect the respiratory mechanics while significantly impaired the PaCO2 exchange.