Journal of critical care
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Journal of critical care · Oct 2019
Comparative StudyValidation the performance of New York Sepsis Severity Score compared with Sepsis Severity Score in predicting hospital mortality among sepsis patients.
The aim of this study was to compare the performance of the New York Sepsis Severity Score (NYSSS) with the Sepsis Severity Score (SSS) and Acute Physiology and Chronic Health Evaluation and Simplified Acute Physiology Scores for predicting mortality in sepsis patients. ⋯ The SSS had better discrimination and overall performance than the NYSSS. However, both sepsis severity scores were poorly calibrated.
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Journal of critical care · Oct 2019
Observational StudyOutcomes of emergency laparotomy in patients on extracorporeal membrane oxygenation for severe respiratory failure: A retrospective, observational cohort study.
There is a paucity of literature to support undertaking emergency laparotomy when indicated in patients supported on ECMO. Our study aims to identify the prevalence, outcomes and complications of this high risk surgery at a large ECMO centre. ⋯ Survival to hospital discharge is possible following emergency laparotomy on ECMO, however the mortality is higher than for those patients not requiring laparotomy, this likely reflects the severity of underlying organ failure rather than the surgery itself. Our service's collocation with a general surgical service has made this development in care possible. ECMO service planning should consider general surgical provision.
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Journal of critical care · Oct 2019
Short- and long-term survival after severe acute pancreatitis: A retrospective 17 years' cohort study from a single center.
To study mortality in severe acute pancreatitis (SAP) and to identify risk factors for mortality. ⋯ Although younger patients have excellent short-term survival after SAP, the long-term survival estimate is disappointing mostly due to alcohol abuse.
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Journal of critical care · Oct 2019
Observational StudyDifferences in 90-day mortality of delirium subtypes in the intensive care unit: A retrospective cohort study.
Many intensive care unit (ICU) patients suffer from delirium which is associated with deleterious short-term and long-term effects, including mortality. We determined the association between different delirium subtypes and 90-day mortality. ⋯ After adjusting for covariates, including competing risk factors, only the mixed delirium subtype was significantly associated with 90-day mortality.
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Journal of critical care · Oct 2019
Case ReportsAcute hyperammonemic encephalopathy due to a portosystemic shunt in a non-cirrhotic adult patient.
To report a successfully treated hyperammonemia due to a portosystemic shunt in adult patient. ⋯ Hyperammonemia is not always related to liver failure in critically ill patients, but should be considered in all unknown origins of an altered mental status. A portosystemic shunt can be the responsible for this phenomenon, and it has a newly treatment technique named plug-assisted retrograde transvenous obliteration (PARTO), which can be quickly performed with high technical success rate and clinical efficacy for the treatment of the splenorenal and/or gastrorenal shunt.