Journal of critical care
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Journal of critical care · Feb 2024
Observational StudyPrevalence of life-sustaining treatment limitations in Polish very old intensive care patients (VIPs). A post-hoc analysis of two prospective observational studies.
Several initiatives have recently focused on raising awareness about limitations of treatment in Poland. We aimed to assess if the propensity to limit LST among elderly patients in 2018-2019 increased compared to 2016-2017. ⋯ The clinicians in Poland have become more proactive in limiting LST in critically ill patients ≥80 years old over the studied period, however the prevalence of limitations of LST in Poland remains low.
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Journal of critical care · Feb 2024
Observational StudyResuscitative transesophageal echocardiography during the acute resuscitation of trauma: A retrospective observational study.
Resuscitative transesophageal echocardiography (TEE) is an emerging POCUS modality that can be used to guide trauma resuscitation. ⋯ Resuscitative TEE during acute trauma care has an additional diagnostic yield to existing diagnostic pathways and may impact definitive management for some patients in the trauma bay.
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Journal of critical care · Feb 2024
Malglycemia in the critical care setting. Part II: Relative and absolute hypoglycemia.
The relationship between critical care mortality and hypoglycemia, both relative (>30% below average preadmission glycemia) and absolute (blood glucose (BG) <70 mg/dL (<10 mmol/L)) requires further definition. ⋯ Relative hypoglycemia represented by excursions below GR 0.7 in those with HbA1c ≥ 8% occurred commonly and was independently associated with mortality. Absolute hypoglycemia had similar association with mortality regardless of HbA1c.
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Journal of critical care · Feb 2024
Impact of missing values on the ability of the acute physiology and chronic health evaluation III and Japan risk of death models to predict mortality.
This study assessed model performance of the Acute Physiology and Chronic Health Evaluation (APACHE) III and Japan Risk of Death (JROD) when degraded by the number and category of missing variables. We also examined the impact of missing data on predicted mortality for facilities with missing physiological variables. ⋯ An increased number of missing physiological variables resulted in falsely low predicted mortality rates and high SMRs.