Journal of critical care
-
To determine predictors of inability to return to work due to health six-months after intensive care admission; and compare functional recovery between patients who had not returned to work and employed patients. ⋯ Major trauma, lower GCS and increased hospital length of stay predicted inability to return to work due to health at six-months post-ICU admission. Compared to employed patients, those who had not returned to work reported poorer functional recovery.
-
Journal of critical care · Dec 2018
Acute skeletal muscle wasting and relation to physical function in patients requiring extracorporeal membrane oxygenation (ECMO).
Muscle weakness is common in patients requiring extracorporeal membrane oxygenation (ECMO), but early identification is challenging. This study aimed to 1) quantify the change in quadriceps size and quality (echogenicity) from baseline to day 10 using ultrasound in patients requiring ECMO, 2) determine the relationship between ultrasound measures, muscle strength and highest mobility level. ⋯ In patients requiring ECMO there was marked wasting of the quadriceps over the first 10 days. Ultrasound measures were related to muscle strength and highest mobility level.
-
Journal of critical care · Dec 2018
Using survival analysis to predict septic shock onset in ICU patients.
To determine the efficacy of survival analysis for predicting septic shock onset in ICU patients. ⋯ This methodology has the potential to be implemented in the ICU for real time prediction and can be used as a building block to expand the approach to other hospital wards or care environments.
-
Journal of critical care · Dec 2018
An automated computerized critical illness severity scoring system derived from APACHE III: modified APACHE.
To evaluate the performance of an automated computerized ICU severity scoring derived from the APACHE III. ⋯ mAPACHE has adequate performance to predict mortality.
-
Journal of critical care · Dec 2018
Long-term recovery profile of patients with severe disability or in vegetative states following severe primary intracerebral hemorrhage.
We conducted a single-center retrospective review to investigate the long-term recovery of patients who were severely disabled or vegetative secondary to primary intracerebral hemorrhage upon discharge from hospital from January 2009 to November 2013. ⋯ Neurological status at discharge from hospital was not truly indicative of long-term prognosis for patients who were severely disabled or vegetative. Patients in both groups can potentially improve in the long term and may benefit from prolonged rehabilitation programmes to maximize their recovery potential.