Journal of critical care
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Journal of critical care · Dec 2018
Observational StudyProgressive myocardial injury is associated with mortality in the acute respiratory distress syndrome.
Myocardial injury connotes worse prognosis in the Acute Respiratory Distress Syndrome (ARDS), however the prognostic connotation of changes in cardiac troponin (cTn) levels in ARDS patients is not known. ⋯ Progressive myocardial injury in ARDS patients is associated with worse outcome, independent of severity of critical illness. Investigation of the mechanisms underlying this relationship is warranted to guide possible strategies to mitigate myocardial injury in ARDS.
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Journal of critical care · Dec 2018
Factors associated with the progression of conservatively managed acute traumatic subdural hemorrhage.
Traumatic subdural hemorrhage (SDH) is associated with high mortality, yet many patients are not managed surgically. We sought to understand what factors might be associated with SDH enlargement to contribute to the triage of these conservatively managed patients. ⋯ Platelet transfusion, anticoagulation, and hypertension have significant associations with expansion in non-surgical cases of SDH. Monitoring these factors may assist triaging these patients.
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Journal of critical care · Dec 2018
Observational StudyLower serum kallistatin level is associated with 28-day mortality in patients with septic shock.
Investigation for whether serum levels of kallistatin, vascular cell adhesion molecule-1 (VCAM-1), and E-selectin are associated with outcomes in patients with septic shock MATERIAL AND METHODS: Biomarker levels were measured using blood samples from patients with septic shock at admission, 24 h, and 72 h and from healthy volunteers. The primary outcome was 28-day mortality. ⋯ Lower serum kallistatin level at 24 h was independently associated with 28-day mortality in patients with septic shock.
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Journal of critical care · Dec 2018
Patient and family engagement in the ICU: Report from the task force of the World Federation of Societies of Intensive and Critical Care Medicine.
Patient and family engagement plays an important role in the intensive care unit (ICU), however the degree to which practices are being implemented globally is not known. ⋯ We document and hence provide successful implementation techniques, tactics, and strategies that could help clinicians to address barriers to implementing patient and family engagement in the ICU.
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Journal of critical care · Dec 2018
High central venous pressure is associated with acute kidney injury and mortality in patients underwent cardiopulmonary bypass surgery.
We sought to investigate the relationship between high CVP, AKI, and mortality in patients undergoing cardiac surgery with cardiopulmonary bypass. ⋯ High CVP is associated with AKI , and it is independently related to all-cause mortality in patients underwent cardiovascular surgery with cardiopulmonary bypass.