Journal of critical care
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Journal of critical care · Feb 2025
Meta AnalysisHospital readmission after surviving sepsis: A systematic review of readmission reasons and meta-analysis of readmission rates.
To review the evidence regarding hospital readmission diagnoses and analyse related readmission rates following a sepsis admission. ⋯ Infection and sepsis are frequent readmission diagnoses for sepsis survivors, with one in 21 adult survivors readmitted for sepsis at 30-days. PROSPERO registration: CRD42023455851.
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Journal of critical care · Feb 2025
Cumulative impact of hypotension during intermittent hemodialysis on kidney recovery in critically ill patients with AKI-D.
Intermittent hemodialysis (IHD) is commonly implemented in patients with AKI-D, irrespective of the initial kidney replacement therapy (KRT) modality. However, concerns remain regarding the hemodynamic instability during IHD. This study aimed to assess the association between hypotensive episodes during IHD and kidney recovery in AKI-D patients. ⋯ Our study revealed that IHD-related hypotension during hospitalization has a cumulative negative impact on kidney recovery in AKI-D survivors.
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Journal of critical care · Feb 2025
Observational StudyTransesophageal echocardiography and intracerebral pressure (ICP) in neurocritical care patients - An observational study.
Transesophageal echocardiography (TEE) may cause an increase in intracerebral pressure (ICP). Data are currently lacking. ⋯ This study is the first to investigate the effect of transesophageal echocardiography on ICP and CPP. Our data demonstrated a temporary increase in ICP during TEE probably caused by lateral positioning the patients. For patients at risk with critically elevated ICP values, TEE should only be performed in the supine position.