Journal of critical care
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Journal of critical care · Oct 2018
Comparative StudySecondary EMR data for quality improvement and research: A comparison of manual and electronic data collection from an integrated critical care electronic medical record system.
This study measured the quality of data extracted from a clinical information system widely used for critical care quality improvement and research. ⋯ Manual validation processes of electronic data are complex in comparison to validation of traditional clinical documentation. This study represents a straightforward approach to validate the use of data repositories to support reliable and efficient use of high quality secondary use data.
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Journal of critical care · Oct 2018
Observational StudyChanges in limitations of life-sustaining treatments over time in a French intensive care unit: A prospective observational study.
Variability exists between ICUs in the limitations of therapy. Moreover practices may evolve over time. This single-center observational study aimed to compare withholding or withdrawing practices between 2012 and 2016. ⋯ A timely inclination to forego hopeless treatments resulted in a lower rate of failed resuscitations before death without change in global mortality.
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Journal of critical care · Oct 2018
Combined vitamin C, hydrocortisone, and thiamine therapy for patients with severe pneumonia who were admitted to the intensive care unit: Propensity score-based analysis of a before-after cohort study.
To evaluate the efficacy of combined vitamin C, hydrocortisone, and thiamine in patients with severe pneumonia. ⋯ Combined vitamin C, hydrocortisone, and thiamine therapy may benefit patients with severe pneumonia.
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Journal of critical care · Oct 2018
Decision-making skills improve with critical care training: Using simulation to measure progress.
Health care professionals are expected to acquire decision-making skills during their training, but few methods are available to assess progress in acquiring these essential skills. The purpose of this study was to determine whether a simulation methodology could be used to assess whether decision-making skills improve during critical care training. ⋯ These findings provide evidence to support the validity of a simulation-based method to assess progress in decision-making skills. A simulation methodology could be used to establish a performance standard that determined a provider's ability to make independent decisions.
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Journal of critical care · Oct 2018
Albumin, a marker for post-operative myocardial damage in cardiac surgery.
Low serum albumin (SA) is a prognostic factor for poor outcome after cardiac surgery. The aim of this study was to estimate the association between pre-operative SA, early post-operative SA and postoperative myocardial injury. ⋯ Post-operative albumin levels were significantly correlated with the amount of postoperative myocardial damage in patients undergoing cardiac surgery independent of typical confounders.