Journal of critical care
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Journal of critical care · Oct 2018
Observational StudyEvaluation of the efficacy of the National Early Warning Score in predicting in-hospital mortality via the risk stratification.
To investigate the efficacy of the National Early Warning Score (NEWS) in predicting in-hospital mortality. ⋯ NEWS is a simple and useful bedside tool for predicting in-hospital mortality. In addition, the rapid response team must consider other clinical factors as well as screening tools to improve clinical outcomes.
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Journal of critical care · Oct 2018
National incidence rates for Acute Respiratory Distress Syndrome (ARDS) and ARDS cause-specific factors in the United States (2006-2014).
To estimate the incidence of Acute Respiratory Distress Syndrome (ARDS) and ARDS-related mortality rates. ⋯ Although increasing incidence for ARDS was observed, mortality rates declined for most risk factors. Mortality for transfusion and trauma-associated ARDS increased in the later study period, research is needed to examine reasons for the increasing in-hospital deaths associated with these risk factors.
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Journal of critical care · Oct 2018
Letter Case ReportsIntraventricular CNS treatment with Colistin-Tigecycline combination: A case series.
"Healthcare-associated ventriculitis and meningitis" is a potentially devastating illness following neurosurgical procedures. Multidrug resistant (MDR) and extensively drug resistant (XDR) organisms such as Acinetobacter baumannii and Klebsiella pneumoniae have increasingly been isolated in ventriculitis and meningitis episodes. ⋯ The intraventricular (IVT) administration of antibiotics can be used as an adjunct to the intravenous (IV) treatment of Gram-negative MDR ventriculitis and meningitis, yet pertinent data is scarce. We present the successful management of three cases of healthcare-associated ventriculitis and meningitis due to XDR species with the combined intraventricular administration of colistin and off-label tigecycline, after the initial regimen of colistin given alone through both IVT and IV routes had failed.