Journal of critical care
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Journal of critical care · Aug 2018
Observational StudyLack of insurance as a barrier to care in sepsis: A retrospective cohort study.
Nationally-representative data suggest an association between lack of insurance and in-hospital death from sepsis (Kumar et al., 2014). It remains to be determined whether this association is attributable to differences in baseline health, care-seeking behaviors, hospital care, or other factors.
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Journal of critical care · Aug 2018
Comparative StudyAn examination of the effect of open versus paywalled access publication on the disseminative impact and citation count of publications in intensive care medicine and anesthesia.
We aimed to assess the impact of open access (OA) versus paywalled access (PA) publication on Altmetric Attention Scores (AAS) and whether AAS correlates with future citation count access in the context of intensive care medicine (ICM) and anesthesia. ⋯ ICM publications that are available as OA in the medium term result in higher AAS when compared to PA publications, this phenomenon was not observed in anesthesia. AAS correlate with future citation counts, however, a larger study is required to confirm this.
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Journal of critical care · Aug 2018
Observational StudyDoes the clinical frailty score improve the accuracy of the SOFA score in predicting hospital mortality in elderly critically ill patients? A prospective observational study.
To determine whether the addition of the frailty status assessed by the clinical frailty scale (CFS) to the SOFA score (SOFA-CFS) improves the performance of the SOFA score alone in predicting the hospital mortality of elderly critically ill patients. ⋯ The performance of the SOFA score in predicting hospital mortality was low, although it was an independent risk factor for mortality. The combination of frailty status with the SOFA score did not improve the performance of the SOFA score alone.
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Journal of critical care · Aug 2018
Measuring patient respect in the intensive care unit: Validation of the ICU-RESPECT instrument.
To validate a brief index of patient and family experiences of respect in the intensive care unit. ⋯ The ICU-RESPECT index demonstrates reliability and concurrent validity in a different ICU setting from the one where the index was developed. Future research should assess the scale's predictive validity, and factors associated with variation in scores. As hospitals address patient experience more broadly in response to national metrics, the index could identify particular behaviors or ICUs that would benefit from interventions to enhance respectful treatment.
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Journal of critical care · Aug 2018
Observational StudyDeterminants of cardiac repolarization and risk for ventricular arrhythmias during mild therapeutic hypothermia.
We aimed to investigate the factors that modulate the extent of QTc prolongation and potential arrhythmogenic consequences during mild therapeutic hypothermia (MTH). ⋯ QTc prolongation during MTH is strongly affected by female gender and moderately by concomitant anoxic brain injury. Although the overall risk for ventricular arrhythmias is not greater with MTH, Torsade de pointes may develop when other contributing factors coexist.