Journal of critical care
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Multi-organ dysfunction is seen in nearly 40-60% of all patients presenting with sepsis, including renal and cardiac dysfunction. Cardiorenal syndrome type-5 reflects concomitant cardiac and renal dysfunction secondary to a systemic condition that primarily affects both organs, such as sepsis. ⋯ Acute kidney injury is systematically evaluated using serum creatinine and urine output criteria. This review seeks to systematically describe the epidemiology, risk factors, pathogenesis, diagnosis and management of cardiorenal syndrome type-5 in the setting of sepsis.
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Journal of critical care · Feb 2018
Multicenter Study Observational StudyPost-ICU psychological morbidity in very long ICU stay patients with ARDS and delirium.
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Journal of critical care · Feb 2018
Development of a prediction model for long-term quality of life in critically ill patients.
We developed a prediction model for quality of life (QOL) 1 year after intensive care unit (ICU) discharge based upon data available at the first ICU day to improve decision-making. ⋯ Although only 40% of variability in long-term QOL could be explained, this prediction model can be helpful in decision-making.
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Journal of critical care · Feb 2018
Observational StudyCirculating syndecan-1 predicts the development of disseminated intravascular coagulation in patients with sepsis.
One of the pathophysiological processes in sepsis is endothelial dysfunction, which leads to disseminated intravascular coagulation (DIC). Syndecan-1 is a major structural component of the endothelium and plays a key role in endothelial function. The purpose of this study was to assess the value of syndecan-1 as a predictive marker for DIC in sepsis. ⋯ Syndecan-1 levels were associated with not only the severity of illness and mortality but also DIC development in sepsis, suggesting that syndecan-1 could be a predictive marker of DIC.
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Journal of critical care · Feb 2018
Multicenter StudyPhysician attire in the intensive care unit in Japan influences visitors' perception of care.
The objective of this study is to evaluate the impact of physician attire and behavior on perceptions of care by ICU visitors in Japan. ⋯ Physician attire in the ICU affects perceptions of care. Implementation of attire guidelines which require clothing that does not meet visitor preferences should be accompanied by education programs.