Journal of critical care
-
Journal of critical care · Feb 2024
Recurrent delirium episodes within the intensive care unit: Incidence and associated factors.
Describe the incidence and factors associated with recurrent delirium in the intensive care unit (ICU). ⋯ Not applicable.
-
Journal of critical care · Feb 2024
Observational StudyOptic Nerve Sheath Diameter for Assessing Prognosis after Out-of-Hospital Cardiac Arrest.
Evaluate optic nerve sheath and pial diameters (ONSD, ONPD) via sonography and computed tomography (CT) after out-of-hospital cardiac arrest (CA) and to compare their prognostic significance with other imaging and laboratory biomarkers. ⋯ CT diagnostics, in particular GWRBG and GWRCBR, as well as NSE as laboratory biomarker, appear as excellent outcome predictors. Meanwhile, our data lead us to recommend caution in utilizing sonography assessed ONSD and ONPD for prognostic decision-making post-CA.
-
Journal of critical care · Feb 2024
Observational StudyProspective evaluation of bleeding risk among thrombocytopenic patients admitted in intensive care unit.
Bleeding risk evaluation of thrombocytopenic patients admitted in ICU has been poorly investigated. ⋯ Plasma urea levels and the presence of skin purpura are helpful in identifying thrombocytopenic patients at high-risk of bleeding during ICU stay.
-
Journal of critical care · Feb 2024
Estimated glomerular filtration rate among intensive care unit survivors: From the removal of race coefficient to cystatin C-based equations.
Black race coefficient used in serum creatinine (sCr)-based estimated glomerular filtration rate (eGFR) calculation may perpetuate racial disparities. Among intensive care unit (ICU) survivors, sCr overestimates kidney function due to sarcopenia. Cystatin C (cysC) is a race- and muscle mass-independent eGFR marker. We investigated the impact of removing the race coefficient from sCr-based eGFR and compared cysC- and sCr-based eGFR in ICU survivors. ⋯ Among ICU survivors, removal of race coefficient leads to lower eGFR in Black patients and may contribute to overestimation of kidney function in non-Black patients. While cysC is rarely used, estimates based on this marker are significantly lower than those based on sCr.
-
Journal of critical care · Feb 2024
Association of Shock Index with Echocardiographic Parameters in Cardiac Intensive Care Unit.
A high shock index (SI), the ratio of heart rate (HR) to systolic blood pressure (SBP), has been associated with unfavorable outcomes. We sought to determine the hemodynamic underpinnings of an elevated SI using 2-D and doppler Transthoracic Echocardiography (TTE) in unselected cardiac intensive care unit (CICU) patients. ⋯ CICU patients with elevated SI have worse biventricular function and systemic hemodynamics, particularly decreased stroke volume and related calculated TTE parameters. The SI is an easily available marker that can be used to identify CICU patients with unfavorable hemodynamics who may require further assessment.