Journal of critical care
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Journal of critical care · Aug 2014
The prognostic and risk-stratified value of heart-type fatty acid-binding protein in septic patients in the emergency department.
To evaluate the prognostic and risk-stratified ability of heart-type fatty acid-binding protein (H-FABP) in septic patients in the emergency department (ED). ⋯ Heart-type fatty acid-binding protein was helpful for prognosis and risk stratification of septic patients in the ED.
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Journal of critical care · Aug 2014
Verifying a medical protocol with temporal graphs: The case of a nosocomial disease.
Our contribution focuses on the implementation of a formal verification approach for medical protocols with graphical temporal reasoning paths to facilitate the understanding of verification steps. ⋯ The proposed approach allows for the visual modeling of temporal reasoning and a formalization of knowledge that can assist in the diagnosis and treatment of nosocomial infections and some clinical problems. This is the first time that one emphasizes the temporal situation modeling in conceptual graphs. It will also deliver a formal verification method for clinical guideline analyses.
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Journal of critical care · Aug 2014
Clinical results of early stabilization of spine fractures in polytrauma patients.
The purpose of study was to evaluate the clinical results of early stabilization of spine fractures in polytrauma patients. ⋯ Polytrauma patients whose spine fractures were stabilized within 72 hours had better clinical outcomes than those with late stabilization. In addition, more severely injured patients (ISS, ≥26) benefited more from early stabilization.
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Journal of critical care · Jun 2014
Observational StudyA preliminary investigation into adrenal responsiveness and outcomes in patients with cardiogenic shock after acute myocardial infarction.
This study investigated the significance of baseline cortisol levels and adrenal response to corticotropin in shocked patients after acute myocardial infarction (AMI). ⋯ A high baseline plasma TC was associated with a trend toward increased mortality in patients with cardiogenic shock post-AMI. Patients with lower baseline TC, but with an inducible adrenal response, appeared to have a survival benefit. A prognostic system based on basal TC and Δ max similar to that described in septic shock appears feasible in this cohort. Corticosteroid therapy was associated with adverse outcomes. These findings require further validation in larger studies.