Journal of critical care
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Journal of critical care · Oct 2013
Association between age and use of intensive care among surgical Medicare beneficiaries.
The purpose of this study is to determine the role age plays in use of intensive care for patients who have major surgery. ⋯ The association between age and use of intensive care was procedure specific. Complication rates and in-hospital mortality increased with age for all 5 surgical procedures.
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Journal of critical care · Oct 2013
Randomized Controlled Trial Comparative StudyPhoxilium vs Hemosol-B0 for continuous renal replacement therapy in acute kidney injury.
This study aimed to compare the biochemical effects of Phoxilium (containing phosphate at 1.2 mmol/L; Gambro Lundia AB, Lund, Sweden) and Hemosol-B0 (Gambro Lundia AB) as dialysate and/or replacement fluid during continuous renal replacement therapy (CRRT). ⋯ Phoxilium effectively prevented hypophosphatemia during CRRT but was associated with relative metabolic acidosis and hypocalcemia compared with Hemosol-B0 use.
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Journal of critical care · Oct 2013
Multicenter StudyPrevalence of acute kidney injury in intensive care units: The "COrte de prevalencia de disFunción RenAl y DEpuración en críticos" point-prevalence multicenter study.
This study aimed to measure the point prevalence of kidney dysfunction (KD) in the intensive care setting. ⋯ Each day of study, more that half of the patients admitted to the ICU showed some derangement in kidney function. More than 25% of patients not fulfilling the KD criteria by serum creatinine or acute kidney injury network showed, in fact, a severe KD, and this finding was associated with higher mortality. More than 50% of the patients admitted to the ICU were subjected to at least 1 renal insult.
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Journal of critical care · Oct 2013
Impact of older age and nursing home residence on clinical outcomes of US emergency department visits for severe sepsis.
The purpose of this study is to compare the impact of older age and nursing home residence on the incidence and morbidity of severe sepsis. ⋯ Older adults and particularly nursing home residents have a disproportionately high incidence of and morbidity from severe sepsis.