Journal of critical care
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Journal of critical care · Aug 2013
Multicenter StudyLength of stay and mortality due to Clostridium difficile infection acquired in the intensive care unit.
The purpose of this study was to determine the attributable intensive care unit (ICU) and hospital length of stay and mortality of ICU-acquired Clostridium difficile infection (CDI). ⋯ C difficile infection acquired in ICU is associated with an increase in length of ICU and hospital stay but not with any difference in ICU or hospital mortality.
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The aim of this study was to assess the association of phosphate concentration with key clinical outcomes in a heterogeneous cohort of critically ill patients. ⋯ Hypophosphatemia behaves like a general marker of illness severity and not as an independent predictor of ICU or in-hospital mortality in critically ill patients.
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Journal of critical care · Aug 2013
The clinical quandary of counseling the moribund critical care patient-a registry analysis of postsurgical outcomes.
To provide outcomes data to intensivists and surgeons for counseling patients and family members when considering a surgical intervention in a moribund patient. ⋯ The moribund patient is not as grave as once thought and surgery on these patients may not be futile given the 47% survival rate at 30 days. Postoperative complication rates are high. The data presented provide a meaningful tool for the clinicians in counseling patients and families on the expectations when considering a surgical intervention for moribund patients.
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Journal of critical care · Aug 2013
Impact of bed availability on requesting and offering in-hospital intensive care unit transfers: a survey study of generalists and intensivists.
To evaluate whether bed availability affects a physician's decision to request or offer an intensive care unit (ICU) transfer. ⋯ There is high variability in the decision to request or offer ICU beds. There was not a significant association between bed availability and ICU transfer decisions.
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Journal of critical care · Aug 2013
Safety and feasibility of femoral catheters during physical rehabilitation in the intensive care unit.
Femoral catheters pose a potential barrier to early rehabilitation in the intensive care unit (ICU) due to concerns, such as catheter removal, local trauma, bleeding, and infection. We prospectively evaluated the feasibility and safety of physical therapy (PT) in ICU patients with femoral catheters. ⋯ Physical therapy interventions in MICU patients with in situ femoral catheters appear to be feasible and safe. The presence of a femoral catheter should not automatically restrict ICU patients to bed rest.