Journal of critical care
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Journal of critical care · Jun 2011
Alveolar fluid clearance is faster in women with acute lung injury compared to men.
Studies suggest that there is a sex difference in the development and outcomes of acute lung injury (ALI). Few studies have directly addressed the association of sex and alveolar fluid clearance (AFC), a process that is critical to ALI resolution. ⋯ These findings may have significant implications for future ALI studies and potential therapies.
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Journal of critical care · Jun 2011
Evolutive physicochemical characterization of diabetic ketoacidosis in adult patients admitted to the intensive care unit.
The aim of this study was to characterize the first 48-hour evolution of metabolic acidosis of adult patients with diabetic ketoacidosis admitted to the intensive care unit. ⋯ Initial metabolic acidosis was due to SIG, and the treatment was associated with a significant decrease of SIG with an elevation of serum chloride above the normal range.
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Journal of critical care · Jun 2011
The epidemiology of acute respiratory failure in hospitalized patients: a Brazilian prospective cohort study.
The purpose of this study was to assess risk factors associated with the development of acute respiratory failure (ARF) and death in a general intensive care unit (ICU). ⋯ Acute respiratory failure represents a large percentage of all ICU patients, and the high mortality is related to some preventable factors such as the time to ICU admission.
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Journal of critical care · Jun 2011
Protein C as an early biomarker to distinguish pneumonia from sepsis.
Patients with pneumonia often are unrecognized as also having sepsis. We evaluated protein C, as a potential biomarker, to differentiate between patients with pneumonia and sepsis. ⋯ In this study, protein C levels performed well in differentiating between patients with sepsis or pneumonia in the early period after diagnosis.
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Journal of critical care · Jun 2011
Albumin and C-reactive protein have prognostic significance in patients with community-acquired pneumonia.
This study aims to determine the association of commonly used biochemical markers, such as albumin and C-reactive protein (CRP), with mortality and the prognostic performance of these markers combined with the pneumonia severity index (PSI) for mortality and adverse outcomes in patients with community-acquired pneumonia (CAP). ⋯ Albumin and CRP were associated with 28-day mortality in hospitalized patients with CAP, and these markers increased prognostic performance when combined with the PSI scale.