Journal of critical care
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Journal of critical care · Jun 2010
Rehabilitation therapy and outcomes in acute respiratory failure: an observational pilot project.
The aim of this study was to describe the frequency, physiologic effects, safety, and patient outcomes associated with traditional rehabilitation therapy in patients who require mechanical ventilation. ⋯ This pilot project illustrated important barriers to providing rehabilitation to mechanically ventilated patients in an ICU and impairments in strength, range of motion, and functional outcomes at hospital discharge.
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Journal of critical care · Jun 2010
Hospitalist bed management effecting throughput from the emergency department to the intensive care unit.
Emergency department (ED) patients in need of an intensive care unit (ICU) admission are very sick. Reducing the length of time to get these patients into ICU beds is associated with improved outcomes. ⋯ Conscientious management of hospital beds, in this case by hospitalist physicians providing ABM, can have a positive and substantial impact on the ED throughput of critically ill patients admitted to ICU beds. This efficiency is likely to positively have impacted on patient satisfaction and safety.
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Journal of critical care · Jun 2010
Prognostic factors of mortality in patients with community-acquired bloodstream infection with severe sepsis and septic shock.
The purpose of the study was to determine the independent risk factors on mortality in patients with community-acquired severe sepsis and septic shock. ⋯ In addition to the severity of illness, hypoalbuminemia was identified as the most important prognostic factor in community-acquired bloodstream infection with severe sepsis and septic shock.
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Journal of critical care · Jun 2010
Risk factors and treatment outcome in scuba divers with spinal cord decompression sickness.
This study was designed to determine the recompression strategy and the potential risk factors associated with the development of severe diving-related spinal cord decompression sickness (DCS). ⋯ The initial clinical course before treatment is a major prognostic factor of spinal cord DCS. Delay to recompression less than 3 hours and use of deep treatment tables did not improve outcome in DCS divers.
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Journal of critical care · Jun 2010
Randomized Controlled Trial Comparative StudyReduced expression of systemic proinflammatory and myocardial biomarkers after off-pump versus on-pump coronary artery bypass surgery: a prospective randomized study.
The effects of off-pump (OffPCABG) and on-pump (OnPCABG) coronary artery bypass grafting (CABG) on myocardium and inflammation are unclear. ⋯ Thus, the absence of CPB during CABG preserves better the myocardium and attenuates inflammation-however, without improving survival.