Journal of critical care
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Journal of critical care · Sep 2006
Early markers of acute respiratory distress syndrome development in severe trauma patients.
The aim of the study was to identify early risk factors for development of acute respiratory distress syndrome (ARDS) in severe trauma patients. ⋯ Risk of ARDS development is related to the first 24-hour admission variables, including severe physiologic derangements and specific ICD-9-classified injuries. Blood transfusion may play an independent role.
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Journal of critical care · Jun 2006
Multicenter StudyDevelopment and implementation of a high-quality clinical database: the Australian and New Zealand Intensive Care Society Adult Patient Database.
To describe the development of a binational intensive care database. ⋯ A high-quality ICU database has successfully been implemented in Australia and New Zealand and is now used as a routine quality assurance and peer review tool. Similar developments may be both possible and desirable in other countries.
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Journal of critical care · Jun 2006
Comparative StudyAdjustment of intensive care unit outcomes for severity of illness and comorbidity scores.
Comparison of outcomes among intensive care units (ICUs) requires adjustment for patient variables. Severity of illness scores are associated with hospital mortality, but administrative databases rarely include the elements of these scores. However, these databases include the elements of comorbidity scores. The purpose of this study was to compare the value of these scores as adjustment variables in statistical models of hospital mortality and hospital and ICU length of stay after adjustment for other covariates. ⋯ The value of APACHE II and comorbidity scores as adjustment variables depends on the outcome and population of interest.