Critical care medicine
-
Critical care medicine · Aug 2020
The 5-Year Incidence of Mental Disorders in a Population-Based ICU Survivor Cohort.
To estimate incidence of newly diagnosed mental disorders among ICU patients. ⋯ ICU admission is associated with an increased incidence of mood, anxiety, substance use, and personality disorders over a 5-year period.
-
Critical care medicine · Aug 2020
Multicenter Study Observational StudyGestational Age and Risk of Mortality in Term-Born Critically Ill Neonates Admitted to PICUs in Australia and New Zealand.
Gestational age at birth is declining, probably because more deliveries are being induced. Gestational age is an important modifiable risk factor for neonatal mortality and morbidity. We aimed to investigate the association between gestational age and mortality in hospital for term-born neonates (≥ 37 wk') admitted to PICUs in Australia and New Zealand. ⋯ Among neonates born at "term" who are admitted to a PICU, increasing gestational age at birth is associated with a substantial reduction in the risk of dying in hospital. The maturational influence on outcome was more strongly noted in the sickest neonates, such as those requiring extracorporeal life support. This information is important in view of the increasing proportion of planned births in both high- and low-/middle-income countries.
-
Critical care medicine · Aug 2020
Decompressive Craniectomy Is Associated With Good Quality of Life Up to 10 Years After Rehabilitation From Traumatic Brain Injury.
Traumatic brain injury is the number one cause of death in children and young adults and has become increasingly prevalent in the elderly. Decompressive craniectomy prevents intracranial hypertension but does not clearly improve physical outcome 6 months after traumatic brain injury. However, it has not been analyzed if decompressive craniectomy affects traumatic brain injury patients' quality of life in the long term. ⋯ Our results suggest that decompressive craniectomy is associated with good health-related quality of life up to 10 years after traumatic brain injury. Thus, decompressive craniectomy may have an underestimated therapeutic potential after traumatic brain injury.
-
Critical care medicine · Aug 2020
Editorial CommentBack to Basics…and Translating to Success-A Call to Arms.