Articles: critical-illness.
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Critical diseases usually cause hypercortisolemia via activation of the hypothalamic-pituitary-adrenal axis. ⋯ Very high cortisol levels are associated with severe illness and increased risk of death, among COVID-19 patients in the ICU.
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Comparative Study Observational Study
Resonance Raman Spectroscopy Derived Tissue Hemoglobin Oxygen Saturation in Critically Ill and Injured Patients.
In this study, we examined the ability of resonance Raman spectroscopy to measure tissue hemoglobin oxygenation (R-StO2) noninvasively in critically ill patients and compared its performance with conventional central venous hemoglobin oxygen saturation (ScvO2). ⋯ R-StO2 has the potential to predict ScvO2 with high precision and might serve as a faster, safer, and noninvasive surrogate to these measures.
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Intensive care medicine · Jul 2021
Multicenter StudyPredictors of death and new disability after critical illness: a multicentre prospective cohort study.
This study aimed to determine the prevalence and predictors of death or new disability following critical illness. ⋯ Less than half of all patients mechanically ventilated for more than 24 h were alive and free of new disability at 6 months after admission to ICU. A model including age, illness severity and admission diagnosis has acceptable discriminative ability to predict death or new disability at 6 months.
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To determine the outcomes of hospitalized cancer patients requiring intensive care unit (ICU) intervention and receiving palliative care. ⋯ Fewer than 3 out of 10 hospitalized cancer patients requiring admission to the ICU were evaluated by the palliative care team despite having incurable cancer. The qSOFA score of patients at the time of the ICU consultation was the only risk factor for mortality during hospitalization. Future research efforts in Mexico should focus on earlier integration of palliation care with usual oncology care in incurable cancer patients.