Intensive care medicine
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Intensive care medicine · Mar 2016
ReviewSystematic review including re-analyses of 1148 individual data sets of central venous pressure as a predictor of fluid responsiveness.
Central venous pressure (CVP) has been shown to have poor predictive value for fluid responsiveness in critically ill patients. We aimed to re-evaluate this in a larger sample subgrouped by baseline CVP values. ⋯ Most studies evaluating fluid responsiveness reported mean/median CVP values in the intermediate range of 8-12 mmHg both in responders and non-responders. In a re-analysis of 1148 patient data sets, specific lower and higher CVP values had some positive and negative predictive value for fluid responsiveness, respectively, but predictive values were low for all specific CVP values assessed.
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Intensive care medicine · Mar 2016
Multicenter StudyCritical care transition programs and the risk of readmission or death after discharge from ICU.
Critical care transition programs have been widely implemented to improve the safety of patient discharge from ICU, but have undergone limited evaluation. We sought to evaluate implementation of a critical care transition program on patient readmission to ICU (72 h) and mortality (14 days). ⋯ Implementation of a critical care transition program was not associated with patient readmission to ICU or mortality.