Heart & lung : the journal of critical care
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Review Meta Analysis
The prognostic significance of troponin elevation in patients with sepsis: a meta-analysis.
To confirm the association between troponin elevation in patients with sepsis and mortality. ⋯ Troponin elevation in patients with sepsis confers poorer prognosis and is a predictor of mortality. Further studies are needed to see if more aggressive treatment of this subset of patients, or utilizing new therapeutic approaches will improve mortality.
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Evaluate time to treatment (TT) in suspected acute coronary syndrome (ACS) patients in the Emergency Department (ED) in Pakistan. ⋯ Findings warrant exploring interventions to improve TT for ACS care in resource-limited settings.
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Multicenter Study
The number of mechanically ventilated ICU patients meeting communication criteria.
(1) Estimate the proportion of mechanically ventilated (MV) intensive care unit (ICU) patients meeting basic communication criteria who could potentially be served by assistive communication tools and speech-language consultation. (2) Compare characteristics of patients who met communication criteria with those who did not. ⋯ We estimate that half of MV patients in the ICU could potentially be served by assistive communication tools and speech-language consultation.
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To evaluate the effects of this EMR surveillance on sepsis, severe sepsis or septic shock outcomes in patients admitted to a medical telemetry unit, including length of hospital stay, patient discharge and mortality. ⋯ These results offer promising evidence that the use of an EMR sepsis surveillance alert could decrease the ravishing effects of sepsis, severe sepsis and septic shock by early identification and treatment.
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To describe in-hospital cardiac arrest (CA) events with regard to sex and to investigate if sex is associated with survival. ⋯ Sex does not appear to be a predictor for survival among patients suffering CA where resuscitation is attempted. The difference regarding proportion of resuscitation attempts requires more attention. It is important to consider possible interaction effects when studying the sex perspective.