Journal of critical care
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Journal of critical care · Jun 2010
Revised Acute Physiology and Chronic Health Evaluation score as a predictor of neurosurgery intensive care unit readmission: a case-controlled study.
Patients with neurologic system problems are among the most common patients readmitted to the intensive care unit (ICU). Readmission predictors for neurologic ICU patients have not been established. Previous research suggests that the Revised Acute Physiology and Chronic Health Evaluation (APACHE II) score is one indication of the critical status of ICU-admitted patients; however, the ability of the discharge APACHE II to predict readmission to the ICU requires further study. The purpose of this study was to investigate the ability of the APACHE II scoring system to predict ICU readmission of neurosurgical and ICU patients. ⋯ The risk of ICU readmission of neurologic ICU patients can be predicted by determining APACHE II score upon ICU discharge.
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Journal of critical care · Jun 2010
Rehabilitation therapy and outcomes in acute respiratory failure: an observational pilot project.
The aim of this study was to describe the frequency, physiologic effects, safety, and patient outcomes associated with traditional rehabilitation therapy in patients who require mechanical ventilation. ⋯ This pilot project illustrated important barriers to providing rehabilitation to mechanically ventilated patients in an ICU and impairments in strength, range of motion, and functional outcomes at hospital discharge.
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Journal of critical care · Jun 2010
Randomized Controlled Trial Comparative StudyReduced expression of systemic proinflammatory and myocardial biomarkers after off-pump versus on-pump coronary artery bypass surgery: a prospective randomized study.
The effects of off-pump (OffPCABG) and on-pump (OnPCABG) coronary artery bypass grafting (CABG) on myocardium and inflammation are unclear. ⋯ Thus, the absence of CPB during CABG preserves better the myocardium and attenuates inflammation-however, without improving survival.
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Journal of critical care · Jun 2010
Randomized Controlled Trial Multicenter StudyTriggers for emergency team activation: a multicenter assessment.
The purpose of the study was to examine triggers for emergency team activation in hospitals with or without a medical emergency team (MET) system. ⋯ In MET hospitals, more emergency team calls are triggered because staff members are worried about the patient; and fewer calls have multiple triggers. Type of hospital, type of ward, and time of day also affect the nature and frequency of triggers for emergency team activation.
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Journal of critical care · Jun 2010
Randomized Controlled TrialEffects of polygeline and hydroxyethyl starch solutions on liver functions assessed with LIMON in hypovolemic patients.
Hypovolemia is a common clinical entity in critical patients, and adequate volume replacement therapy seems to be essential for maintaining tissue perfusion. However, it is still uncertain which solution is most appropriate for fluid resuscitation. ⋯ Increasing intrathoracic blood volume index and hemodynamic variables by fluid loading is not associated with a significant change in ICG-PDR.