Journal of critical care
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Journal of critical care · Feb 2012
Earthquake-related injuries: evaluation with multidetector computed tomography and digital radiography of 1491 patients.
The aim of this study was to evaluate the common features of earthquake-related injuries using radiography and computed tomography. ⋯ The Sichuan earthquake most commonly resulted in extremity fractures, but there was a high incidence of injuries to multiple body areas. Head, abdominal, and thoracic injuries and age older than 64 years all were significant risk factors for earthquake mortality.
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To examine the performance and properties of the Revised Health Care System Distrust Scale among surrogates in the intensive care unit (ICU). ⋯ Among surrogates in the ICU, the Health Care System Distrust Scale has high internal consistency and convergent validity. There was substantial variability in surrogates' trust in the health-care system.
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Journal of critical care · Feb 2012
Cerebral perfusion pressure, microdialysis biochemistry, and clinical outcome in patients with spontaneous intracerebral hematomas.
The aim of our study was to investigate the roles of cerebral perfusion pressure (CPP) and microdialysis marker values on the clinical outcome of patients with spontaneous intracerebral hematoma. ⋯ The L/P ratio and CPP were found to be related to patient outcome. In addition, a CPP greater than 75.46 mm Hg and an L/P ratio lower than 37.40 mm Hg were related to a favorable outcome.
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Journal of critical care · Feb 2012
Ventilator-associated pneumonia is an important risk factor for mortality after major cardiac surgery.
Ventilator-associated pneumonia (VAP) is the main infectious complication in cardiac surgery patients and is associated with an important increase in morbidity and mortality. The aim of our study was to analyze the impact of VAP on mortality excluding other comorbidities and to study its etiology and the risk factors for its development. ⋯ The development of VAP after CPB is the most important independent risk factor for in-hospital mortality. Identification of effective strategies for the prevention of VAP is needed.