Journal of critical care
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Journal of critical care · Apr 2017
Observational StudyEffect of daily use of electronic checklist on physical rehabilitation consultations in critically ill patients.
In intensive care unit (ICU) practice, great emphasis is placed on the functional stabilization of the major organ systems, sometimes at the expense of physical rehabilitation. Checklists have shown to be an effective tool for standardizing care models. Our aim was to the study the effect of the use of an electronic checklist on occupational therapy/physical therapy (OT-PT) consults in critically ill patients. ⋯ The use of the electronic checklist in the ICU was associated with increased number of the OT-PT consults.
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Journal of critical care · Apr 2017
Hyperglycemia and glycemic variability are associated with the severity of sepsis in nondiabetic subjects.
The purpose was to compare glucose variability (GV) obtained via continuous glucose monitoring between nondiabetic sepsis patients and healthy subjects and to seek associations between GV and sepsis severity in nondiabetic sepsis patients. ⋯ Nondiabetic sepsis patients had higher MGL and GV values than healthy subjects. MGL and GV24h were associated with sepsis severity.
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Journal of critical care · Apr 2017
What factors affect implementation of early rehabilitation into intensive care unit practice? A qualitative study with clinicians.
To identify the barriers and enablers that influence clinicians' implementation of early rehabilitation in critical care. ⋯ Key barriers to implementation of early rehabilitation in critical care are diverse and include both clinician- and health care system-related factors. Research targeted at bridging this evidence-practice gap is required to improve provision of rehabilitation.
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Journal of critical care · Apr 2017
Risk factors for acute kidney injury in critically ill patients with complicated intra-abdominal infection.
The aim was to determine the factors related to acute kidney injury (AKI) in surgical septic patients with complicated intra-abdominal infection (CIAI) and mortality associated to AKI. ⋯ Acute kidney injury in patients with CIAI is clearly associated with SOFA and creatinine at admission. Severe AKI with RRT need is highly associated with both previous arterial hypertension and the number of previous medications potentially affecting renal function.
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Journal of critical care · Apr 2017
EditorialImplications of the new sepsis definition on research and practice.
The Society of Critical-Care Medicine and the European Society of Intensive Care Medicine recently announced a marked change in the sepsis definition. A task force of 19 sepsis clinicians and researchers made the change based on advances in the pathobiological understanding of the septic process. ⋯ While the new operationalized Sepsis-3 definition appears on the surface to be an improvement over the previous iterations, it remains to be seen if research data will be more robust using the new criteria. There is the potential for better patient outcomes if clinicians are better able to differentiate sepsis from inflammatory events with the new definition, and if sepsis cases are recognized sooner with qSOFA. Future research on the impact of this definition change on research and practice will be essential, to determine if the Sepsis 3 definition, its associated clinical criteria, and the qSOFA need further revision.