Journal of critical care
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Journal of critical care · Oct 2018
Comparative StudySecondary EMR data for quality improvement and research: A comparison of manual and electronic data collection from an integrated critical care electronic medical record system.
This study measured the quality of data extracted from a clinical information system widely used for critical care quality improvement and research. ⋯ Manual validation processes of electronic data are complex in comparison to validation of traditional clinical documentation. This study represents a straightforward approach to validate the use of data repositories to support reliable and efficient use of high quality secondary use data.
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Journal of critical care · Oct 2018
Echocardiographic left ventricular diastolic dysfunction predicts hospital mortality after out-of-hospital cardiac arrest.
To determine whether systolic or diastolic dysfunction on transthoracic echocardiogram (TTE) predicts mortality after out-of-hospital cardiac arrest (OHCA). ⋯ Diastolic dysfunction (higher medial mitral E/e' ratio) on TTE independently predicted mortality after OHCA; systolic dysfunction and TTE hemodynamic parameters did not. This reflects a novel use of Doppler TTE to predict outcomes after OHCA.
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Journal of critical care · Oct 2018
Decision-making skills improve with critical care training: Using simulation to measure progress.
Health care professionals are expected to acquire decision-making skills during their training, but few methods are available to assess progress in acquiring these essential skills. The purpose of this study was to determine whether a simulation methodology could be used to assess whether decision-making skills improve during critical care training. ⋯ These findings provide evidence to support the validity of a simulation-based method to assess progress in decision-making skills. A simulation methodology could be used to establish a performance standard that determined a provider's ability to make independent decisions.
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Journal of critical care · Oct 2018
Clinical study of Presepsin and Pentraxin3 in critically ill children.
To assess the value of Presepsin and Pentraxin3 measurement in critically ill children. ⋯ Presepsin and Pentraxin3 are acute phase proteins potentially useful for monitoring critically ill children and diagnosing sepsis. Pentraxin3 is associated with mortality but modestly discriminates survivors from non-survivors. Presepsin is associated with certain indicators of disease severity. Larger studies are certainly required.
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Journal of critical care · Oct 2018
Observational StudyChanges in limitations of life-sustaining treatments over time in a French intensive care unit: A prospective observational study.
Variability exists between ICUs in the limitations of therapy. Moreover practices may evolve over time. This single-center observational study aimed to compare withholding or withdrawing practices between 2012 and 2016. ⋯ A timely inclination to forego hopeless treatments resulted in a lower rate of failed resuscitations before death without change in global mortality.