Journal of critical care
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Journal of critical care · Apr 2018
Observational StudyRelevance of AND-ASPEN criteria of malnutrition to predict hospital mortality in critically ill patients: A prospective study.
Malnutrition is prevalent in the intensive care units (ICU), yet, there is a paucity of validated assessment tools. Subsequently, this study evaluates the validity of the malnutrition AND-ASPEN tool as an ICU mortality predictor. ⋯ This study showed the applicability of the AND-ASPEN tool in the ICU setting as a predictor of mortality.
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Journal of critical care · Apr 2018
Patterns of C-reactive protein ratio response to antibiotics in pediatric sepsis: A prospective cohort study.
Evaluate sequential C-reactive protein (CRP) measurements and patterns of CRP-ratio response to antibiotic therapy during first 7days in Pediatric Intensive Care Unit (PICU) of septic children. ⋯ In pediatric sepsis, CRP-ratio serial evaluation was useful in early identification of patients with poor outcome.
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Journal of critical care · Apr 2018
Observational StudyProcalcitonin accurately predicts lung transplant adults with low risk of pulmonary graft dysfunction and intensive care mortality.
We evaluated the association of procalcitonin (PCT), IL-6-8-10 plasma levels during the first 72h after lung transplantation (LT) with ICU-mortality, oxygenation, primary graft dysfunction (PGD), and one-year graft function after LT. ⋯ A breakpoint of PCT<2ng/mL within 24h has a high predictive value to exclude grade 3 PGD at 72h and for ICU survival. Moreover, both PCT and IL-10 within 48h were associated with significantly better graft function one year after surgery.
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Knowledge of families' perspective of quality of intensive care unit (ICU) care is important, especially with regard to end-of-life (EOL) care. Adaptation of the US-developed "Quality of dying and death questionnaire" (QODD) to a European setting is lacking. The primary aim of this study is to examine the euroQODD's usability and its assessments of EOL care in a cohort of Danish and Dutch family members. ⋯ The majority of family members were satisfied with the quality of EOL care and quality of dying and death. They agreed with decisions made to limit treatment and most felt they had participated to some extent in decision-making, although some would have preferred greater participation. Addition of items that can be accurately treated as effect indicators will improve the instrument's usefulness in measuring the overall quality of dying and death.