Journal of critical care
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Journal of critical care · Aug 2018
Hospital mortality prediction for intermediate care patients: Assessing the generalizability of the Intermediate Care Unit Severity Score (IMCUSS).
The Intermediate Care Unit Severity Score (IMCUSS) is an easy to calculate predictor of in-hospital death, and the only such tool developed for patients in the intermediate care setting. We sought to examine its external validity. ⋯ The IMCUSS exhibited acceptable discrimination, poor calibration, and underestimated mortality. Other centers should assess the performance of the IMCUSS before adopting its use.
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Journal of critical care · Aug 2018
Comparative StudyAn examination of the effect of open versus paywalled access publication on the disseminative impact and citation count of publications in intensive care medicine and anesthesia.
We aimed to assess the impact of open access (OA) versus paywalled access (PA) publication on Altmetric Attention Scores (AAS) and whether AAS correlates with future citation count access in the context of intensive care medicine (ICM) and anesthesia. ⋯ ICM publications that are available as OA in the medium term result in higher AAS when compared to PA publications, this phenomenon was not observed in anesthesia. AAS correlate with future citation counts, however, a larger study is required to confirm this.
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Journal of critical care · Aug 2018
Observational StudyLack of insurance as a barrier to care in sepsis: A retrospective cohort study.
Nationally-representative data suggest an association between lack of insurance and in-hospital death from sepsis (Kumar et al., 2014). It remains to be determined whether this association is attributable to differences in baseline health, care-seeking behaviors, hospital care, or other factors.
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Journal of critical care · Aug 2018
Measuring patient respect in the intensive care unit: Validation of the ICU-RESPECT instrument.
To validate a brief index of patient and family experiences of respect in the intensive care unit. ⋯ The ICU-RESPECT index demonstrates reliability and concurrent validity in a different ICU setting from the one where the index was developed. Future research should assess the scale's predictive validity, and factors associated with variation in scores. As hospitals address patient experience more broadly in response to national metrics, the index could identify particular behaviors or ICUs that would benefit from interventions to enhance respectful treatment.
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Journal of critical care · Aug 2018
The effect of community socioeconomic status on sepsis-attributable mortality.
Community factors may play a role in determining individual risk for sepsis, as well as sepsis-related morbidity and mortality. We sought to define the relationship between community socioeconomic status and mortality due to sepsis in an urban locale. ⋯ Our findings suggest that socioeconomic variables play significant role in sepsis-attributable mortality. Such confirmation of regional disparities in mortality due to sepsis warrants further consideration, as well as integration, for future national sepsis policies.