Journal of critical care
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Journal of critical care · Apr 2019
Comparative StudyPrevalence of acute kidney injury after liver transplantation in children: Comparison of the pRIFLE, AKIN, and KDIGO criteria using corrected serum creatinine.
To compare the application of three standardized definitions of acute kidney injury (AKI), using corrected serum creatinine values, in children immediately after liver transplantation. ⋯ There is a good correlation among the three criteria defining AKI in pediatric liver transplant recipients. AKI is highly prevalent in this patient group and confers a worse ICU course.
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Journal of critical care · Apr 2019
Doppler-defined pulmonary hypertension in sepsis and septic shock.
The association of pulmonary hypertension (PH) in patients with sepsis is lesser understood. ⋯ In patients with sepsis and septic shock, PH is common and is noted to be associated with higher short and long-term mortality. Further studies are needed to understand the mechanisms by which PH is associated with outcomes.
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Journal of critical care · Apr 2019
Observational StudyDecreasing re-intubation using prophylactic noninvasive ventilation in elderly patients: A propensity-matched study.
Prophylactic noninvasive ventilation (NIV) reduces re-intubation in high-risk patients. However, its effects in elderly patients remain unclear. Here, we investigated the efficacy of prophylactic NIV in elderly patients after a planned extubation. ⋯ Elderly patients received benefits from prophylactic NIV after a planned extubation.
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Journal of critical care · Apr 2019
Comparative Study Observational StudyEpidemiology, lung mechanics and outcomes of ARDS: A comparison between pregnant and non-pregnant subjects.
We describe the epidemiology, lung mechanics and outcomes of acute respiratory distress syndrome (ARDS) complicating pregnancy. We also compare the outcomes of ARDS in pregnant and non-pregnant females. ⋯ ARDS complicating pregnancy is severe and is associated with high perinatal mortality. However, the outcomes of ARDS in pregnant females were similar to non-pregnant females.
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Journal of critical care · Apr 2019
Transient acute kidney injury after major abdominal surgery increases chronic kidney disease risk and 1-year mortality.
We conducted a retrospective cohort study to determine incidences of transient and persistent acute kidney injury (AKI) after major abdominal surgery and their impacts on long-term outcome. ⋯ Although most AKI cases after major abdominal surgery recover completely within 7 days, even these patients with transient AKI are at higher risk for 1-year mortality and chronic kidney disease progression compared to patients without AKI.