Journal of critical care
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Journal of critical care · Apr 2019
The impact of psychological distress on long-term recovery perceptions in survivors of cardiac arrest.
To determine the association of depressive and PTSD symptoms with cardiac arrest survivors' long-term recovery perceptions, after accounting for cognitive status, functional independence, and medical comorbidities. ⋯ In contrast with cognitive and functional measures, depressive symptoms were strongly associated with cardiac arrest survivors' negative recovery perceptions at 6-months post-discharge.
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Journal of critical care · Apr 2019
Risk factors for mortality and cost implications of complicated intra-abdominal infections in critically ill patients.
To assess risk factors for 28-day mortality and cost implications in intensive care unit (ICU) patients with complicated intra-abdominal infections (cIAIs). ⋯ IIAT and inadequate source control are confirmed predictors of mortality in ICU patients with complicated intra-abdominal infections. Empirical antimicrobial strategies and MDR may drive hospital costs.
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Journal of critical care · Apr 2019
Effects of antibiotic prophylaxis on ventilator-associated pneumonia in severe traumatic brain injury. A post hoc analysis of two trials.
To investigate the role of antibiotic prophylaxis (AP) in the incidence of ventilator-associated pneumonia (VAP) in patients suffering from traumatic brain injury (TBI). ⋯ Early use of AP delayed and may prevent the occurrence of VAP in severe TBI patients but did not change length of stay or mortality.
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Journal of critical care · Apr 2019
Observational StudyRed blood cell transfusion in acute brain injury subtypes: An observational cohort study.
Optimal red blood cell (RBC) transfusion thresholds in acute brain injury (ABI) are poorly defined. ⋯ In moderately anemic patients with ABI, RBC transfusion was associated with longer hospital and ICU LOS. Prospective investigations are necessary to further assess these relationships.
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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.