Journal of critical care
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Journal of critical care · Apr 2019
Multicenter Study Comparative StudyComparison of outcomes and costs between adult diabetic ketoacidosis patients admitted to the ICU and step-down unit.
There is wide variation in the utilization of Intensive Care Unit (ICU) beds for treatment and monitoring of adult patients with Diabetic Ketoacidosis (DKA). We sought to compare the outcomes and hospital costs of adult DKA patients admitted to ICUs as compared to those admitted to step-down units. ⋯ Adult DKA patients admitted to a step-down unit had comparable in-hospital mortality and lower hospital costs as compared to those admitted to the ICU.
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Journal of critical care · Apr 2019
Multicenter StudyImmature granulocytes: A novel biomarker of acute respiratory distress syndrome in patients with acute pancreatitis.
To investigate the relationship between immature granulocyte percentage (IG%) and acute respiratory distress syndrome (ARDS) in patients with acute pancreatitis (AP). ⋯ IG% is a new type of biomarker for ARDS in patients with AP, which may promote timely and efficient identification of individuals at high risk for ARDS in the early stages of disease.
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Journal of critical care · Apr 2019
Multicenter StudyFactors associated with mortality in severe community-acquired pneumonia: A multicenter cohort study.
Describe characteristics and outcomes of CAP admitted to public ICUs in Brazil. ⋯ CAP is associated with high mortality in patients admitted to public ICUs in Brazil. The current findings may help improve resource allocation and should aim at improving access to ICU care since delayed admission was associated with increased hospital mortality.
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Journal of critical care · Apr 2019
Multicenter Study Observational StudyEpidemiology of disseminated intravascular coagulation in sepsis and validation of scoring systems.
We investigated the epidemiology and outcome of disseminated intravascular coagulation (DIC) in patients with sepsis. ⋯ Patients with sepsis and DIC have high mortality. However, the DIC are not independently associated with in-hospital mortality.
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Journal of critical care · Apr 2019
Multicenter Study Observational StudyIncidence and risk factors for alopecia in survivors of critical illness: A multi-centre observational study.
To investigate the incidence, nature and risk factors for patient-reported alopecia in survivors of critical illness. ⋯ Limited research exists examining the incidence, nature and risk factors for patient-reported alopecia in adult survivors of critical illness. The results of this study highlight the need to discuss the potential for alopecia with survivors of critical illness, who had sepsis / septic shock.