Journal of critical care
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Journal of critical care · Jun 2019
Association between strained ICU capacity and healthcare costs in Canada: A population-based cohort study.
Intensive care is resource intensive, with costs representing a substantial quantity of total hospitalization costs. Strained ICU capacity compromises care quality and adversely impacts outcomes; however, the association between strain and healthcare costs has not been explored. ⋯ Admissions to ICUs experiencing strain incur incremental costs, attributed to longer hospitalization and physician services.
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Journal of critical care · Jun 2019
Usefulness of qSOFA and SIRS scores for detection of incipient sepsis in general ward patients: A prospective cohort study.
To prospectively assess the diagnostic value of quick Sequential Organ Failure Assessment (qSOFA) and systemic inflammatory response syndrome (SIRS) scores for sepsis in ward patients with infections. ⋯ Neither SIRS score nor qSOFA score could serve as an ideal screening tool for early identification sepsis, whereas qSOFA score might help to identify patients with higher risk of poor clinical outcome.
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Acute Respiratory Distress Syndrome is a major complication of leptospirosis, leading to the majority of fatalities. ⋯ Leptospirosis can induce serious but transient ARDS with a better prognosis than that of other causes of ARDS. Several patients have been successfully treated with ECMO.
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Journal of critical care · Jun 2019
A decision-aid tool for ICU admission triage is associated with a reduction in potentially inappropriate intensive care unit admissions.
Intensive care unit (ICU) admission triage occurs frequently and often involves highly subjective decisions that may lead to potentially inappropriate ICU admissions. In this study, we evaluated the effect of implementing a decision-aid tool for ICU triage on ICU admission decisions. ⋯ Implementation of a decision-aid tool for ICU triage was associated with a reduction in potentially inappropriate ICU admissions.
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Journal of critical care · Jun 2019
Multicenter StudyUsefulness of a quantitative analysis of the cerebrospinal fluid volume proportion in brain computed tomography for predicting neurological prognosis in cardiac arrest survivors who undergo target temperature management.
Brain swelling post-cardiac arrest may affect cerebrospinal fluid volume. We aimed to investigate the prognostic performance of the proportion of cerebrospinal fluid volume (pCSFV) using brain computed tomography (CT) in cardiac arrest survivors. ⋯ pCSFV was independently associated with neurological outcome 6 months following cardiac arrest, however prognostic performance was not good.