Journal of critical care
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Goal of this study was to describe incidence and outcome of gastrointestinal failure (GIF) in ICU patients, evaluate its additive role to SOFA score in mortality prediction and describe GIF according to etiology. ⋯ Gastrointestinal failure, independent of origin, is associated with worse ICU outcome. Similar to other organ failures included in SOFA score, GIF independently predicts mortality.
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Journal of critical care · Aug 2019
Contributors to frailty in critical illness: Multi-dimensional analysis of the Clinical Frailty Scale.
Frailty in critical illness is common and associated with poor outcomes, however little is known about contributing factors. We compared the Clinical Frailty Scale (CFS) with a multi-dimensional validated tool, the Edmonton Frail Scale (EFS), and investigated which health domains are affected by frailty in ICU. ⋯ Frailty in the critically ill affects a range of health deficits, adequately measured via the CFS.
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Journal of critical care · Aug 2019
Kinetic analysis of cardiac compressions during cardiopulmonary resuscitation.
Little is known about the dynamics of cardiac compression during cardiopulmonary resuscitation (CPR). The purpose of this study was to investigate the dynamics of chest compressions by analyzing movement of the right ventricular free wall excursion during CPR. ⋯ Maintaining high compression velocity is helpful in achieving adequate compression depth during CPR.
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Journal of critical care · Aug 2019
Comparative Study Observational StudyCreatinine versus cystatin C based glomerular filtration rate in critically ill patients.
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Journal of critical care · Aug 2019
The impact of errors on healthcare professionals in the critical care setting.
Medical errors occur at high rates in intensive care units (ICUs) and have great consequences. The impact of errors on healthcare professionals is rarely discussed. We hypothesized that issues regarding blame and guilt following errors in the ICU exist and may be dependent on type of practitioner, level of experience, and error type. ⋯ In critical care, blame and guilt after medical errors are common and affect all providers. Critical care practitioners have identified methods which may help mitigate adverse feeling after medical errors, including debriefing and talking with colleagues. Hospitals may benefit from developing these types of strategies after medical errors.