Journal of critical care
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Journal of critical care · Feb 2020
Multicenter StudyTHAI-ICU score as a simplified severity score for critically ill patients in a resource limited setting: Result from SEA-AKI study group.
To create a simplified ICU scoring system to predict mortality in critically ill patients that can be feasibly applied in resource limited setting with good performance of predicting hospital mortality. ⋯ The THAI-ICU score is a new simplified severity score for predicting hospital mortality. The simplicity of the score will increase the possibility to apply in resource limited settings.
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Journal of critical care · Feb 2020
Trends in opioid use before critical illness among elderly patients in Ontario.
To assess temporal trends in pre-existing opioid exposure prior to hospitalization among elderly intensive care unit (ICU) patients and its association with adverse outcomes. ⋯ Among elderly ICU patients, opioid exposure prior to admission is prevalent and use is associated with higher in-hospital mortality.
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Journal of critical care · Feb 2020
Multicenter StudyFamily ratings of ICU care. Is there concordance within families?
To examine heterogeneity of quality-of-care ratings within families and to examine possible predictors of concordance. ⋯ The finding that variance is higher within than between families suggests the value of including multiple participants within a family in order to capture varying points of view.
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To investigate if patient sex affects intensive care unit (ICU) admission and discharge patterns. Specifically, we investigate if the patients sex affects length of stay (LOS) and probability of ICU discharge and 30- and 90-day mortality. ⋯ In this large cohort study of critically ill patients we have shown that women and men had an equal length of stay, but women had a significantly higher probability of being discharged. There was no difference in mortality between women and men.
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Journal of critical care · Feb 2020
Delayed vasopressor initiation is associated with increased mortality in patients with septic shock.
Mortality rate for septic shock, despite advancements in knowledge and treatment, remains high. Treatment includes administration of broad-spectrum antibiotics and stabilization of the mean arterial pressure (MAP) with intravenous fluid resuscitation. Fluid-refractory shock warrants vasopressor initiation. There is a paucity of evidence regarding the timing of vasopressor initiation and its effect on patient outcomes. ⋯ Vasopressor initiation after 6 h from shock recognition is associated with a significant increase in 30-day mortality. Vasopressor administration within 6 h was associated with shorter time to achievement of MAP goals and higher vasopressor-free hours within the first 72 h.