Journal of critical care
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Journal of critical care · Apr 2020
Observational StudyMuscle degradation, vitamin D and systemic inflammation in hospitalized septic patients.
To date, the relationship between systemic inflammation and muscle changes observed by ultrasonography in septic patients in clinical studies is not known. Furthermore, the role of vitamin D on muscle changes in these patients needs to be investigated. ⋯ In septic patients, there is an association between inflammation and changes in muscle mass and strength during ICU stay, which is similar to those observed in experimental studies. In addition, there was an association of vitamin D with recovery of muscle strength during hospitalization.
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Journal of critical care · Apr 2020
Bedside dynamic calculation of mechanical power: A validation study.
To develop an equation to calculate the bedside dynamic mechanical power (MPdyn) for modern ventilators using the Work of Breathing ventilator (WOBv) parameter. ⋯ Physicians can easily calculate mechanical power by using MPdyn at the bedside of patients on volume control mode.
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Journal of critical care · Apr 2020
Automated screening of natural language in electronic health records for the diagnosis septic shock is feasible and outperforms an approach based on explicit administrative codes.
Identification of patients for epidemiologic research through administrative coding has important limitations. We investigated the feasibility of a search based on natural language processing (NLP) on the text sections of electronic health records for identification of patients with septic shock. ⋯ An automated search strategy based on a combination of explicit and implicit concept retrieval is feasible to screen electronic health records for septic shock and outperforms an administrative coding based explicit approach.