Journal of critical care
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Journal of critical care · Aug 2022
Assessing mortality differences across acute respiratory failure management strategies in Covid-19.
Prolonged observation could avoid invasive mechanical ventilation (IMV) and related risks in patients with Covid-19 acute respiratory failure (ARF) compared to initiating early IMV. We aimed to determine the association between ARF management strategy and in-hospital mortality. ⋯ In Covid-19 ARF, prolonged observation was associated with a mortality benefit at lower mSOFA scores, and increased mortality at higher mSOFA scores compared to early IMV.
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Journal of critical care · Aug 2022
LetterShunt in critically ill Covid-19 ARDS patients: Prevalence and impact on outcome (cross-sectional study).
To examine critical Covid-19-acute respiratory distress syndrome (C-ARDS) patients requiring mechanical ventilation (MV), using transthoracic echocardiography (TTE) coupled with bubble test (BT), in order to search a right/left shunt. ⋯ A right/left shunt was detected in a third of studied patients similarly between PFO and TPBT without significant impact on P/F ratio or outcome.
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Journal of critical care · Aug 2022
Comparing continuous versus categorical measures to assess and benchmark intensive care unit performance.
To compare categorical and continuous combinations of the standardized mortality ratio (SMR) and the standardized resource use (SRU) to evaluate ICU performance. ⋯ The categorical combination of metrics is easy to interpret but limits statistical inference for benchmarking. The continuous combination offers appropriate statistical properties for evaluating performance when metrics are positively correlated.
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Journal of critical care · Aug 2022
Systolic blood pressure measurements are unreliable for the management of acute spontaneous intracerebral hemorrhage.
Whether systolic blood pressure (SBP) is reliable in acute spontaneous intracerebral (sICH) by assessing agreement between simultaneous BP measurements obtained from cuff non-invasive blood pressure (NIBP) and radial arterial invasive blood pressure (AIBP) devices. ⋯ We concluded that SBP is an unreliable blood pressure measurement in patients with sICH.