Journal of critical care
-
Journal of critical care · Dec 2023
Prognosis of critically ill patients with extreme acidosis: A retrospective study.
This study aims to assess the impact of different subtypes of extreme acidosis on the mortality of critically ill patients. ⋯ Among critically ill patients with extreme acidosis, the primary disorder is not associated with mortality, but it is associated with the use of vasopressors and MV, the duration of MV, and the length of ICU and hospital stay. Additionally, hyperlactatemia is a predictor of poor prognosis in patients with extreme acidosis.
-
Journal of critical care · Dec 2023
Outcome and factors associated with mortality in patients receiving urgent chemotherapy in the ICU: A retrospective study.
This study aimed to assess the outcome and factors associated with mortality in patients who received urgent chemotherapy (CT) in the intensive care unit (ICU) in Lyon, France. ⋯ Urgent CT in the ICU is feasible in a specific subset of patients, mainly those with hematological cancer, with resumption of the curative treatment regimen after ICU discharge.
-
Journal of critical care · Dec 2023
The predictive value of EEG reactivity by electrical stimulation and quantitative analysis in critically ill patients with large hemispheric infarction.
The intensive care of critically ill patients with large hemispheric infarction improves the survival rate. However, established prognostic markers for neurological outcome show variable accuracy. We aimed to assess the value of electrical stimulation and quantitative analysis of EEG reactivity for early prognostication in this critically ill population. ⋯ EEG reactivity by electrical stimulation and quantitative analysis seems a promising prognostic factor in these critical patients.
-
Journal of critical care · Dec 2023
Mortality of in-hospital cardiac arrest among patients with and without preceding sepsis: A national inpatient sample analysis.
The impact of preceding sepsis on in-hospital cardiac arrest (IHCA)-related mortality has not been established. This study aimed to determine the association between IHCA-related mortality and sepsis. ⋯ Sepsis was associated with higher in-hospital cardiac arrest mortality compared to non-sepsis cases, regardless of age and cardiac rhythm.
-
Journal of critical care · Dec 2023
Early tracheostomy in patients undergoing mechanical thrombectomy for acute ischemic stroke.
Respiratory failure following mechanical thrombectomy (MT) for acute ischemic stroke (AIS) is a known complication, and requirement of tracheostomy is associated with worse outcomes. Our objective is to evaluate characteristics associated with tracheostomy timing in AIS patients treated with MT. ⋯ An expected increase in complications and healthcare resource utilization is seen in AIS-MT patients receiving tracheostomy, likely reflecting the severity of patients' post-stroke neurologic injury. Among these high-risk patients, ETR was predictive of shorter LOS and fewer complications.