Journal of critical care
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Journal of critical care · Aug 2018
Multicenter StudyVariation in mortality rates after admission to long-term acute care hospitals for ventilator weaning.
We sought to examine variation in long-term acute care hospital (LTACH) quality based on 90-day in-hospital mortality for patients admitted for weaning from mechanical ventilation. ⋯ LTACHs vary widely in mortality rates, underscoring the need to better understand the sources of this variation and improve the quality of care for patients requiring long-term ventilator weaning.
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Journal of critical care · Aug 2018
Multicenter Study Observational StudyOxygen management in mechanically ventilated patients: A multicenter prospective observational study.
To observe arterial oxygen in relation to fraction of inspired oxygen (FIO2) during mechanical ventilation (MV). ⋯ In our multicenter prospective study, we found that hyperoxemia was common and that hyperoxemia was not corrected.
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Journal of critical care · Aug 2018
Multicenter Study Observational StudyThe systemic inflammatory response syndrome criteria and their differential association with mortality.
Despite the recent Sepsis-3 consensus, the Systemic Inflammatory Response Syndrome (SIRS) criteria continue to be assessed and recommended. Such use implies equivalence and interchangeability of criteria. Thus, we aimed to test whether such criteria are indeed equivalent and interchangeable. ⋯ Different individual and combinations of SIRS criteria were associated with marked differences in hospital mortality. These differences remained unchanged after adjustment and over time and imply that individual SIRS criteria are not equivalent or interchangeable.
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Journal of critical care · Jun 2018
Multicenter Study Observational StudyCurrent practices and safety of medication use during rapid sequence intubation.
Characterize medication practices during and immediately after rapid sequence intubation (RSI) by provider/location and evaluate adverse drug events. ⋯ Medication practices during RSI vary amongst provider and medications are often used inappropriately. There is opportunity for optimization of medication use during RSI.
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Journal of critical care · Jun 2018
Multicenter Study Observational StudyThe impact of organ dysfunctions on mortality in patients with severe sepsis: A multicenter prospective observational study.
Disseminated intravascular coagulations (DIC), acute respiratory distress syndrome (ARDS), and acute kidney injury (AKI) are major organ dysfunctions that occur in patients with sepsis. This study aimed to elucidate the impact of these organ dysfunctions on mortality in patients with severe sepsis. ⋯ DIC and AKI are frequent complications in patients with severe sepsis. In this study, DIC, and AKI stage 3 were independent risk factors of in-hospital mortality.