Critical care medicine
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Critical care medicine · Jan 2013
Review Practice GuidelineClinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit.
To revise the "Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult" published in Critical Care Medicine in 2002. ⋯ These guidelines provide a roadmap for developing integrated, evidence-based, and patient-centered protocols for preventing and treating pain, agitation, and delirium in critically ill patients.
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Critical care medicine · Jan 2013
Multicenter Study Comparative StudyQuality of life before intensive care using EQ-5D: patient versus proxy responses.
To compare patients' retrospectively reported baseline quality of life before intensive care hospitalization with population norms and proxy reports. ⋯ Patients retrospectively reported worse baseline health status before acute lung injury than population norms and better status than proxy reports; however, the magnitude of these differences in health status may not be clinically important. Proxies had only slight to fair agreement with patients in all five EQ-5D domains, attenuating patients' more extreme ratings toward moderate scores. Caution is required when interpreting proxy retrospective reports of baseline health status for survivors of acute lung injury.
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Critical care medicine · Jan 2013
Multicenter StudyCharacteristics of critically ill patients in ICUs in Mainland China.
We sought to describe the demographics, case mix, interventions, and clinical outcome of critically ill patients admitted to ICUs in Mainland China. ⋯ Critically ill patients in ICUs in Mainland China exhibited a case mix similar to those of Western countries, although there are significant differences in intensive care unit admission rates and disease severity between Western and Chinese ICUs.
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Critical care medicine · Jan 2013
Multicenter StudyAn electronic Simplified Acute Physiology Score-based risk adjustment score for critical illness in an integrated healthcare system.
Risk adjustment is essential in evaluating the performance of an ICU; however, assigning scores is time-consuming. We sought to create an automated ICU risk adjustment score, based on the Simplified Acute Physiology Score 3, using only data available within the electronic medical record (Kaiser Permanente HealthConnect). ⋯ The customized eSimplified Acute Physiology Score 3 shows good potential for providing automated risk adjustment in the intensive care unit.