Critical care medicine
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Critical care medicine · May 2013
Multicenter Study Comparative StudyMortality after hospital discharge in ICU patients.
To assess the mortality risk of ICU patients after hospital discharge and compare it to mortality of the general Dutch population. ⋯ In-hospital mortality underestimates the true mortality of ICU patients as the mortality in the first months after hospital discharge is substantial. Most ICU patients still have an increased mortality risk in the subsequent years after hospital discharge compared with the general Dutch population. The mortality after hospital discharge differs widely between ICU subgroups. Future studies should focus on the analysis of mortality after hospital discharge that is attributable to the former ICU admission.
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Critical care medicine · May 2013
Multicenter Study Comparative StudyRenal perfusion assessment by renal Doppler during fluid challenge in sepsis.
To assess renal resistive index variations in response to fluid challenge. ⋯ Systemic hemodynamic changes induced by fluid challenge do not translate into resistive index variations in patients without acute kidney injury, with transient acute kidney injury, or with persistent acute kidney injury.
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Critical care medicine · May 2013
Benchmarking the incidence and mortality of severe sepsis in the United States.
In 1992, the first consensus definition of severe sepsis was published. Subsequent epidemiologic estimates were collected using administrative data, but ongoing discrepancies in the definition of severe sepsis produced large differences in estimates. ⋯ There is substantial variability in incidence and mortality of severe sepsis depending on the method of database abstraction used. A uniform, consistent method is needed for use in national registries to facilitate accurate assessment of clinical interventions and outcome comparisons between hospitals and regions.