Annals of internal medicine
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The use of complex statistical models to adjust for confounding is common in medical research. ⋯ Details of methods used to adjust for confounding are frequently not reported in original research articles.
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Randomized Controlled Trial Clinical Trial
Recovery rate and prognosis in older persons who develop acute lung injury and the acute respiratory distress syndrome.
The incidence of acute respiratory failure requiring mechanical ventilation increases 10-fold from the ages of 55 to 85 years, yet the rate of recovery and outcomes in older persons who develop acute lung injury are poorly defined. ⋯ Although the survival rate among patients 70 years of age or older was high, these patients were twice as likely to die of acute lung injury compared with their younger counterparts, even after adjustment for covariates. Older survivors recovered from respiratory failure and achieved spontaneous breathing at the same rate as younger patients but had greater difficulty achieving liberation from the ventilator and being discharged from the intensive care unit.
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Randomized Controlled Trial Clinical Trial
Summaries for patients. Prednisone for rheumatoid arthritis.
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Physicians have the privilege and authority to assist patients and their families at the end of life. Regardless of diagnosis, commonalities occur in the dying process, and palliative care benefits patients and families. ⋯ I also touch on how I communicate with the family after a death. I hope to express the significance of what I have learned while assisting patients and families at this critical juncture.