Articles: critical-illness.
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Int J Obstet Anesth · Jul 2009
Multicenter StudyA national survey of obstetric early warning systems in the United Kingdom.
Despite recommendations in the two most recent Confidential Enquiries into Maternal and Child Health (CEMACH) reports, and improvements in patient care using early warning scoring systems (EWS) in the general adult population, no validated system currently exists for the obstetric population. ⋯ The survey results support CEMACH recommendations for a nationally agreed obstetric EWS.
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Artificial Nutrition Support (ANS) is an important therapeutic technique in the care of the critically ill child that is not always implemented appropriately and correctly. There are also different ways of applying it which varies between the different centres and, even among the different health professionals. ⋯ Latin-American PICUs prefer enteral ANS administered by gastric feed soon after admission.
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Jpen Parenter Enter · Jul 2009
Editorial Comment Multicenter StudyUse of nutrition to prevent stress-induced immunosuppression in the pediatric intensive care unit: a clinical trials minefield.
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Randomized Controlled Trial Multicenter Study
Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial.
Long-term complications of critical illness include intensive care unit (ICU)-acquired weakness and neuropsychiatric disease. Immobilisation secondary to sedation might potentiate these problems. We assessed the efficacy of combining daily interruption of sedation with physical and occupational therapy on functional outcomes in patients receiving mechanical ventilation in intensive care. ⋯ None.
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Critical care medicine · May 2009
Multicenter Study Comparative StudyDifferences in immune response may explain lower survival among older men with pneumonia.
Lower life expectancy in men is generally attributed to higher likelihood of risky behavior and because men develop chronic conditions earlier. If sex-related differences in survival are independent of preinfection chronic health and health behavior, it would suggest that survival differences may occur because of sex differences in quality of care and biological response to infection, and these differences may contribute to sex differences in life expectancy. We assessed if sex-related survival difference following community-acquired pneumonia (CAP) is due to differences in clinical characteristics, quality of care, or immune response. ⋯ Lower survival among men following CAP was not explained by differences in chronic diseases, health behaviors, and quality of care. Patterns of inflammatory, coagulation, and fibrinolysis biomarkers among men may explain reduced short-term and long-term survival.