Epidemiology of Pediatric Severe Sepsis in Main PICU Centers in Southwest China

Epidemiology of Pediatric Severe Sepsis in Main PICU Centers in Southwest China

This multicenter study demonstrates that pediatric severe sepsis is common and is a factor in the high mortality rate that is observed in PICUs in Southwest China. The mortality rate remains high; therefore, improved... read more

Thyroid Storm in the ICU

Thyroid Storm in the ICU

Thyroid storm requiring ICU admission causes high in-ICU mortality. Multiple organ failure and early cardiogenic shock seem to markedly impact the prognosis, suggesting a prompt identification and an aggressive management. 92... read more

1-Year Outcomes in Patients with Infection-related Atrial Fibrillation

1-Year Outcomes in Patients with Infection-related Atrial Fibrillation

During the first year after discharge, 36% of patients with infection-related atrial fibrillation (AF) had a new hospital contact with AF. Infection-related AF was associated with increased risk of thromboembolic events... read more

Intra-patient Potassium Variability After Hypothermic Cardiac Arrest

Intra-patient Potassium Variability After Hypothermic Cardiac Arrest

In a cohort of consecutive hypothermic cardiac arrest (CA) patients, we did not find an average difference in potassium concentration higher than 1 mmol/L between central and peripheral venous samples. However, we found... read more

Newer Drug Fails Quick Prehospital Intubation

Newer Drug Fails Quick Prehospital Intubation

Among patients undergoing endotracheal intubation in an out-of-hospital emergency setting, rocuronium, compared with succinylcholine, failed to demonstrate noninferiority with regard to first-attempt intubation success rate. Among... read more

Machine Learning vs. Physicians’ Prediction of AKI in Critically Ill Adults

Machine Learning vs. Physicians’ Prediction of AKI in Critically Ill Adults

The machine-learning-based AKIpredictor achieved similar discriminative performance as physicians for prediction of AKI-23, and higher net benefit overall, because physicians overestimated the risk of AKI. This suggests... read more

Abnormalities in the Host Immune Response During Hospitalization for Sepsis

Abnormalities in the Host Immune Response During Hospitalization for Sepsis

In this cohort study of 483 patients who survived hospitalization with sepsis at 12 US hospitals, 25.8% had elevated high-sensitivity C-reactive protein levels (a marker of inflammation) at 3 months, 30.2% at 6 months, and... read more

Delirium is Prevalent in Older Hospital Inpatients and Associated with Adverse Outcomes

Delirium is Prevalent in Older Hospital Inpatients and Associated with Adverse Outcomes

Delirium is prevalent in older adults in UK hospitals but remains under-recognised. Frailty is strongly associated with the development of delirium, but delirium is less likely to be recognised in frail patients. The... read more

Failure of Non-invasive Ventilation in Patients with Acute Lung Injury

Failure of Non-invasive Ventilation in Patients with Acute Lung Injury

A high failure rate of the initial non-invasive positive pressure ventilation (NIPPV) therapy has been observed in medical critically ill patients with acute lung injury (ALI). Unless the underlying shock, metabolic acidosis... read more

Predicting Outcome in Patients with Moderate to Severe TBI Using Electroencephalography

Predicting Outcome in Patients with Moderate to Severe TBI Using Electroencephalography

Multifactorial Random Forest models using quantitative electroencephalography (qEEG) features, clinical data, and radiological findings have potential to predict neurological outcome in patients with moderate to severe traumatic... read more

Acute Kidney Injury in Hematopoietic Stem Cell Transplantation

Acute Kidney Injury in Hematopoietic Stem Cell Transplantation

This review provides an update on the risk factors, causes, and treatment approaches to HSCT-associated acute kidney injury (AKI). Patients who undergo HSCT have many risk factors for developing AKI, including sepsis,... read more

Effect of Depth of Sedation in Older Patients Undergoing Hip Fracture Repair on Postoperative Delirium

Effect of Depth of Sedation in Older Patients Undergoing Hip Fracture Repair on Postoperative Delirium

In the primary analysis, limiting the level of sedation provided no significant benefit in reducing incident delirium. However, in a pre-specified subgroup analysis, lighter sedation levels benefitted reducing postoperative... read more

Evidence is stronger than you think: a meta-analysis of vitamin C use in patients with sepsis

Evidence is stronger than you think: a meta-analysis of vitamin C use in patients with sepsis

Despite varying degrees of statistical significance between the original studies, this meta-analysis reveals a positive correlation between incorporating vitamin C in the treatment of sepsis and favorable patient outcomes,... read more

Assessment of Variability in End-of-Life Care Delivery in ICUs in the United States

Assessment of Variability in End-of-Life Care Delivery in ICUs in the United States

This study suggests most decedents in the ICU avoid CPR at EOL, have family present at their bedside, and are closely assessed for pain. However, the delivery of EOL care varies widely among units in the United States, including... read more