Critical Care Medicine最新文献

筛选
英文 中文
Added Value of Late Auditory Evoked Potentials in the Multimodal Prognostication of Patients With Disorders of Consciousness. 晚期听觉诱发电位在意识障碍患者多模态预测中的附加价值。
IF 6 1区 医学
Critical Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-07-10 DOI: 10.1097/CCM.0000000000006766
Julie Lévi-Strauss, Sarah Benghanem, Bertrand Hermann, Eléonore Bouchereau, Camille Legouy, Tarek Sharshar, Martine Gavaret, Estelle Pruvost-Robieux
{"title":"Added Value of Late Auditory Evoked Potentials in the Multimodal Prognostication of Patients With Disorders of Consciousness.","authors":"Julie Lévi-Strauss, Sarah Benghanem, Bertrand Hermann, Eléonore Bouchereau, Camille Legouy, Tarek Sharshar, Martine Gavaret, Estelle Pruvost-Robieux","doi":"10.1097/CCM.0000000000006766","DOIUrl":"10.1097/CCM.0000000000006766","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the added prognostic value of late auditory evoked potentials (AEPs): mismatch negativity (MMN) and P3, alongside other prognostic markers (electroencephalogram, somatosensory evoked potentials, absent pupillary reflex), in the prognostication of patients with disorders of consciousness. We stratified our analysis based on the type of brain injury: hypoxic-ischemic brain injury (HIBI) vs. non-HIBI.</p><p><strong>Design and setting: </strong>We performed a single-center retrospective study comparing the prognostic values of late AEPs and other neurophysiologic markers in predicting unfavorable outcomes, defined as a Glasgow Outcome Scale-Extended of 1-2 at 3 months, in both HIBI and non-HIBI groups. We compared the prognostic performance of a model including late AEPs to a model including only well-established markers.</p><p><strong>Patients: </strong>We included 148 patients from one institution at the subacute phase after coma onset (median, 20.0 d). The main cause of disorder of consciousness was HIBI in 43.9% of cases, followed by stroke in 31.8%.</p><p><strong>Interventions: </strong>None.</p><p><strong>Measurements and main results: </strong>The absence of P3 and MMN responses had a positive predictive value (PPV) for unfavorable outcome of 92.9% and 88.4% in HIBI, and 67.9% and 57.4% in non-HIBI, respectively. Predictive values of neurophysiologic markers were generally lower in non-HIBI compared with HIBI patients. Specifically, the PPV for unfavorable outcome of electroencephalogram malignant patterns and absent reactivity was significantly higher in HIBI compared with non-HIBI patients (76.9% vs. 31.3%, and 88.9% vs. 33.3%; p = 0.04, respectively). A model including AEPs significantly reduced the differences between individual predicted probabilities and actual outcome, both in the HIBI and non-HIBI contexts.</p><p><strong>Conclusions: </strong>Integrating late AEPs into multimodal assessments enhances the model's predictive performance. Their contribution to neuroprognostication may be particularly relevant in the non-HIBI context, where the predictive values of neurophysiologic tools are lower than in the HIBI context. Late AEPs are interesting and cost-effective tools for neuroprognostication in both HIBI and non-HIBI contexts.</p>","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":" ","pages":"e1736-e1747"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The authors reply. 作者回答说。
IF 6 1区 医学
Critical Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-09-02 DOI: 10.1097/CCM.0000000000006781
Fausto Biancari, Giorgia Bonalumi, Timo Mäkikallio
{"title":"The authors reply.","authors":"Fausto Biancari, Giorgia Bonalumi, Timo Mäkikallio","doi":"10.1097/CCM.0000000000006781","DOIUrl":"https://doi.org/10.1097/CCM.0000000000006781","url":null,"abstract":"","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":"53 9","pages":"e1861-e1862"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The authors reply. 作者回答说。
IF 6 1区 医学
Critical Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-09-02 DOI: 10.1097/CCM.0000000000006762
Elizabeth Levy, Gary E Weissman, Meeta Prasad Kerlin, Michael W Sjoding
{"title":"The authors reply.","authors":"Elizabeth Levy, Gary E Weissman, Meeta Prasad Kerlin, Michael W Sjoding","doi":"10.1097/CCM.0000000000006762","DOIUrl":"https://doi.org/10.1097/CCM.0000000000006762","url":null,"abstract":"","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":"53 9","pages":"e1849-e1850"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preventing Delirium in Hospitalized Patients: No Magic Bullets. 预防住院病人谵妄:没有灵丹妙药。
IF 6 1区 医学
Critical Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-06-25 DOI: 10.1097/CCM.0000000000006755
Jessica D Spence, Renée Fournier, Emilie Belley-Côté
{"title":"Preventing Delirium in Hospitalized Patients: No Magic Bullets.","authors":"Jessica D Spence, Renée Fournier, Emilie Belley-Côté","doi":"10.1097/CCM.0000000000006755","DOIUrl":"10.1097/CCM.0000000000006755","url":null,"abstract":"","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":" ","pages":"e1827-e1829"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The authors reply. 作者回答说。
IF 6 1区 医学
Critical Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-09-02 DOI: 10.1097/CCM.0000000000006779
Samuel Heuts, Andrea Gabrio, Julia Bels, Dieter Mesotten, Marcel van de Poll
{"title":"The authors reply.","authors":"Samuel Heuts, Andrea Gabrio, Julia Bels, Dieter Mesotten, Marcel van de Poll","doi":"10.1097/CCM.0000000000006779","DOIUrl":"https://doi.org/10.1097/CCM.0000000000006779","url":null,"abstract":"","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":"53 9","pages":"e1857-e1858"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introducing the ρ-Index: A New Metric to Valorize and Acknowledge the Peer-Review Process. 引入ρ指数:一种评价和承认同行评议过程的新度量。
IF 6 1区 医学
Critical Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-09-02 DOI: 10.1097/CCM.0000000000006710
Alessandro De Cassai, Annalisa Boscolo, Tommaso Pettenuzzo, Nicolò Sella, Paolo Navalesi
{"title":"Introducing the ρ-Index: A New Metric to Valorize and Acknowledge the Peer-Review Process.","authors":"Alessandro De Cassai, Annalisa Boscolo, Tommaso Pettenuzzo, Nicolò Sella, Paolo Navalesi","doi":"10.1097/CCM.0000000000006710","DOIUrl":"https://doi.org/10.1097/CCM.0000000000006710","url":null,"abstract":"","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":"53 9","pages":"e1838-e1839"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Driving Pressure and Subsequent Development of Acute Kidney Injury in Acute Respiratory Distress Syndrome. 驾驶压力与急性呼吸窘迫综合征急性肾损伤后续发展的关系。
IF 6 1区 医学
Critical Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-07-02 DOI: 10.1097/CCM.0000000000006772
Ioannis Andrianopoulos, Panagiotis Kremmydas, Eleni Papoutsi, Eleni N Sertaridou, Kyriaki Parisi, Eleni A Vavouraki, Ilias I Siempos, Stelios Kokkoris
{"title":"Association Between Driving Pressure and Subsequent Development of Acute Kidney Injury in Acute Respiratory Distress Syndrome.","authors":"Ioannis Andrianopoulos, Panagiotis Kremmydas, Eleni Papoutsi, Eleni N Sertaridou, Kyriaki Parisi, Eleni A Vavouraki, Ilias I Siempos, Stelios Kokkoris","doi":"10.1097/CCM.0000000000006772","DOIUrl":"10.1097/CCM.0000000000006772","url":null,"abstract":"<p><strong>Objectives: </strong>Although preclinical evidence indicates that injurious mechanical ventilation may lead to acute kidney injury (AKI), relevant clinical evidence is limited. We aimed to investigate the association of driving pressure (a marker of injurious mechanical ventilation) with subsequent development of AKI in patients with acute respiratory distress syndrome (ARDS).</p><p><strong>Design: </strong>Secondary analysis of individual patient-level data from seven ARDS Network and Prevention and Early Treatment of Acute Lung Injury (PETAL) Network randomized controlled clinical trials.</p><p><strong>Setting: </strong>Adult ICUs participating in the ARDS Network and PETAL Network trials.</p><p><strong>Patients: </strong>After exclusion of patients with early AKI (i.e., those who met AKI criteria within the first 2 d following ARDS onset), we classified the study population into two groups: \"late AKI\" and \"no AKI.\" The \"late AKI\" group included patients who developed AKI more than 2 days but no longer than 7 days following ARDS onset.</p><p><strong>Interventions: </strong>None.</p><p><strong>Measurements and main results: </strong>Of 5367 patients with ARDS initially enrolled in trials, 2960 patients were included in the main analysis. Late AKI developed in 1000 patients (33.8%). After controlling for confounders, baseline driving pressure was independently associated with development of late AKI (each 1 sd increase in driving pressure was associated with a 35% increase in the odds of late AKI [odds ratio, 1.35; 95% CI, 1.15-1.58]). This result persisted in the sensitivity analysis, which did not exclude patients with early AKI, and in the sensitivity analysis, which included patients who developed AKI later than 7 days following ARDS onset. There was a threshold of driving pressure equal to 15 cm H 2 O for its association with development of late AKI.</p><p><strong>Conclusions: </strong>Driving pressure was associated with subsequent development of AKI in patients with ARDS suggesting that injurious mechanical ventilation may lead to AKI.</p>","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":" ","pages":"e1770-e1780"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The authors reply. 作者回答说。
IF 6 1区 医学
Critical Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-09-02 DOI: 10.1097/CCM.0000000000006763
Auguste Dargent, Luc Quintin, Jean-Pierre Quenot
{"title":"The authors reply.","authors":"Auguste Dargent, Luc Quintin, Jean-Pierre Quenot","doi":"10.1097/CCM.0000000000006763","DOIUrl":"https://doi.org/10.1097/CCM.0000000000006763","url":null,"abstract":"","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":"53 9","pages":"e1845-e1846"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The authors reply. 作者回答说。
IF 6 1区 医学
Critical Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-09-02 DOI: 10.1097/CCM.0000000000006757
Apostolos A Menis, Demosthenes Makris
{"title":"The authors reply.","authors":"Apostolos A Menis, Demosthenes Makris","doi":"10.1097/CCM.0000000000006757","DOIUrl":"https://doi.org/10.1097/CCM.0000000000006757","url":null,"abstract":"","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":"53 9","pages":"e1853-e1854"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Through the Window: Rethinking ICU Environmental Factors in Postoperative Delirium. 透过窗口:重新思考术后谵妄的ICU环境因素。
IF 6 1区 医学
Critical Care Medicine Pub Date : 2025-09-01 Epub Date: 2025-09-02 DOI: 10.1097/CCM.0000000000006748
Wenpeng Jin, Zhengxiong Li, Yunbo Du
{"title":"Through the Window: Rethinking ICU Environmental Factors in Postoperative Delirium.","authors":"Wenpeng Jin, Zhengxiong Li, Yunbo Du","doi":"10.1097/CCM.0000000000006748","DOIUrl":"https://doi.org/10.1097/CCM.0000000000006748","url":null,"abstract":"","PeriodicalId":10765,"journal":{"name":"Critical Care Medicine","volume":"53 9","pages":"e1863-e1864"},"PeriodicalIF":6.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信