Journal of critical care最新文献_第2页

Letter to the editor: “Early energy delivery and 28-day mortality in critically ill patients with sepsis: Post hoc analysis of a multicenter cluster-randomised controlled trial” 致编辑的信：“脓毒症危重患者的早期能量输送和28天死亡率：多中心集群随机对照试验的事后分析”。

IF 2.9 3区医学

Journal of critical care Pub Date : 2025-10-06 DOI: 10.1016/j.jcrc.2025.155285

Jinghuan Ye , Jinzhen Huang

引用次数: 0

Digital health literacy of ICU survivors: A prospective cohort study ICU幸存者的数字健康素养：一项前瞻性队列研究

IF 2.9 3区医学

Journal of critical care Pub Date : 2025-10-06 DOI: 10.1016/j.jcrc.2025.155277

Nina Leggett , Yasmine Ali Abdelhamid , Nathan Eric Daniel , Christian Davey , Adam M. Deane , Rebekah Lim , Samuel Ricciardone , Mark Merolli , Kimberley J. Haines

{"title":"Digital health literacy of ICU survivors: A prospective cohort study","authors":"Nina Leggett , Yasmine Ali Abdelhamid , Nathan Eric Daniel , Christian Davey , Adam M. Deane , Rebekah Lim , Samuel Ricciardone , Mark Merolli , Kimberley J. Haines","doi":"10.1016/j.jcrc.2025.155277","DOIUrl":"10.1016/j.jcrc.2025.155277","url":null,"abstract":"<div><h3>Introduction</h3><div>Digital recovery programs for Intensive Care Unit (ICU) survivors have demonstrated feasibility, compared to hospital-based face-to-face delivery. However, limited data exist regarding which survivors can participate and if barriers to uptake exist in some survivor groups. This study aimed to evaluate the digital health literacy of ICU survivors, including their access to use digital health technologies.</div></div><div><h3>Methods</h3><div>A multi-site prospective observational cohort study was conducted. Adult ICU patients admitted for more than 48 h were recruited 4-weeks post-discharge. Participants were consecutively sampled across additional characteristics of interest: older adults (over 65 years of age), rural-residing, and culturally and linguistically diverse (CALD). Eligible patients were contacted via phone, and invited to participate in a single survey, using interpreters as required. The primary outcome measure was the Digital Health Readiness Questionnaire (DHRQ) general score, where greater scores indicate higher literacy. Secondary outcome measures included digital technology access (via the DHRQ digital usage score).</div></div><div><h3>Results</h3><div>60 participants were enrolled, including 23 characterised as older adults, 21 rural-residing and 13 CALD. The median (Q1-Q3) DHRQ general score for the cohort was 56 (43–63), with highest scores in the rural-residing characteristic survivors (60 (53–65)) compared to the older adult (45 (26–54)) and CALD (41 (25–48)). The median DHRQ digital usage domain score was 15 (12–16), with highest scores for the rural-residing characteristic survivors, compared to the older adult and CALD (12 (9–15)).</div></div><div><h3>Conclusions</h3><div>Digital health literacy scores were moderate for all ICU survivor participants, with higher scores reported in survivors with the rural-residing characteristic.</div></div>","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"91 ","pages":"Article 155277"},"PeriodicalIF":2.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Letter to the Editor: “Observational study of cefepime therapeutic drug monitoring in continuous venovenous hemodialysis” 致编辑：“头孢吡肟治疗药物监测在持续静脉静脉血液透析中的观察性研究”。

IF 2.9 3区医学

Journal of critical care Pub Date : 2025-10-06 DOI: 10.1016/j.jcrc.2025.155290

Yuqing You , Jinyan Guo , Weifeng Yao

引用次数: 0

Letter to the editor: “Diaphragmatic ultrasound for extubation readiness: The role of thickening fraction” 致编辑的信：“膈超声对拔管准备：增厚分数的作用”

IF 2.9 3区医学

Journal of critical care Pub Date : 2025-10-03 DOI: 10.1016/j.jcrc.2025.155288

Jianing Song, Song Peng

引用次数: 0

Letter to the Editor: “An increase in skin blood flow after red blood cell transfusion is associated with an improvement in organ function in critically ill patients” 致编辑的信：“红细胞输注后皮肤血流量的增加与危重病人器官功能的改善有关”

IF 2.9 3区医学

Journal of critical care Pub Date : 2025-10-03 DOI: 10.1016/j.jcrc.2025.155282

Shuai Fang, Meiyu Yang, Yuesong Shen, Wangying Jiang, Tiantian Zhang

引用次数: 0

Authors reply: “Microcirculation properties of 20 % albumin in Sepsis; a randomised controlled trial” 作者回复：“20%白蛋白在败血症中的微循环特性；随机对照试验”。

IF 2.9 3区医学

Journal of critical care Pub Date : 2025-10-01 DOI: 10.1016/j.jcrc.2025.155279

R. Cusack , A. Rodríguez , B. Cantan , A. Garduno , E. Connolly , G. Zilahi , J.D. Coakley , I. Martin-Loeches

引用次数: 0

Authors' reply: “An increase in skin blood flow after red blood cell transfusion is associated with an improvement in organ function in critically ill patients” 作者的答复是：“红细胞输注后皮肤血流量的增加与危重病人器官功能的改善有关”。

IF 2.9 3区医学

Journal of critical care Pub Date : 2025-10-01 DOI: 10.1016/j.jcrc.2025.155283

Elaine Cavalcante dos Santos, Fabio Silvio Taccone

引用次数: 0

Decoding lactate kinetics in septic shock: From flow to metabolism 解码感染性休克中的乳酸动力学：从流动到代谢。

IF 2.9 3区医学

Journal of critical care Pub Date : 2025-10-01 DOI: 10.1016/j.jcrc.2025.155287

Inès Lakbar , Marc Leone , Laurent Muller

引用次数: 0

Authors reply: “Diaphragmatic ultrasound for extubation readiness: The role of thickening fraction” 作者回复：“膈超声对拔管准备：增厚分数的作用”。

IF 2.9 3区医学

Journal of critical care Pub Date : 2025-10-01 DOI: 10.1016/j.jcrc.2025.155289

Wan Cley Rabuske , Antuani Rafael Baptistella

引用次数: 0

Effectiveness of prophylactic push-dose vasopressors for preventing arterial hypotension during elective orotracheal intubation: A systematic review and meta-analysis 选择性气管插管期间预防性推剂量血管加压药物预防动脉低血压的有效性：一项系统回顾和荟萃分析。

IF 2.9 3区医学

Journal of critical care Pub Date : 2025-09-30 DOI: 10.1016/j.jcrc.2025.155275

Fernando da Silveira , Luiz Henrique de Oliveira , Wagner Nedel , Thiago Costa Lisboa

{"title":"Effectiveness of prophylactic push-dose vasopressors for preventing arterial hypotension during elective orotracheal intubation: A systematic review and meta-analysis","authors":"Fernando da Silveira , Luiz Henrique de Oliveira , Wagner Nedel , Thiago Costa Lisboa","doi":"10.1016/j.jcrc.2025.155275","DOIUrl":"10.1016/j.jcrc.2025.155275","url":null,"abstract":"<div><h3>Background</h3><div>Orotracheal intubation is frequently associated with arterial hypotension, particularly during induction with agents such as propofol. The use of prophylactic push-dose vasopressors (<em>Push-Dose Pressor - PDP</em>) has been proposed to mitigate this drop in blood pressure. However, the effectiveness of PDPs remains uncertain.</div></div><div><h3>Methods</h3><div>We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) assessing the use of PDPs (epinephrine, ephedrine, phenylephrine, or metaraminol) during sedation for tracheal intubation in adult normotensive patients. Searches were performed in MEDLINE, Embase, and Cochrane Library from inception to September 2024. The primary outcome was the difference in mean arterial pressure (MAP) and systolic blood pressure (SBP) before and after intubation between patients who received PDPs and those who did not. Data were synthesized using an inverse variance method, with heterogeneity assessed using Cochran's Q and I<sup>2</sup>.</div></div><div><h3>Results</h3><div>Twenty-four RCTs involving 1915 patients were included. Most trials were conducted in operating rooms among ASA I–II patients undergoing elective procedures. PDP administration resulted in higher MAP (mean difference: 7.6 mmHg; 95 % CI: 4.3–10.8; I<sup>2</sup> = 82 %) and SBP (mean difference: 12.5 mmHg; 95 % CI: 6.4–18.5; I<sup>2</sup> = 92 %) compared with controls. Sensitivity analyses excluding phenylephrine or stratifying ephedrine doses yielded consistent findings. Overall certainty of evidence was low due to heterogeneity and indirectness.</div></div><div><h3>Conclusions</h3><div>Prophylactic push-dose vasopressors modestly increase arterial pressure during tracheal intubation in elective surgical patients. Given the low certainty of evidence and limited generalizability, routine use cannot be currently recommended.</div></div>","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"91 ","pages":"Article 155275"},"PeriodicalIF":2.9,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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