Journal of critical care最新文献

{"title":"Comment on “Machine learning survival analysis for predicting kidney disease progression in patients with acute kidney injury undergoing continuous kidney replacement therapy: An analysis of the LINKA database”","authors":"Mohammed Anas Mohiuddin , Mohammed Misbah Ul Haq , S.R.V. Prasad Reddy","doi":"10.1016/j.jcrc.2026.155457","DOIUrl":"10.1016/j.jcrc.2026.155457","url":null,"abstract":"","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"93 ","pages":"Article 155457"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137577","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}

{"title":"Comment on Machine learning survival analysis for predicting kidney disease progression in patients with acute kidney injury undergoing continuous kidney replacement therapy: An analysis of the LINKA database","authors":"Bo Song , Guoying Wang , Song Zhou","doi":"10.1016/j.jcrc.2026.155456","DOIUrl":"10.1016/j.jcrc.2026.155456","url":null,"abstract":"","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"93 ","pages":"Article 155456"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024078","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}

{"title":"ICU transfer delay and mortality after ward-onset shock","authors":"Tongjuan Zou ,&nbsp;Chansokhon Ngan ,&nbsp;Wanhong Yin","doi":"10.1016/j.jcrc.2026.155423","DOIUrl":"10.1016/j.jcrc.2026.155423","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess whether intensive care unit (ICU) transfer delay after ward-onset shock is associated with mortality, and whether early point-of-care ultrasound (POCUS) is associated with outcomes.</div></div><div><h3>Materials and methods</h3><div>Retrospective cohort study using an ICU registry linked to electronic health records at West China Hospital (Jan 1, 2019–Jan 31, 2024). Adults with ward-onset shock requiring first ICU transfer were included. Transfer delay was grouped as &lt;3 h, 3–6 h, or &gt; 6 h. Multivariable logistic regression adjusted for age, APACHE II, and SOFA. Early POCUS was defined as ultrasound within 6 h of shock onset.</div></div><div><h3>Results</h3><div>Among 3535 patients, in-hospital mortality was 24.0%. Mortality increased across delay groups: 18.0% (&lt;3 h; <em>n</em> = 2849), 40.7% (3–6 h; <em>n</em> = 150), and 51.5% (&gt;6 h; <em>n</em> = 536). Versus &lt;3 h, adjusted odds of in-hospital death were higher for 3–6 h (OR 2.34, 95% CI 1.62–3.38) and &gt; 6 h (OR 3.27, 95% CI 2.65–4.03) (both <em>P</em> &lt; 0.001). Early POCUS (<em>n</em> = 251, 7.1%) was associated with lower in-hospital mortality (adjusted OR 0.57, 95% CI 0.37–0.84; <em>P</em> = 0.005) and lower 28-day mortality (adjusted OR 0.47, 95% CI 0.30–0.72; <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>ICU transfer delay after ward-onset shock was independently associated with increased mortality, whereas early POCUS was associated with lower mortality.</div></div>","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"93 ","pages":"Article 155423"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924194","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}

{"title":"Letter to the editor: “The impact of ketamine on ICU mortality in patients with sepsis: A retrospective cohort study”","authors":"Mengdi Zhang","doi":"10.1016/j.jcrc.2026.155467","DOIUrl":"10.1016/j.jcrc.2026.155467","url":null,"abstract":"","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"93 ","pages":"Article 155467"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024272","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}

{"title":"Family engagement in the cardiac ICU: Insights from the FAME study","authors":"Vanessa Debay ,&nbsp;Jillian Kifell ,&nbsp;Joseph Somech ,&nbsp;Michael Goldfarb","doi":"10.1016/j.jcrc.2026.155481","DOIUrl":"10.1016/j.jcrc.2026.155481","url":null,"abstract":"","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"93 ","pages":"Article 155481"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146170383","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}

{"title":"Factors associated with oropharyngeal dysphagia 3 months after ICU discharge in patients undergoing invasive mechanical ventilation: A post-hoc analysis of a Brazilian multicenter prospective cohort study","authors":"Laura Przybylski ,&nbsp;Rafaela Rech ,&nbsp;Duane Mocellin ,&nbsp;Gabriela Soares Rech ,&nbsp;Aline Paula Miozzo ,&nbsp;Jennifer de Souza Menna Barreto ,&nbsp;Emelyn de Souza Roldão ,&nbsp;Rosa da Rosa Minho dos Santos ,&nbsp;Marciane Maria Rover ,&nbsp;Gabriel Pozza Estivalete ,&nbsp;Raíne Fogliati de Carli Schardosin ,&nbsp;Christian Moraes Soares ,&nbsp;Hellen Luiza Moreira dos Santos ,&nbsp;Geraldine Trott ,&nbsp;Gabrielle Nunes da Silva ,&nbsp;Denise de Souza ,&nbsp;Carolina Rothmann Itaqui ,&nbsp;Vanessa Maziero Oliveira ,&nbsp;Rafael de Souza ,&nbsp;Cesar Eduardo Pimentel Ferreira ,&nbsp;Regis Goulart Rosa","doi":"10.1016/j.jcrc.2026.155437","DOIUrl":"10.1016/j.jcrc.2026.155437","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the incidence and factors associated with oropharyngeal dysphagia (OD) three months after intensive care unit (ICU) discharge in patients who underwent invasive mechanical ventilation (IMV).</div></div><div><h3>Methods</h3><div>This was a post-hoc analysis of a prospective multicenter cohort study conducted across ten clinical–surgical ICUs in Brazil. Adult survivors (age &gt; 18 years) with ICU stays ≥72 h and who needed IMV were included. The primary outcome was the incidence of OD, assessed by the Functional Oral Intake Scale (FOIS) during structured telephone interviews. Secondary outcomes included quality of life, measured by the Short Form Health Survey version 2, and rehospitalization.</div></div><div><h3>Results</h3><div>Among 360 patients, the incidence of OD 3 months after ICU discharge was 24.17%. Educational attainment (adjusted risk ratio [aRR] per 1 year increase, 0.95; 95% confidence interval [CI] 0.92–0.99), risk of death at ICU admission (aRR per 1% increase, 1.99; 95% CI, 1.06–3.77), acute respiratory distress syndrome [ARDS] diagnosis at ICU admission (aRR, 0.21; 95% CI, 0.06–0.71), and length of mechanical ventilation (aRR per 1 day increase, 1.02; 95%CI, 1.01–1.03) were associated with OD. Patients with OD reported significantly worse physical and mental quality-of-life scores. The incidence of rehospitalization did not differ significantly between patients with and without OD.</div></div><div><h3>Conclusions</h3><div>OD 3 months after ICU discharge is a common condition among ICU survivors who required IMV. Educational level, severity of illness at ICU admission, ARDS diagnosis at ICU admission, and length of mechanical ventilation are key associated variables.</div></div>","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"93 ","pages":"Article 155437"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024689","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}

{"title":"Authors reply: \"What every intensivist should know about…Methylene blue in septic shock\"","authors":"Shannon M. Fernando ,&nbsp;Karim Soliman ,&nbsp;Alexandre Tran ,&nbsp;Salmaan Kanji ,&nbsp;Bram Rochwerg","doi":"10.1016/j.jcrc.2026.155451","DOIUrl":"10.1016/j.jcrc.2026.155451","url":null,"abstract":"","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"93 ","pages":"Article 155451"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046611","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}

{"title":"Dipeptidyl peptidase-3 to predict respiratory outcomes in patients hospitalized with COVID-19: A secondary analysis of a multicenter randomized trial","authors":"J. Pedro Teixeira ,&nbsp;Christopher L. Schaich ,&nbsp;Caitlin C. ten Lohuis ,&nbsp;Nathan D. Nielsen ,&nbsp;Peter Chen ,&nbsp;Adit A. Ginde ,&nbsp;David N. Hager ,&nbsp;Akram Khan ,&nbsp;Lisa H. Merck ,&nbsp;Basmah Safdar ,&nbsp;Jeffrey M. Sturek ,&nbsp;Marjolein de Wit ,&nbsp;Michelle S. Harkins ,&nbsp;Wesley H. Self ,&nbsp;Sean P. Collins ,&nbsp;Laurence W. Busse ,&nbsp;for the ACTIV-4 Host Tissue Investigators","doi":"10.1016/j.jcrc.2026.155478","DOIUrl":"10.1016/j.jcrc.2026.155478","url":null,"abstract":"","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"93 ","pages":"Article 155478"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137527","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}

{"title":"Letter to the Editor: “Association between anemia and trauma-related severe acute kidney injury in trauma patients at risk of major bleeding: A post-hoc analysis of the RESTRIC trial”","authors":"Yu Qiu ,&nbsp;Li Li","doi":"10.1016/j.jcrc.2026.155458","DOIUrl":"10.1016/j.jcrc.2026.155458","url":null,"abstract":"","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"93 ","pages":"Article 155458"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024273","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}

{"title":"Corrigendum to “Diagnostic value of procalcitonin, C-reactive protein-to-lymphocyte ratio (CLR), C-reactive protein and neutrophil-to-lymphocyte ratio (NLR) for predicting patients with bacteraemia in the intensive care unit” [Journal of Critical Care 81 (2024) 154538]","authors":"Guo-Ming Zhang ,&nbsp;Yuan-Yuan Gu","doi":"10.1016/j.jcrc.2026.155470","DOIUrl":"10.1016/j.jcrc.2026.155470","url":null,"abstract":"","PeriodicalId":15451,"journal":{"name":"Journal of critical care","volume":"93 ","pages":"Article 155470"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146063763","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}