Journal of Critical & Intensive Care最新文献_第3页

Evaluation of Microorganisms Isolated from Endotracheal Aspirate Cultures in Patients with and without COVID-19 in the Intensive Care Unit: Single-Centre Retrospective Analysis 重症监护病房中COVID-19患者和非患者气管内吸入培养物中分离微生物的评价:单中心回顾性分析

Journal of Critical & Intensive Care Pub Date : 2022-01-01 DOI: 10.37678/dcybd.2022.3156

Kazım Rollas, G. Ersan, O. Emgin, Taner Çalışkan, T. Yavuz, O. Sarac

引用次数: 0

Epidemiology and Nature of Suicide Attempts in Children and Adolescents at the Tertiary Care Pediatric Hospitals; a Multicentre Retrospective Study in Turkey 三级儿科医院儿童和青少年自杀倾向的流行病学和性质土耳其多中心回顾性研究

Journal of Critical & Intensive Care Pub Date : 2022-01-01 DOI: 10.37678/dcybd.2022.3054

Ozlem Sarac Sandal, E. Ongun, A. Cicek, Seda Aybuke Sari, O. Temel, G. Ceylan

引用次数: 0

Mechanical Ventilation Strategies in Patients with Intra-Abdominal Hypertension and Open Abdomen 腹内高压和开腹患者的机械通气策略

Journal of Critical & Intensive Care Pub Date : 2022-01-01 DOI: 10.37678/dcybd.2022.3236

F. Yıldırım, I. Karaman, Mehmet Yildirim

引用次数: 0

Spontaneous Pneumothorax and Pneumomediastinum in Covid-19 Pneumonia Covid-19肺炎的自发性气胸和纵隔气肿

Journal of Critical & Intensive Care Pub Date : 2022-01-01 DOI: 10.37678/dcybd.2022.3106

Çağla Erdoğan, M. Kılınç, Selvinaz Tanriverdi Yuksel, H. Sungurtekin

引用次数: 1

Assessment of Stress Ulcer Prophylaxis Pattern in the Intensive Care Unit Patients 重症监护病房患者应激性溃疡预防模式的评估

Journal of Critical & Intensive Care Pub Date : 2022-01-01 DOI: 10.37678/dcybd.2021.2825

Mahshid Aramesh, Mohammad Amin Valizade Hasanloie, S. Aghlmand, Hamdollah Sharifi

{"title":"Assessment of Stress Ulcer Prophylaxis Pattern in the Intensive Care Unit Patients","authors":"Mahshid Aramesh, Mohammad Amin Valizade Hasanloie, S. Aghlmand, Hamdollah Sharifi","doi":"10.37678/dcybd.2021.2825","DOIUrl":"https://doi.org/10.37678/dcybd.2021.2825","url":null,"abstract":"Aim: Stress ulcer prophylaxis (SUP) is often overused in the intensive care unit. Evaluation of the rate of unsuitable stress ulcer prophylaxis upon ICU admission and determine the frequency of overutilization or underutilization of SUP. Study design: This study was performed in Imam Khomeini Hospital of Urmia University of Medical Sciences in Iran. The risk of stress ulcer development was assessed using American Society of Health-System Pharmacists (ASHP) guideline. Materials and Methods: Patients with at least one major or two minor risk factors had an indication of receiving prophylactic stress ulcer. Stress ulcer prophylaxis was considered as appropriate if patients were in one of these two groups and receiving medication. Results: In total of 200 patients included in this study, 55.5% were male, mean hospitalization in ICU was 17.9±8.7 days. The mean age of patients was 56.1 ±17.4 years. Thirty two percent of patients had at least one major and 47.5% had at least two minor risk factors. The most common major risk factor was coagulopathy and the most minor risk factor was using heparin with therapeutic dose. Seventy-nine and a half percent of patients received stress ulcer prophylaxis based on guideline and forty-one (20.5%) had not any indication for stress ulcer prophylaxis and they received drugs inappropriately. The most commonly, used drug class in the prevention of stress ulcer was H2 blockers. Conclusions: Physicians are familiar with risk factors, but they are not familiar with the importance of rational prescription, and overuse of stress ulcer prophylaxis. So, we are far from ideal conditions.","PeriodicalId":40137,"journal":{"name":"Journal of Critical & Intensive Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69975823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anemia and Red Blood Cell Transfusion Practices in a Medical Intensive Care Unit 在重症监护病房的贫血和红细胞输血实践

Journal of Critical & Intensive Care Pub Date : 2022-01-01 DOI: 10.37678/dcybd.2022.3111

T. Akbaş, O. Balbay

引用次数: 0

The Impact of Body Mass Index on Intensive Care Unit Outcomes of Critically ill Patients 体重指数对危重病人重症监护病房预后的影响

Journal of Critical & Intensive Care Pub Date : 2022-01-01 DOI: 10.37678/dcybd.2022.3209

Z. Cinar, Burcu Ozturk, M. Aydoğdu

引用次数: 0

Determinants of Mortality in Patients Admitted to Intensive Care Unit Due to COVID-19 Pneumonia COVID-19肺炎重症监护病房住院患者死亡率的决定因素

Journal of Critical & Intensive Care Pub Date : 2022-01-01 DOI: 10.37678/dcybd.2021.2783

M. Tosun, H. Olmez

{"title":"Determinants of Mortality in Patients Admitted to Intensive Care Unit Due to COVID-19 Pneumonia","authors":"M. Tosun, H. Olmez","doi":"10.37678/dcybd.2021.2783","DOIUrl":"https://doi.org/10.37678/dcybd.2021.2783","url":null,"abstract":"Objective: Coronavirus Disease-2019 (COVID-2019), which originated in Wuhan, China in December 2019 and became a global pandemic in March 2020, is a viral infectious condition. This study was planned due to the novel character of the virus, unexpected clinical course of the disease as well as due to the relative lack of data on determinants of severe disease. Methods: This retrospective study was carried out with the inclusion of 80 patients admitted to the Intensive Care Unit (ICU), Medical Faculty of Erzincan Binali Yildirim University between 1st April 2020 and 1st October 2020 due to the diagnosis of COVID-19 pneumonia. Demographic, clinical, and laboratory data, as well as treatments complications, length of ICU stay and mortality rate were compared between patients who had survive or not. Results: Of the 80 patients, 18 were died, and 62 were discharged. The mean age was 69.7 +/- 14.7 years, with a female to male ratio of approximately 1:2. Systolic blood pressure and mean arterial pressure on admission were significantly lower in non-survivors (p=0.002, and p=0.026, respectively). Also, non-survivors had significantly higher levels of CRP, procalcitonin, D-dimer, urea, LDH, INR, lactate, and neutrophil count and significantly lower lymphocyte counts as compared to survivors. The predictors of mortality were determined as the need for mechanical ventilation, presence of complications, higher CRP and urea levels in a multivariate regression analysis. Conclusion: Early estimation of patients with a high likelihood of severe illness, assessment of the intensive care unit admission, and convenient treatment strategies are important. This is a precious study that detects an early need for ICU admission and dose follow-up of patients.","PeriodicalId":40137,"journal":{"name":"Journal of Critical & Intensive Care","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69976200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Blood Pressure Measurement Compared Between Oscillometric Blood Pressure Monitoring and Gold Standard Intra-Arterial Blood Pressure Monitoring in Adult Shock Resuscitation Patients 成人休克复苏患者振荡血压监测与金标准动脉内血压监测的血压测量比较

Journal of Critical & Intensive Care Pub Date : 2022-01-01 DOI: 10.37678/dcybd.2022.3230

S. Tongyoo, Suharit Visuthisakchai, C. Permpikul

引用次数: 1

Comparison of Predictive Scoring Systems in Assessing Risk for Intensive Care Unit Admission and In-Hospital Mortality in Patients with Urinary Tract Infections 预测评分系统在评估尿路感染患者重症监护病房入院风险和住院死亡率中的比较

Journal of Critical & Intensive Care Pub Date : 2022-01-01 DOI: 10.37678/dcybd.2022.2941

S. Bae, Jae Hee Lee, Y. Choi

{"title":"Comparison of Predictive Scoring Systems in Assessing Risk for Intensive Care Unit Admission and In-Hospital Mortality in Patients with Urinary Tract Infections","authors":"S. Bae, Jae Hee Lee, Y. Choi","doi":"10.37678/dcybd.2022.2941","DOIUrl":"https://doi.org/10.37678/dcybd.2022.2941","url":null,"abstract":"Objective: We aimed to investigate the effectiveness of confusion, respiratory rate, blood pressure (CRB), CRB65, and quick sequential organ failure assessment (qSOFA) in predicting intensive care unit (ICU) admission and in-hospital mortality of patients with urinary tract infections (UTI) compared with Systemic Inflammatory Response Syndrome (SIRS). Methods: Data of patients with UTI who visited the emergency department of a single centre between February 2018 and March 2020 were retrospectively analysed. Baseline characteristics were compared with the prevalence of ICU admission and in-hospital mortality. The effectiveness of CRB, CRB-65, qSOFA, and SIRS as indicators of ICU admission and in-hospital mortality were evaluated using the area under the receiver operating characteristic (AUROC) curve. Results: Overall, 1151 patients were included, of whom 132 (11.5%) were admitted to the ICU and 30 (2.6%) succumbed to in-hospital mortality. AUROC values of CRB, CRB-65, and qSOFA as predictors of ICU admission and in-hospital mortality were similar. CRB score ≥1 had a sensitivity and specificity of 71.3% and 73.5%, respectively, for ICU admission; 66.7% and 69.2%, respectively, for in-hospital mortality. CRB-65 score ≥2 had a sensitivity and specificity of 61.2% and 80.9%, respectively, for ICU admissions; 60% and 76.9%, respectively, for in-hospital mortality. A qSOFA score ≥1 had a sensitivity and specificity of 71.3% and 79.6%, respectively, for ICU admission; 66.7% and 74.8%, respectively, for in-hospital mortality. AUROC values of SIRS were 0.580 and 0.617 respectively for ICU admission and in-hospital mortality, which showed lower predictive performance than those of the other three scoring systems. Conclusion: In ICU admission, CRB, CRB-65, and qSOFA have better predictive performance than SIRS. CRB-65 and qSOFA have superior performance compared to CRB and SIRS in predicting mortality.","PeriodicalId":40137,"journal":{"name":"Journal of Critical & Intensive Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69976390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0