Critical Care and Resuscitation最新文献

{"title":"Swallowing biomechanics in tracheostomised critically ill patients compared to age- and gender-matched healthy controls","authors":"Sanith S. Cheriyan MBBS, MSurg ,&nbsp;Mistyka S. Schar BSpPath, PhD ,&nbsp;Charmaine M. Woods B. Biotech (hons), PhD ,&nbsp;Shailesh Bihari FCICM, PhD ,&nbsp;Charles Cock FRACP, PhD ,&nbsp;Theodore Athanasiadis FRACS, PhD ,&nbsp;Taher I. Omari BSC (hons), PhD ,&nbsp;Eng H. Ooi FRACS, PhD","doi":"10.1016/j.ccrj.2023.05.007","DOIUrl":"10.1016/j.ccrj.2023.05.007","url":null,"abstract":"<div><h3>Objective</h3><p>The mechanistic effects of a tracheostomy on swallowing are unclear. Pharyngeal high-resolution manometry with impedance (P-HRM-I) is a novel swallow assessment tool providing quantifiable metrics. This study aimed to characterise swallowing biomechanics in tracheostomised critically ill (non-neurological) patients.</p></div><div><h3>Design</h3><p>Cohort study.</p></div><div><h3>Setting</h3><p>Australian tertiary hospital intensive care unit.</p></div><div><h3>Participants</h3><p>Tracheostomised adults, planned for decannulation.</p></div><div><h3>Main outcome measures</h3><p>Swallowing assessment using P-HRM-I, compared to healthy age- and gender-matched controls.</p></div><div><h3>Results</h3><p>In this tracheostomised cohort (n = 10), the Swallow Risk Index, a global measure of swallow function, was significantly elevated (<em>p</em> &lt; 0.001). At the upper oesophageal sphincter (UOS), hypopharyngeal intrabolus pressure and UOS integrated relaxation pressure were significantly elevated (control 0.65 mmHg [-1.02, 2.33] <em>v</em> tracheostomy 13.7 mmHg [10.4, 16.9], <em>P</em> &lt; 0.001; control −4.28 mmHg [-5.87, 2.69] <em>v</em> tracheostomy 12.2 mmHg [8.83, 15.6], <em>P</em> &lt; 0.001, respectively). Furthermore, UOS opening extent and relaxation time were reduced (control 4.83 mS [4.60, 5.07] v tracheostomy 4.33 mS [3.97, 4.69], P = 0.002; control 0.52 s [0.49, 0.55] v tracheostomy 0.41 s [0.37, 0.45], <em>P</em> &lt; 0.001, respectively). Total pharyngeal contractility (PhCI) measuring pharyngeal pressure generation was significantly elevated (control 199.5 mmHg cm.s [177.4, 221.6] <em>v</em> tracheostomy 326.5 mmHg cm.s [253.3, 399.7]; <em>P</em> = 0.001).</p></div><div><h3>Conclusion</h3><p>In a critically ill tracheostomised cohort, UOS dysfunction was the prevalent biomechanical feature, with elevated pharyngeal pressures. Pharyngeal weakness is not contributing to dysphagia in this cohort. Instead, elevated pharyngeal pressures may represent a compensatory mechanism to overcome the UOS dysfunction. Further studies to extend these findings may inform the development of timely and targeted rehabilitation.</p></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"25 2","pages":"Pages 97-105"},"PeriodicalIF":2.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43674566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How much do we throw away in the intensive care unit? An observational point prevalence study of Australian and New Zealand ICUs","authors":"Matthew H. Anstey MBBS, FCICM, FACEM, MPH, AFRACMA ,&nbsp;Louise Trent MBChB, FCICM, FANZCA, AFRACMA ,&nbsp;Deepak Bhonagiri MBBS, MD, FCICM ,&nbsp;Naomi E. Hammond RN, PhD ,&nbsp;Serena Knowles RN, PhD ,&nbsp;Forbes McGain FCICM FANZCA ,&nbsp;On behalf of The George Institute for Global Health and the Australian and New Zealand Intensive Care Society Clinical Trials Group","doi":"10.1016/j.ccrj.2023.05.004","DOIUrl":"10.1016/j.ccrj.2023.05.004","url":null,"abstract":"<div><h3>Objective</h3><p>During the current COVID pandemic, waste generation has been more evident with increased use of single use masks, gowns and other personal protective equipment. We aimed to understand the scale of waste generation, recycling rates and participation in Australian and New Zealand (ANZ) ICUs.</p></div><div><h3>Design</h3><p>This is a prospective cross-sectional point prevalence study, as part of the 2021 ANZICS Point Prevalence Program. Specific questions related to waste and sustainability practices were asked at the site and patient level.</p></div><div><h3>Setting and participants</h3><p>ANZ adult ICUs and their patients on the day of the study.</p></div><div><h3>Main outcome measures</h3><p>Amount of single use items disposed of per shift, as well as the engagement of the site with sustainability and recycling practices.</p></div><div><h3>Results</h3><p>In total, 712 patients (median number of patients per ICU = 17, IQR 11–30) from 51 ICUs across ANZ were included in our study; 55% of hospitals had a sustainability officer, and recycling paper (86%) and plastics (65%) were frequent, but metal recycling was limited (27%). Per patient bed space per 12-h shift there was recycling of less than 40% paper, glass, intravenous fluid bags, medication cups and metal instruments. A median of 10 gowns (IQR 3–19.5), 10 syringes (4.5–18) and gloves 30 (18–49) were disposed of per bed space, per 12-h shift. These numbers increased significantly when comparing patients with and without infection control precautions in place.</p></div><div><h3>Conclusions</h3><p>In ANZ ICUs, we found utilisation of common ICU consumables to be high and associated with low recycling rates. Interventions to abate resource utilisation and augment recycling are required to improve environmental sustainability in intensive care units.</p></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"25 2","pages":"Pages 78-83"},"PeriodicalIF":2.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43442547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential role for extracorporeal membrane oxygenation cardiopulmonary resuscitation (E-CPR) during in-hospital cardiac arrest in Australia: A nested cohort study","authors":"G. Pound PT PhD Candidate ,&nbsp;G.M. Eastwood RN PhD ,&nbsp;D. Jones MD PhD ,&nbsp;C.L. Hodgson PT PhD","doi":"10.1016/j.ccrj.2023.05.006","DOIUrl":"https://doi.org/10.1016/j.ccrj.2023.05.006","url":null,"abstract":"<div><h3>Objective</h3><p>This study aims to evaluate the characteristics and outcomes of patients who fulfilled extracorporeal membrane oxygenation cardiopulmonary resuscitation (E-CPR) selection criteria during in-hospital cardiac arrest (IHCA).</p></div><div><h3>Design</h3><p>This is a nested cohort study.</p></div><div><h3>Setting</h3><p>Code blue data were collected across seven hospitals in Australia between July 2017 and August 2018.</p></div><div><h3>Participants</h3><p>Participants who fulfilled E-CPR selection criteria during IHCA were included.</p></div><div><h3>Main outcome measures</h3><p>Return of spontaneous circulation and survival and functional outcome at hospital discharge. Functional outcome was measured using the modified Rankin scale, with scores dichotomised into good and poor functional outcome.</p></div><div><h3>Results</h3><p>Twenty-three (23/144; 16%) patients fulfilled E-CPR selection criteria during IHCA, and 11/23 (47.8%) had a poor outcome. Patients with a poor outcome were more likely to have a non-shockable rhythm (81.8% vs. 16.7%; <em>p</em> = 0.002), and a longer duration of CPR (median 12.5 [5.5, 39.5] vs. 1.5 [0.3, 2.5] minutes; <em>p</em> &lt; 0.001) compared to those with a good outcome. The majority of patients (18/19 [94.7%]) achieved sustained return of spontaneous circulation within 15 minutes of CPR. All five patients who had CPR &gt;15 minutes had a poor outcome.</p></div><div><h3>Conclusion</h3><p>Approximately one in six IHCA patients fulfilled E-CPR selection criteria during IHCA, half of whom had a poor outcome. Non-shockable rhythm and longer duration of CPR were associated with poor outcome. Patients who had CPR for &gt;15 minutes and a poor outcome may have benefited from E-CPR. The feasibility, effectiveness and risks of commencing E-CPR earlier in IHCA and among those with non-shockable rhythms requires further investigation.</p></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"25 2","pages":"Pages 90-96"},"PeriodicalIF":2.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49713690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental sustainability in the intensive care unit: A toolkit to counter futility!","authors":"Deepak Bhonagiri MBBS, MD, FCICM,&nbsp;Mary Pinder MBBS, FCICM,&nbsp;Sue Huckson BAppSc, ICU Cert","doi":"10.1016/j.ccrj.2023.04.001","DOIUrl":"10.1016/j.ccrj.2023.04.001","url":null,"abstract":"","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"25 2","pages":"Pages 61-62"},"PeriodicalIF":2.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46460778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensive care unit admission from the emergency department in the setting of National Emergency Access Targets","authors":"Jack D'Arcy MB, BCh, BAO(Hons), FCICM, FACEM ,&nbsp;Suzanne Doherty MB, BCh, BAO(Hons), FACEM ,&nbsp;Luke Fletcher MBBS(Hons), BMedSc(Hons), MMed(Periop) ,&nbsp;Ary Serpa Neto MD, MSc, PhD ,&nbsp;Daryl Jones BSc(Hons), MBBS, FRACP, FCICM, MD, PhD","doi":"10.1016/j.ccrj.2023.05.005","DOIUrl":"10.1016/j.ccrj.2023.05.005","url":null,"abstract":"<div><h3>Purpose</h3><p>Since the introduction of National Emergency Access Targets (NEATs) in 2012 there has been little research examining patients admitted to the intensive care unit (ICU).</p><p>We assessed differences in baseline characteristics and outcomes of patients admitted from the Emergency Department (ED) to the ICU within 4 hours compared with patients who were not.</p></div><div><h3>Methods</h3><p>This retrospective observational study included all adults (≥18 years old) admitted to the ICU from the ED of Austin Hospital, Melbourne, Australia, between 1 January 2017 and 31st December 2019 inclusive.</p></div><div><h3>Results</h3><p>1544 patients were admitted from the ED to the ICU and 65% had an ED length of stay (EDLOS) &gt; 4 hour. Such patients were more likely to be older, female, with less urgent triage category scores and lower illness severity. Sepsis and respiratory admission diagnoses, and winter presentations were significantly more prevalent in this group.</p><p>After adjustment for confounders, patients with an EDLOS &gt; 4 hours had lower hospital mortality; 8% v 21% (p = 0.029; OR, 1.62), shorter ICU length of stay 2.2 v 2.4 days (p = 0.043), but a longer hospital length of stay 6.2 v 6.8 days (p = &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>Almost two thirds of patients breached the NEAT of 4 hours. These patients were more likely to be older, female, admitted in winter with sepsis and respiratory diagnoses, and have lower illness severity and less urgent triage categories. NEAT breach was associated with reduced hospital mortality but an increased hospital length of stay.</p></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"25 2","pages":"Pages 84-89"},"PeriodicalIF":2.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46596261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decompensated metabolic acidosis in the emergency department: Epidemiology, sodium bicarbonate therapy, and clinical outcomes","authors":"Christopher Guy Dr, MBBS, MPH ,&nbsp;Natasha E. Holmes Associate Professor, MBBS, PhD ,&nbsp;Kartik Kishore Master of Data Science ,&nbsp;Nada Marhoon Post-Graduate Diploma in Data Science ,&nbsp;Ary Serpa-Neto Dr, MD, MSc, PhD","doi":"10.1016/j.ccrj.2023.05.003","DOIUrl":"10.1016/j.ccrj.2023.05.003","url":null,"abstract":"<div><h3>Objective</h3><p>This article aims to describe the epidemiology of decompensated metabolic acidosis, the characteristics of sodium bicarbonate (SB) administration and outcomes in emergency department (ED) patients.</p></div><div><h3>Design</h3><p>This is a retrospective cohort study.</p></div><div><h3>Setting</h3><p>ED of a tertiary referral hospital in Melbourne, Australia.</p></div><div><h3>Participants</h3><p>Adult patients presenting to the ED between 1 July 2011 and 20 September 2020 with decompensated metabolic acidosis diagnosed on arterial blood gas (ABG).</p></div><div><h3>Main outcome measures</h3><p>We compared characteristics between those treated with or without SB. We studied SB administration characteristics, change in laboratory variables, factors associated with use and dose, and clinical outcomes.</p></div><div><h3>Results</h3><p>Among 753,613 ED patients, 314 had decompensated metabolic acidosis on ABG, with 17.8% receiving SB. Patients in the SB group had lower median pH, CO2, bicarbonate, and base excess (BE) levels compared with the No SB group (<em>P</em> &lt; 0.01). The median number of SB doses in the SB group was one treatment. This was given at a median total dose of 100 mmol and at a median of 2.8 h after the diagnostic blood gas results. Only 42% of patients in the SB group had a subsequent blood gas measured. In such patients, there was no significant change in pH, bicarbonate, or BE. SB therapy was not independently associated with mortality.</p></div><div><h3>Conclusions</h3><p>ABG-confirmed decompensated metabolic acidosis was rare but associated with a high mortality. SB administration occurred in a minority of patients and in more acidaemic patients. However, SB dose was stereotypical and not tailored to acidosis severity. Assessment of SB effect was infrequent and showed no correction of acidosis. Systematic studies of titrated SB therapy are required to inform current practice.</p></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"25 2","pages":"Pages 71-77"},"PeriodicalIF":2.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43555338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LOVIT or leave it: The vitamin C debate continues","authors":"Yugeesh R. Lankadeva PhD,&nbsp;Darius JR. Lane PhD,&nbsp;Connie PC. Ow PhD,&nbsp;David A. Story MD, PhD,&nbsp;Mark P. Plummer MD, PhD,&nbsp;Clive N. May PhD","doi":"10.1016/j.ccrj.2023.05.001","DOIUrl":"10.1016/j.ccrj.2023.05.001","url":null,"abstract":"","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"25 2","pages":"Pages 63-64"},"PeriodicalIF":2.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44551680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protocol and statistical analysis plan for the mega randomised registry trial comparing conservative vs. liberal oxygenation targets in adults with sepsis in the intensive care unit (Mega-ROX Sepsis)","authors":"Paul J. Young MBChB, PhD ,&nbsp;Abdulrahman Al-Fares MBChB, FRCPC, ABIM, MRCP ,&nbsp;Diptesh Aryal MD ,&nbsp;Yaseen M. Arabi MD ,&nbsp;Muhammad Sheharyar Ashraf MD ,&nbsp;Sean M. Bagshaw MD, MSc, PhD ,&nbsp;Abigail Beane PhD ,&nbsp;Airton L. de Oliveira Manoel MD, PhD ,&nbsp;Layoni Dullawe Bsc ,&nbsp;Fathima Fazla BSc ,&nbsp;Tomoko Fujii MD, PhD ,&nbsp;Rashan Haniffa PhD ,&nbsp;Carol L. Hodgson PhD, MPhil, PT ,&nbsp;Anna Hunt BN ,&nbsp;Bharath Kumar Tirupakuzhi Vijayaraghavan MD, MSc ,&nbsp;Giovanni Landoni MD ,&nbsp;Cassie Lawrence BN ,&nbsp;Israel Silva Maia MD, MSc ,&nbsp;Diane Mackle MN, PhD ,&nbsp;Mohd Zulfakar Mazlan MBBS, MMed ,&nbsp;Jessica Kasza PhD","doi":"10.1016/j.ccrj.2023.04.008","DOIUrl":"10.1016/j.ccrj.2023.04.008","url":null,"abstract":"<div><h3>Background</h3><p>The effect of conservative vs. liberal oxygen therapy on 90-day in-hospital mortality in adults with sepsis receiving unplanned invasive mechanical ventilation in the intensive care unit (ICU) is uncertain.</p></div><div><h3>Objective</h3><p>The objective of this study was to summarise the protocol and statistical analysis plan for the Mega-ROX Sepsis trial.</p></div><div><h3>Design, setting, and participants</h3><p>The Mega-ROX Sepsis trial is an international randomised clinical trial that will be conducted within an overarching 40,000-patient registry-embedded clinical trial comparing conservative and liberal ICU oxygen therapy regimens. We anticipate that between 10,000 and 13,000 patients with sepsis who are receiving unplanned invasive mechanical ventilation in the ICU will be enrolled in this trial.</p></div><div><h3>Main outcome measures</h3><p>The primary outcome is in-hospital all-cause mortality up to 90 days from the date of randomisation. Secondary outcomes include duration of survival, duration of mechanical ventilation, ICU length of stay, hospital length of stay, and the proportion of patients discharged home.</p></div><div><h3>Results and conclusions</h3><p>Mega-ROX Sepsis will compare the effect of conservative vs. liberal oxygen therapy on 90-day in-hospital mortality in adults with sepsis who are receiving unplanned invasive mechanical ventilation in the ICU. The protocol and a prespecified approach to analyses are reported here to mitigate analysis bias.</p></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"25 2","pages":"Pages 106-112"},"PeriodicalIF":2.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48037713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aggression, violence and threatening behaviour during critical illness","authors":"Màiri H. Northcott MBChB ,&nbsp;Gemma Johnston BBioMed MBBS MCritCare ,&nbsp;Jeffrey J. Presneill MBBS(Hons) PhD MBiostat ,&nbsp;Timothy N. Fazio MBBS(Hons) MIS(Health) ,&nbsp;Nathaniel Adamson BNurs, GradCertClinN(CritCare) ,&nbsp;Melissa J. Ankravs BPharm MClinPharm ,&nbsp;Lewis Hackenberger BNurs, GradCertClinN(CritCare) ,&nbsp;Yasmine Ali Abdelhamid MBBS PhD ,&nbsp;Christopher M. MacIsaac MBBS(Hons) PhD MHlthServMt ,&nbsp;Adam M. Deane MBBS PhD","doi":"10.1016/j.ccrj.2023.05.002","DOIUrl":"10.1016/j.ccrj.2023.05.002","url":null,"abstract":"<div><h3>Objective</h3><p>This article aims to quantify prevalence of patient aggression or threatened/actual violence during critical illness.</p></div><div><h3>Design</h3><p>This is a retrospective cohort study.</p></div><div><h3>Setting</h3><p>This study was conducted in single adult trauma intensive care unit (ICU).</p></div><div><h3>Participants</h3><p>Patients aged 18 years or over, admitted between January 2015 and December 2020, who triggered a “Code Grey” response due to aggression or threatened/actual violence.</p></div><div><h3>Main outcome measure</h3><p>The primary outcome was prevalence of Code Grey events. Secondary outcomes included unadjusted and adjusted (logistic mixed model) effects of patient demographics, diagnoses and severity of illness on Code Grey events.</p></div><div><h3>Results</h3><p>There were 16175 ICU admissions relating to 14085 patients and 807 Code Grey events involving 379 (2.7%) patients. The observed count of events increased progressively from 2015 (n = 77) to 2020 (n = 204). For patients with a Code Grey, the median count of events was 3 (range 1–33). Independent predictors of at least one ICU Code Grey event included male sex (OR 2.5; 95% CI 1.8 to 3.4), young age (most elevated odds ratio in patients 20–30 years), admission from the emergency department (OR 2.8, 95% CI 2.1 to 3.6) and a trauma diagnosis (OR 1.4, 95% CI 1.1 to 1.9). Code Grey patients had longer admissions with a reduced risk of death.</p></div><div><h3>Conclusions</h3><p>The prevalence of Code Grey events in ICU appears to be increasing. Patients may have repeated events. Younger male patients admitted to ICU via the emergency department with a trauma or medical diagnosis are at greatest risk of a Code Grey event.</p></div>","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"25 2","pages":"Pages 65-70"},"PeriodicalIF":2.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44294145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender differences in professional social networks use among critical care researchers.","authors":"Zoé Demailly, Geoffroy Brulard, F. Tamion, B. Veber, E. Occhiali, T. Clavier","doi":"10.2139/ssrn.4208547","DOIUrl":"https://doi.org/10.2139/ssrn.4208547","url":null,"abstract":"BACKGROUND\u0000Recent studies highlight that female anaesthesiology researchers have lower visibility on professional social networks (PSNs) than male researchers.\u0000\u0000\u0000OBJECTIVE\u0000The objective of this work was to compare the use of PSNs between women and men in critical care research.\u0000\u0000\u0000METHODS\u0000We included the first/last authors (FAs/LAs) among the most frequently cited articles in 2018 and 2019 in three critical care journals (Intensive Care Medicine, Critical Care Medicine, and Critical Care). We compared the use of three PSNs-Twitter, ResearchGate, and LinkedIn-between women and men in the FA/LA positions.\u0000\u0000\u0000RESULTS\u0000We analysed 494 articles, which allowed us to include 426 FAs and 383 LAs. The use of a PSN was similar between women and men (Twitter: 35 vs. 31% FA p = 0.76, 38 vs. 31% LA p = 0.24; ResearchGate: 60 vs. 70% FA p = 0.06, 67 vs. 66% LA p = 0.95; LinkedIn: 54 vs. 56% FA p = 0.25, 68 vs. 64% LA p = 0.58; respectively). On ResearchGate, women had a lower reputation score (FA group 26.4 [19.5-31.5] vs. 34.8 [27.4-41.6], p < 0.01; LA group 38.5 [30.9-43.7] vs. 42.3 [37.6-46.4], p < 0.01) and fewer followers (FA group 28.5 [19-45] vs. 68.5 [72,5-657] p < 0.01; LA group 96.5 [43,8-258] vs. 178 [76.3-313.5] p = 0.02). Female researchers were FAs in 30% of the articles and LAs in 16%.\u0000\u0000\u0000CONCLUSION\u0000In the field of critical care, the visibility of female researchers on the social networks dedicated to scientific research is lower than that of male researchers.","PeriodicalId":49215,"journal":{"name":"Critical Care and Resuscitation","volume":"11 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81734966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}